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The PrEP Access and Coverage Act of 2026 requires private health insurance plans, Medicare, Medicaid, CHIP, and the Federal Employees Health Benefits Program to cover prescription drugs approved for HIV prevention (such as pre-exposure prophylaxis or PrEP) without cost-sharing. The bill also mandates coverage of related services including laboratory tests, diagnostic procedures, clinical monitoring, and administrative fees. Additionally, it prohibits health plans from imposing preauthorization requirements for HIV prevention drugs, except when a therapeutically equivalent alternative is available without preauthorization.
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