I 
117TH CONGRESS 
1ST SESSION H. R. 5605 
To establish a grant program that provides grants to States, Indian Tribal 
governments, Federally qualified health centers, rural health clinics, local 
governments, and community-based organizations to establish and sup-
port PrEP programs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 15, 2021 
Mrs. WATSON COLEMAN (for herself, Ms. LEE of California, Mr. JONES, Mr. 
SCHIFF, Mrs. CAROLYN B. MALONEY of New York, Mr. RASKIN, Mr. 
COHEN, Ms. GARCIA of Texas, Mr. TAKANO, Mr. CICILLINE, Mr. STAN-
TON, Ms. MOORE of Wisconsin, Ms. WILLIAMS of Georgia, Ms. PORTER, 
Ms. SCANLON, Mr. TONKO, Mr. WELCH, Mr. HIGGINS of New York, Ms. 
NORTON, Mr. JOHNSON of Georgia, Ms. BASS, Ms. LOIS FRANKEL of 
Florida, Mr. POCAN, Ms. KUSTER, Mr. ESPAILLAT, Mr. MEEKS, Ms. 
TLAIB, Ms. STRICKLAND, Mr. PAPPAS, and Ms. VELA´ZQUEZ) 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, 
Indian Tribal governments, Federally qualified health 
centers, rural health clinics, local governments, and com-
munity-based organizations to establish and support 
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, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘PrEP Assistance Pro-
gram Act’’. 
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 shall establish a program that provides 
grants to States, Indian Tribal governments, Federally 
qualified health centers, rural health clinics, local govern-
ments, and community-based organizations to establish 
and support PrEP programs. 
(b) APPLICATIONS.—To be eligible to receive a grant 
under subsection (a), a State, Indian Tribal government, 
Federally qualified health center, rural health clinic, local 
government, or community-based organization shall sub-
mit 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 amounts 
awarded shall be used. 
(c) AMOUNT.—Any grant provided to a State, Indian 
Tribal government, Federally qualified health center, rural 
health clinic, local government, or community-based orga-
nization under this section may not exceed $10,000,000. 
(d) USE OF FUNDS.— 
(1) IN
GENERAL.—Any State, Indian Tribal 
government, Federally qualified health center, rural 
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health clinic, local government, or community-based 
organization that is awarded an amount under sub-
section (a) shall use such amount for expenses asso-
ciated with establishing a PrEP program or sup-
porting 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 and this list shall include— 
(A) clinic and laboratory fees; 
(B) office 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; 
(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; 
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(H) outreach activities directed toward 
physicians that provide education about PrEP; 
and 
(I) other similar items or services. 
(e) 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. 
(f) 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 Federally 
qualified health centers, rural health clinics, and 
community-based organizations if the Secretary de-
termines such a waiver is necessary. 
(g) REPORT TO CONGRESS.—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 Department 
of Health and Human Services, a report on the impact 
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of grants provided to States, Indian Tribal governments, 
Federally qualified health centers, rural health clinics, 
local governments, and community-based organizations 
under this Act. 
(h) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this Act 
$400,000,000 for each of the first 5 fiscal years beginning 
after the date of the enactment of this Act. 
(i) 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) FEDERALLY
QUALIFIED
HEALTH
CEN-
TER.—The term ‘‘Federally qualified health center’’ 
has the meaning given the term in section 1861(aa) 
of the Social Security Act (42 U.S.C. 1395x(aa)). 
(3) INDIAN TRIBAL GOVERNMENT.—The term 
‘‘Indian Tribal government’’ means the governing 
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body of any Indian or Alaska Native tribe, band, na-
tion, pueblo, village, or community that the Sec-
retary of the Interior acknowledges to exist as an In-
dian tribe under the Federally Recognized Indian 
Tribe List Act of 1994 (25 U.S.C. 479a et seq.). 
(4) PREP PROGRAM.—The term ‘‘PrEP pro-
gram’’ means a program designed to provide pre-ex-
posure prophylaxis and pre-exposure prophylaxis- re-
lated services to individuals. 
(5) PRE-EXPOSURE
PROPHYLAXIS.—The term 
‘‘pre-exposure prophylaxis’’ means any medication 
approved by the Federal Drug Administration and 
designed to prevent individuals at risk of contracting 
human immunodeficiency virus (HIV) from con-
tracting human immunodeficiency virus (HIV). 
(6) RURAL HEALTH CLINIC.—The term ‘‘rural 
health clinic’’ has the meaning give such term in sec-
tion 1861(aa) of the Social Security Act (42 U.S.C. 
1395x(aa)). 
(7) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(8) STATE.—The term ‘‘State’’ means each 
State of the United States, the District of Columbia, 
Puerto Rico, the Virgin Islands, Guam, American 
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Samoa, and the Commonwealth of the Northern 
Mariana Islands. 
Æ 
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