Bills · HR 5127
IN COMMITTEE· 119TH CONGRESS
House BillHR 5127Health
PrEP and PEP are Prevention Act
INTRO SEP 4· LAST ACTION SEP 4
READING
11MIN
COSPONSORS
35
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it removes financial hurdles that currently prevent many people from accessing highly effective HIV prevention tools. When people have to pay for deductibles, copays, or coinsurance, or go through complicated preauthorization steps, it can stop them from getting life-saving medication like PrEP or PEP, even if their insurance technically 'covers' it. By making these services completely free and easier to get, the bill could significantly increase the number of people using them.
The real-world impact could be a notable reduction in new HIV infections across the United States, improving public health and reducing the long-term costs associated with treating HIV. If this bill passes, more people at risk would be able to protect themselves without worrying about costs, making HIV prevention more equitable. If it doesn't pass, financial barriers and administrative hurdles for these services will likely continue, potentially contributing to ongoing rates of new HIV infections.
KEY PROVISIONS
5AI-extractedPROVISION 01
Requires private health insurance plans to cover HIV prevention drugs (PrEP and PEP), related administrative fees, lab tests, counseling, and follow-up care without any cost-sharing.
This makes crucial HIV prevention methods financially accessible for individuals with private insurance, removing out-of-pocket costs.
PROVISION 02
Prohibits private health insurance plans from requiring prior authorization for HIV prevention drugs, with a narrow exception if an equally effective drug is offered without prior authorization.
This removes an administrative barrier that can delay or prevent access to timely HIV prevention treatment.
PROVISION 03
Mandates that Medicare Part B (medical services) cover HIV prevention services, including drugs and related care, with no deductible or coinsurance.
This ensures that Medicare beneficiaries, particularly older adults or those with disabilities, can access these services without financial burden.
PROVISION 04
Mandates that Medicare Part D (prescription drugs) cover HIV prevention drugs without any deductible or other cost-sharing.
This eliminates out-of-pocket costs for the PrEP and PEP medications themselves for Medicare Part D enrollees.
PROVISION 05
Extends similar no-cost coverage requirements for HIV prevention services to Medicaid and the Children's Health Insurance Program (CHIP).
This ensures that low-income individuals and children also have barrier-free access to critical HIV prevention.
SPONSORSHIP
1 + 35
D· California
YRS IN OFFICE
35
BILLS LED
44
COSPONSOR BREAKDOWNBIPARTISAN · 0%
DEM 35 REP 0 IND 0
ACTION TIMELINE
2 EVENTSSEP 4
Introduced in House
SEP 4
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Oversight and Government Reform, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
BILL INFO
TypeHouse Bill
NumberHR 5127
Congress119th
StatusIn Committee
IntroducedSep 4, 2025
Last actionSep 4, 2025
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IN COMMITTEE· 119TH CONGRESS · OVERSIGHT AND GOVERNMENT REFORM COMMITTEE · INTRODUCED SEP 4, 2025
House BillHR 5127Health
PrEP and PEP are Prevention Act
INTRODUCED SEP 4, 2025· LAST ACTION SEP 4, 2025
PASSAGE CHANCES
—%
READING
11 min
COSPONSORS
35
COMPLEXITY
Moderate
