# 119-hr-5127: PrEP and PEP are Prevention Act

119-hr-5127, PrEP and PEP are Prevention Act, is a 119th Congress bill sponsored by Rep. Waters, Maxine [D-CA-43] (D-CA); status introduced; PRIA reads it as touching household money (as of 2026-07-02).

- Canonical: https://policyrisk.com/legislation/119-hr-5127
- As of: 2026-07-02
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-5127
- Congress: 119
- Title: PrEP and PEP are Prevention Act
- Status: introduced
- Introduced: 2025-09-04
- Sponsor: Rep. Waters, Maxine [D-CA-43] (D-CA)
- Cosponsors: 35
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-02

## Summary

**This bill would require no-cost coverage for HIV prevention services.** It sets a single definition that covers FDA-approved prevention drugs (including PrEP and PEP), administration fees, labs and diagnostics, counseling, and clinical follow-up per U.S. Public Health Service guidelines. - Private plan enrollees would get no-cost coverage for HIV prevention drugs and related services. Plans could not require preauthorization for these services except in narrow cases when a therapeutically equivalent drug is covered without preauthorization. - People on federal programs would see expanded no-cost coverage. The bill would add HIV prevention services to Medicare Part B and Part D and remove Part B coinsurance and deductible for these services while eliminating Part D cost-sharing for prevention drugs, and it would require Federal Employees Health Benefits plans to cover these services with no cost-sharing. - Medicaid and CHIP enrollees would gain these services as mandatory benefits with no cost-sharing. Implementation generally starts January 1 of the first calendar year after enactment with limited state delays if state law changes are needed.

## Cosponsors (35)

- Rep. Garcia, Robert [D-CA-42] (D-CA), 2025-09-04T00:00:00.000Z
- Rep. Nadler, Jerrold [D-NY-12] (D-NY), 2025-09-04T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-09-04T00:00:00.000Z
- Rep. Thompson, Bennie G. [D-MS-2] (D-MS), 2025-09-04T00:00:00.000Z
- Rep. Krishnamoorthi, Raja [D-IL-8] (D-IL), 2025-09-04T00:00:00.000Z
- Rep. Garcia, Sylvia R. [D-TX-29] (D-TX), 2025-09-04T00:00:00.000Z
- Rep. Velázquez, Nydia M. [D-NY-7] (D-NY), 2025-09-04T00:00:00.000Z
- Rep. Sewell, Terri A. [D-AL-7] (D-AL), 2025-09-04T00:00:00.000Z
- Rep. Carson, André [D-IN-7] (D-IN), 2025-09-04T00:00:00.000Z
- Rep. Jackson, Jonathan L. [D-IL-1] (D-IL), 2025-09-04T00:00:00.000Z
- Rep. Titus, Dina [D-NV-1] (D-NV), 2025-09-04T00:00:00.000Z
- Rep. Johnson, Henry C. "Hank" [D-GA-4] (D-GA), 2025-09-04T00:00:00.000Z
- Rep. McIver, LaMonica [D-NJ-10] (D-NJ), 2025-09-04T00:00:00.000Z
- Rep. Beatty, Joyce [D-OH-3] (D-OH), 2025-09-04T00:00:00.000Z
- Rep. Cleaver, Emanuel [D-MO-5] (D-MO), 2025-09-04T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2025-09-04T00:00:00.000Z
- Rep. Wilson, Frederica S. [D-FL-24] (D-FL), 2025-09-04T00:00:00.000Z
- Rep. Simon, Lateefah [D-CA-12] (D-CA), 2025-09-04T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2025-09-04T00:00:00.000Z
- Rep. Mullin, Kevin [D-CA-15] (D-CA), 2025-09-04T00:00:00.000Z
- Rep. Ramirez, Delia C. [D-IL-3] (D-IL), 2025-09-04T00:00:00.000Z
- Rep. Barragán, Nanette Diaz [D-CA-44] (D-CA), 2025-09-04T00:00:00.000Z
- Rep. Watson Coleman, Bonnie [D-NJ-12] (D-NJ), 2025-09-04T00:00:00.000Z
- Rep. Tlaib, Rashida [D-MI-12] (D-MI), 2025-09-04T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2025-09-04T00:00:00.000Z
- Rep. Williams, Nikema [D-GA-5] (D-GA), 2025-09-04T00:00:00.000Z
- Rep. Latimer, George [D-NY-16] (D-NY), 2025-09-09T00:00:00.000Z
- Rep. Moore, Gwen [D-WI-4] (D-WI), 2025-09-09T00:00:00.000Z
- Rep. Randall, Emily [D-WA-6] (D-WA), 2025-09-09T00:00:00.000Z
- Rep. Figures, Shomari [D-AL-2] (D-AL), 2025-09-09T00:00:00.000Z
- Rep. Ross, Deborah K. [D-NC-2] (D-NC), 2025-09-09T00:00:00.000Z
- Rep. Pocan, Mark [D-WI-2] (D-WI), 2025-10-28T00:00:00.000Z
- Rep. Johnson, Julie [D-TX-32] (D-TX), 2025-12-03T00:00:00.000Z
- Rep. Kelly, Robin L. [D-IL-2] (D-IL), 2026-02-02T00:00:00.000Z
- Rep. Quigley, Mike [D-IL-5] (D-IL), 2026-06-30T00:00:00.000Z

## Provisions PRIA read

- Medicaid and CHIP HIV prevention at no cost: benefit, high. If enacted, Medicaid and CHIP would have to cover HIV prevention services like PrEP and PEP. This would include lab tests, counseling, and follow-up visits. States could not charge copays for these services in Medicaid or CHIP. These changes would start on January 1 of the first calendar year after…
- Medicare HIV prevention at no cost: benefit, high. If enacted, Medicare would cover HIV prevention services like PrEP and PEP. Under Part B, most services would be paid at 100%, and the Part B deductible would not apply to prevention drugs. Some hospital outpatient department rules could still apply. Under Part D, there would be no deductible or co…
- No-cost HIV prevention in FEHB plans: benefit, medium. If enacted, FEHB plans would have to cover HIV prevention drugs and related services at no cost. Coverage would include admin fees, lab work, counseling, and follow-up per current guidelines. This would start with the first plan year after enactment.
- No-cost HIV prevention in private plans: benefit, medium. If enacted, group and individual health plans would have to cover HIV prevention drugs and related tests, counseling, and follow-up at no cost. Plans could not require prior approval, unless they offer a similar drug without it. This would start with the first plan year after enactment.

## Related bills

- 119-hr-7973: Momnibus Act
- 119-hr-51: Washington, D.C. Admission Act
- 119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025
- 119-hr-5390: FAMILY Act
- 119-hr-15: Equality Act
- 119-hr-1589: American Dream and Promise Act of 2025

## Sources
- [119-hr-5127 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/5127)

## Related
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-hr-51)
- [119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025](https://policyrisk.com/legislation/119-hr-20)
- [119-hr-5390: FAMILY Act](https://policyrisk.com/legislation/119-hr-5390)
- [119-hr-15: Equality Act](https://policyrisk.com/legislation/119-hr-15)
- [119-hr-1589: American Dream and Promise Act of 2025](https://policyrisk.com/legislation/119-hr-1589)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-5127 (as of 2026-07-02).