# 119-hr-7189: PrEP Access Act

119-hr-7189, PrEP Access Act, is a 119th Congress bill sponsored by Rep. Pocan, Mark [D-WI-2] (D-WI); status introduced; PRIA reads it as touching household money (as of 2026-09-02).

- Canonical: https://policyrisk.com/legislation/119-hr-7189
- As of: 2026-09-02
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-7189
- Congress: 119
- Title: PrEP Access Act
- Status: introduced
- Introduced: 2026-01-21
- Sponsor: Rep. Pocan, Mark [D-WI-2] (D-WI)
- Cosponsors: 21
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-02

## Summary

The PrEP Access Act would let Medicare Part B cover and pay for **pharmacist-delivered HIV prevention services**. It expands where beneficiaries can get PrEP, PEP, counseling, medication administration, and related lab tests. - Medicare enrollees could receive PrEP and PEP, counseling, and related clinical lab tests from pharmacists when state law permits. - Pharmacists who are legally authorized by their state could furnish evaluation, management, medication administration, and related diagnostic testing for HIV prevention and bill Medicare Part B. - Medicare payment would equal 80% of either the pharmacist's actual charge or 85% of the physician fee schedule rate, whichever is less. Pharmacists would be prohibited from balance billing and the rule applies to services furnished on or after January 1, 2027.

## Cosponsors (21)

- Rep. Beatty, Joyce [D-OH-3] (D-OH), 2026-01-21T00:00:00.000Z
- Rep. Dean, Madeleine [D-PA-4] (D-PA), 2026-01-21T00:00:00.000Z
- Rep. Garcia, Robert [D-CA-42] (D-CA), 2026-01-21T00:00:00.000Z
- Rep. Garcia, Sylvia R. [D-TX-29] (D-TX), 2026-01-21T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2026-01-21T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2026-01-21T00:00:00.000Z
- Rep. Johnson, Henry C. "Hank" [D-GA-4] (D-GA), 2026-01-21T00:00:00.000Z
- Rep. Ramirez, Delia C. [D-IL-3] (D-IL), 2026-01-21T00:00:00.000Z
- Rep. Ross, Deborah K. [D-NC-2] (D-NC), 2026-01-21T00:00:00.000Z
- Rep. Torres, Ritchie [D-NY-15] (D-NY), 2026-01-21T00:00:00.000Z
- Rep. Watson Coleman, Bonnie [D-NJ-12] (D-NJ), 2026-01-21T00:00:00.000Z
- Rep. Balint, Becca [D-VT-At Large] (D-VT), 2026-02-04T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2026-02-04T00:00:00.000Z
- Rep. Budzinski, Nikki [D-IL-13] (D-IL), 2026-04-09T00:00:00.000Z
- Rep. Friedman, Laura [D-CA-30] (D-CA), 2026-04-09T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2026-04-09T00:00:00.000Z
- Rep. Grijalva, Adelita S. [D-AZ-7] (D-AZ), 2026-08-03T00:00:00.000Z
- Rep. Cleaver, Emanuel [D-MO-5] (D-MO), 2026-08-03T00:00:00.000Z
- Rescom. Hernández, Pablo Jose [D-PR-At Large] (D-PR), 2026-08-03T00:00:00.000Z
- Rep. Jackson, Jonathan L. [D-IL-1] (D-IL), 2026-08-03T00:00:00.000Z
- Rep. Correa, J. Luis [D-CA-46] (D-CA), 2026-08-31T00:00:00.000Z

## Provisions PRIA read

- Medicare coverage for pharmacist PrEP: benefit, medium. If enacted, Medicare Part B would cover pharmacist-provided HIV prevention services starting January 1, 2027. You could get evaluation, screening, counseling, PrEP or PEP medication, and related lab tests from a pharmacist if state law allows the pharmacist to provide them. The bill would also ban…
- Pharmacist payment rules for PrEP: mixed, low. If enacted, Medicare would pay pharmacists for HIV prevention services using a set formula starting January 1, 2027. Payment would equal 80% of the lesser of the pharmacist's actual charge or 85% of the Medicare fee for the same service. That payment rule would likely reduce pharmacist reimbursemen…

## Related bills

- 119-hr-7973: Momnibus Act
- 119-hr-51: Washington, D.C. Admission Act
- 119-hr-15: Equality Act
- 119-hr-1589: American Dream and Promise Act of 2025
- 119-hr-2763: American Family Act
- 119-hr-17: Paycheck Fairness Act

## Sources
- [119-hr-7189 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/7189)

## 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-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)
- [119-hr-2763: American Family Act](https://policyrisk.com/legislation/119-hr-2763)
- [119-hr-17: Paycheck Fairness Act](https://policyrisk.com/legislation/119-hr-17)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-7189 (as of 2026-09-02).