I 
119TH CONGRESS 
2D SESSION 
H. R. 7385 
To direct the Secretary of Health and Human Services, acting through 
the Director of the Centers for Disease Control and Prevention, to 
establish a grant program related to pre-exposure prophylaxis, and for 
other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 4, 2026 
Mrs. WATSON COLEMAN (for herself, Mr. CARSON, Ms. WATERS, Ms. TLAIB, 
Ms. SEWELL, Mr. POCAN, Ms. NORTON, Ms. MOORE of Wisconsin, Mr. 
DAVIS of Illinois, Mr. KEATING, Mr. THOMPSON of Mississippi, Ms. 
ANSARI, and Ms. KELLY of Illinois) introduced the following bill; which 
was referred to the Committee on Energy and Commerce 
A BILL 
To direct the Secretary of Health and Human Services, 
acting through the Director of the Centers for Disease 
Control and Prevention, to establish a grant program 
related to pre-exposure prophylaxis, and for other pur-
poses. 
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 GRANT PROGRAM. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, the Secretary of Health and 
Human Services, acting through the Director of the Cen-
ters for Disease Control and Prevention (in this section 
referred to as the ‘‘Secretary’’) and in collaboration with 
the Administrator of the Health Resources and Services 
Administration, shall establish a program that provides 
grants to eligible entities to establish and support PrEP 
programs. 
(b) APPLICATIONS.—To be eligible to receive a grant 
under subsection (a), an eligible entity shall submit an ap-
plication to the Secretary at such time, in such manner, 
and containing such information as the Secretary may re-
quire, including a description of how any amounts award-
ed shall be used. 
(c) PREFERENCE.—In making grants under this sec-
tion, the Secretary shall give preference to an eligible enti-
ty that demonstrates a record of— 
(1) serving communities with disproportionately 
high rate of incidence for human immunodeficiency 
virus (in this section referred to as ‘‘HIV’’), includ-
ing individuals located in rural communities, unin-
sured individuals, or individuals in demographic 
groups at high risk of contracting HIV; or 
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(2) implementing innovative models to provide 
items or services, including the use of vending ma-
chines, pop-up clinics, and peer-led interventions. 
(d) AMOUNT.—Any grant provided to an eligible enti-
ty under this section may not exceed $10,000,000. 
(e) USE OF FUNDS.— 
(1) IN GENERAL.—Any eligible entity that is 
awarded an amount under subsection (a) shall use 
such amount for expenses associated with estab-
lishing a PrEP program or supporting an existing 
PrEP program. 
(2) ELIGIBLE EXPENSES.—The Secretary shall 
publish a list of eligible expenses associated with es-
tablishing a PrEP program or supporting an exist-
ing PrEP program. Such list shall include— 
(A) clinic and laboratory fees; 
(B) office visits, including telehealth visits; 
(C) PrEP medication; 
(D) blood and urine testing as required in 
association with the use of PrEP medication; 
(E) sexually transmitted disease testing in 
accordance with guidelines issued by the Cen-
ters for Disease Control and Prevention; 
(F) adherence services and counseling; 
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(G) outreach activities directed toward as-
sisting health professionals to become eligible to 
prescribe pre-exposure prophylaxis medications 
in the State or Indian Tribal government where 
the program is operating; 
(H) outreach activities directed toward 
physicians that provide education about PrEP; 
(I) peer navigation; 
(J) case management; 
(K) transportation support; 
(L) mental health services; and 
(M) other similar items or services. 
(f) PAYMENT FOR SERVICES.—An individual that re-
ceives a service or item from a PrEP program established 
or supported using amounts under this section may not 
be required to provide payment for such service or item. 
(g) MATCHING.— 
(1) IN GENERAL.—Except with respect to an 
Indian Tribal government, a grantee under this sec-
tion shall contribute, to the PrEP program estab-
lished or supported by the grant, an amount equal 
to not less than 10 percent of the amount of the 
grant. 
(2) EXCEPTION.—The Secretary may waive the 
requirement under paragraph (1) for a Federally 
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qualified health center, rural health clinic, commu-
nity-based organization, hospital-based clinic, or uni-
versity-based clinic if the Secretary determines such 
a waiver is necessary. 
(h) REPORT TO CONGRESS.— 
(1) IN GENERAL.—The Secretary shall, in each 
of the first 5 years beginning 1 year after the date 
of the enactment of this Act, submit to Congress, 
and make public on the internet website of the De-
partment of Health and Human Services, a report 
on the impact of grants provided to eligible entities 
under this Act. 
(2) CONTENTS.—A report submitted under 
paragraph (1) shall— 
(A) include disaggregated data by race, 
gender identity, age, and geographic location; 
and 
(B) evaluate, with respect to the period 
covered by the report, any reduction in— 
(i) the disparity of the prevalence of 
PrEP services provided within the demo-
graphics described in this paragraph; and 
(ii) the prevalence of PrEP. 
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(i) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this Act 
$400,000,000 for each of fiscal years 2027 through 2031. 
(j) DEFINITIONS.—In this Act: 
(1) COMMUNITY-BASED
ORGANIZATION.—The 
term ‘‘community-based organization’’ means a non-
profit or private organization that— 
(A) represents a community or significant 
segments of a community; 
(B) provides health care or health-related 
services to high-risk or high-need individuals in 
a community; and 
(C) demonstrates effectiveness with respect 
to such health care or health-related services. 
(2) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means— 
(A) a State; 
(B) a local government; 
(C) an Indian Tribal government; 
(D) a Federally qualified health center (as 
defined in section 1861(aa) of the Social Secu-
rity Act (42 U.S.C. 1395x(aa))); 
(E) a rural health clinic (as defined in sec-
tion 1861(aa) of the Social Security Act (42 
U.S.C. 1395x(aa))); 
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