The PrEP for Pennsylvania Act mandates that health insurance policies in the Commonwealth of Pennsylvania must provide coverage for preexposure prophylaxis (PrEP) HIV medication. This requirement applies to any health insurance policy that is delivered, issued for delivery, renewed, extended, or modified after the effective date of the act. Additionally, the act prohibits insurance providers from placing PrEP medications in a specialty tier solely for financial reasons and restricts the imposition of counseling requirements from infectious disease specialists or immunologists unless it is deemed medically necessary.
The bill defines key terms such as "health insurance policy," "insurance provider," and "preexposure prophylaxis HIV medication," ensuring clarity in its application. The act is set to take effect 60 days after its passage, aiming to enhance access to essential HIV prevention medication for individuals at risk.