SEC. 3. REQUIRING THE SECRETARY OF HEALTH AND 
HUMAN SERVICES TO ESTABLISH A PRO-
GRAM TO REIMBURSE HEALTH CARE PRO-
VIDERS FOR FURNISHING SPECIFIED HIV 
PREVENTION ITEMS AND SERVICES TO UNIN-
SURED INDIVIDUALS. 
(a) IN GENERAL.—Not later than 1 year after the 
date of the enactment of this section, the Secretary of 
Health and Human Services shall establish a program 
under which— 
(1) program-registered providers submit claims 
to the Secretary with respect to the furnishing of 
specified HIV prevention items and services to unin-
sured individuals; 
(2) the Secretary, subject to the availability of 
appropriations, pays each such provider for such 
items and services in an amount established under 
subsection (b); and 
(3) the Secretary provides for the development 
and distribution of a card (or other technology), to 
be referred to as a ‘‘PrEP Pass’’, that may be used 
by an uninsured individual to assure access to speci-
fied HIV prevention items and services from pro-
gram-registered providers at no cost to such indi-
vidual. 
(b) PAYMENT AMOUNT.— 
VerDate Sep 11 2014 
18:38 Feb 09, 2026
Jkt 069200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H7385.IH
H7385
ssavage on LAPJG3WLY3PROD with BILLS
(1) IN GENERAL.—Subject to paragraph (2), 
the Secretary shall establish a payment amount for 
each specified HIV prevention item or service under 
the program under subsection (a). The Secretary 
shall review such payment amount not less fre-
quently than once every 2 years. 
(2) LABORATORY
TESTS.—In the case of a 
specified HIV prevention item or service that is a 
clinical diagnostic laboratory test covered under part 
B of title XVIII of the Social Security Act (42 
U.S.C. 1395 et seq.), the payment amount for such 
test under the program under subsection (a) shall be 
equal to the payment amount determined with re-
spect to such test under section 1834A of such Act. 
(c) DEFINITIONS.—In this section: 
(1) SPECIFIED
HIV
PREVENTION
ITEMS
AND 
SERVICES.—The term ‘‘specified HIV prevention 
items and services’’ means— 
(A) any drug approved by the Federal 
Drug Administration for the prevention of HIV, 
including any such drug approved for use as 
pre-exposure prophylaxis (commonly referred to 
as ‘‘PrEP’’), and administrative fees for such 
drugs; and 
VerDate Sep 11 2014 
18:38 Feb 09, 2026
Jkt 069200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H7385.IH
H7385
ssavage on LAPJG3WLY3PROD with BILLS
(B) laboratory and other diagnostic proce-
dures associated with the use of such drugs 
that are recommended in the most recent clin-
ical practice guidelines of the Centers for Dis-
ease Control and Prevention. 
(2) 
PROGRAM-REGISTERED
PROVIDER.—The 
term ‘‘program-registered provider’’ means a health 
care provider that— 
(A) is licensed or otherwise authorized to 
furnish a specified HIV prevention item or serv-
ice in the State in which such provider fur-
nishes such item or service under the program 
established under this section; and 
(B) enters into an agreement with the Sec-
retary under which the provider agrees not to 
hold an uninsured individual liable for the cost 
of specified HIV prevention items and services 
with respect to which a payment is made under 
subsection (a)(2). 
(3) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services, acting 
through the Administrator of the Health Resources 
and Services Administration. 
(4) UNINSURED INDIVIDUAL.—The term ‘‘unin-
sured individual’’ means, with respect to an indi-
VerDate Sep 11 2014 
18:38 Feb 09, 2026
Jkt 069200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H7385.IH
H7385
ssavage on LAPJG3WLY3PROD with BILLS
vidual furnishing a specified HIV prevention item or 
service, an individual who is not enrolled in— 
(A) a Federal health care program (as de-
fined in section 1128B(f) of the Social Security 
Act (42 U.S.C. 1320a–7b(f))); 
(B) a group health plan or health insur-
ance coverage offered by a health insurance 
issuer in the group or individual market (as 
such terms are defined in section 2791 of the 
Public Health Service Act (42 U.S.C. 300gg– 
91)); or 
(C) a health plan offered under chapter 89 
of title 5, United States Code. 
Æ 
VerDate Sep 11 2014 
20:30 Feb 12, 2026
Jkt 069200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6301
E:\BILLS\H7385.IH
H7385
ssavage on LAPJG3WLY3PROD with BILLS