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 PAT-
RICK 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 fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce 
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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘PrEP Assistance Pro-
gram Act’’. 
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SEC. 2. PRE-EXPOSURE PROPHYLAXIS PROGRAM GRANT. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, the Secretary of Health and 
Human Services (in this Act referred to as the ‘‘Sec-
retary’’) shall establish a program that provides grants to 
States, Territories of the United States, and Indian tribes 
for the establishment and support of pre-exposure prophy-
laxis (in this Act referred to as ‘‘PrEP’’) programs. 
(b) APPLICATIONS.—To be eligible to receive a grant 
under subsection (a), a State, Territory of the United 
States, or Indian tribe shall submit an application to the 
Secretary at such time, in such manner, and containing 
such information as the Secretary may require, including 
a description of how any funds awarded will be used. 
(c) AMOUNT.—Any grant provided to a State, Terri-
tory of the United States, or Indian tribe under this sec-
tion may not exceed $5,000,000. 
(d) USE OF FUNDS.—Any State, Territory of the 
United States, or Indian tribe that is awarded funds under 
subsection (a) shall use such funds for eligible PrEP ex-
penses. 
(e) ELIGIBLE PREP EXPENSES.— 
(1) IN GENERAL.—The Secretary shall publish 
a list of expenses that qualify as eligible PrEP ex-
penses. 
(2) INCLUSIONS.—Such list shall include— 
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(A) clinic and laboratory fees; 
(B) PrEP medication; 
(C) sexually transmitted disease testing in 
accordance with guidelines issued by the Cen-
ters for Disease Control and Prevention; 
(D) treatment adherence counseling; 
(E) outreach activities directed toward 
high-risk populations that increase awareness 
about the existence of PrEP and provide edu-
cation about access to and health care coverage 
of PrEP; and 
(F) outreach activities directed toward 
physicians that provide education about PrEP. 
(f) MATCHING.—Any State, Territory of the United 
States, or Indian tribe that receives a grant under sub-
section (a) must contribute, to the programs established 
or supported by the grant, an amount equal to not less 
than 20 percent of the amount of the grant. 
(g) REPORT TO CONGRESS.—The Secretary shall, in 
each of the first five years beginning one year after the 
date of the enactment of this Act, submit to Congress, 
and make public on the Internet website of the Depart-
ment of Health and Human Services, a report on the im-
pact of any grants provided to States, Territories of the 
United States, and Indian tribes for the establishment and 
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support of pre-exposure prophylaxis programs under this 
Act. 
(h) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this Act 
$50,000,000 for each of the first five fiscal years begin-
ning after the date of the enactment of this Act. 
Æ 
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