I 

116TH CONGRESS 

1ST SESSION H. R. 1643 

To establish a grant program that provides grants to States, Territories 

of the United States, and Indian tribes for pre-exposure prophylaxis 

(PrEP) programs, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 8, 2019 

Mrs. WATSON COLEMAN (for herself, Ms. ROYBAL-ALLARD, Mr. SEAN PATRICK MALONEY of New York, Ms. CLARKE of New York, Ms. NORTON, 

Mr. NADLER, Ms. JACKSON LEE, Mr. DAVID SCOTT of Georgia, Mr. 

HASTINGS, Mr. BROWN of Maryland, Ms. WASSERMAN SCHULTZ, Mr. 

ENGEL, Mr. SERRANO, Mr. RUSH, and Mr. COHEN) introduced the following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To establish a grant program that provides grants to States, 

Territories of the United States, and Indian tribes for 

pre-exposure prophylaxis (PrEP) programs, and for other 

purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘PrEP Assistance Pro5 gram Act’’. 


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1 SEC. 2. PRE-EXPOSURE PROPHYLAXIS PROGRAM GRANT. 

2 (a) IN GENERAL.—Not later than 1 year after the 

3 date of enactment of this Act, the Secretary of Health and 

4 Human Services (in this Act referred to as the ‘‘Sec5 retary’’) shall establish a program that provides grants to 

6 States, Territories of the United States, and Indian tribes 

7 for the establishment and support of pre-exposure prophy8 laxis (in this Act referred to as ‘‘PrEP’’) programs. 

9 (b) APPLICATIONS.—To be eligible to receive a grant 

10 under subsection (a), a State, Territory of the United 

11 States, or Indian tribe shall submit an application to the 

12 Secretary at such time, in such manner, and containing 

13 such information as the Secretary may require, including 

14 a description of how any funds awarded will be used. 

15 (c) AMOUNT.—Any grant provided to a State, Terri16 tory of the United States, or Indian tribe under this sec17 tion may not exceed $5,000,000. 

18 (d) USE OF FUNDS.—Any State, Territory of the 

19 United States, or Indian tribe that is awarded funds under 

20 subsection (a) shall use such funds for eligible PrEP ex21 penses. 

22 (e) ELIGIBLE PREP EXPENSES.— 

23 (1) IN GENERAL.—The Secretary shall publish 

24 a list of expenses that qualify as eligible PrEP ex25 penses. 

26 (2) INCLUSIONS.—Such list shall include— 


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1 (A) clinic and laboratory fees; 

2 (B) PrEP medication; 

3 (C) sexually transmitted disease testing in 

4 accordance with guidelines issued by the Cen5 ters for Disease Control and Prevention; 

6 (D) treatment adherence counseling; 

7 (E) outreach activities directed toward 

8 high-risk populations that increase awareness 

9 about the existence of PrEP and provide edu10 cation about access to and health care coverage 

11 of PrEP; and 

12 (F) outreach activities directed toward 

13 physicians that provide education about PrEP. 

14 (f) MATCHING.—Any State, Territory of the United 

15 States, or Indian tribe that receives a grant under sub16 section (a) must contribute, to the programs established 

17 or supported by the grant, an amount equal to not less 

18 than 20 percent of the amount of the grant. 

19 (g) REPORT TO CONGRESS.—The Secretary shall, in 

20 each of the first five years beginning one year after the 

21 date of the enactment of this Act, submit to Congress, 

22 and make public on the Internet website of the Depart23 ment of Health and Human Services, a report on the im24 pact of any grants provided to States, Territories of the 

25 United States, and Indian tribes for the establishment and 


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1 support of pre-exposure prophylaxis programs under this 

2 Act. 

3 (h) AUTHORIZATION OF APPROPRIATIONS.—There 

4 are authorized to be appropriated to carry out this Act 

5 $50,000,000 for each of the first five fiscal years begin6 ning after the date of the enactment of this Act. 

Æ 


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