PrEP Access Act

The PrEP Access Act would amend Medicare Part B to cover HIV prevention services provided by pharmacists, including evaluation, counseling, medication administration, and related lab tests for pre-exposure and post-exposure prophylaxis, as long as the pharmacist is authorized under state law to furnish such services. It would set payment for these services at 80 percent of the lesser of the actual charge or 85 percent of the physician fee schedule amount, prohibit balance billing by pharmacists for these services, and make conforming changes to ensure consistency with existing Medicare rules. The provisions would apply to services furnished on or after January 1, 2027.

No official summary is available here. This one was written by AI from the bill’s text.