This bill mandates that all individual and group sickness and accident insurance policies, as well as self-funded employee benefit plans in Nebraska, must provide coverage for pre-exposure prophylaxis (PrEP) medication aimed at preventing human immunodeficiency virus (HIV) infection. The coverage is required when the medication is prescribed by a licensed physician or healthcare professional. The bill specifies that this requirement applies to policies delivered, issued for delivery, or renewed in the state, with the exception of those that cover only specified diseases or limited benefits.
Additionally, the bill clarifies that while coverage for PrEP medication is mandated, insurers may still apply deductible or copayment provisions and network incentives as outlined in the policy or plan. This ensures that while access to necessary preventive medication is guaranteed, insurers retain the ability to manage costs through standard policy provisions.