I 116th CONGRESS 1st Session H. R. 1643 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. Short title This Act may be cited as the PrEP Assistance Program Act . 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 Secretary ) 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 prophylaxis (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, Territory of the United States, or Indian tribe under this section 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 expenses. (e) Eligible PrEP expenses (1) In general The Secretary shall publish a list of expenses that qualify as eligible PrEP expenses. (2) Inclusions Such list shall include— (A) clinic and laboratory fees; (B) PrEP medication; (C) sexually transmitted disease testing in accordance with guidelines issued by the Centers 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 education 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 subsection (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 Department of Health and Human Services, a report on the impact of any grants provided to States, Territories of the United States, and Indian tribes for the establishment and 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 beginning after the date of the enactment of this Act.