,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #gche  ,,in ,,the ,,house ,,of  
,,representatives  ,february #d1        
#bjbf,mrs4 ,watson ,coleman 7for        
herself1 ,mr4 ,carson1 ,ms4 ,waters1    
,ms4 ,tlaib1 ,ms4 ,sewell1 ,mr4 ,pocan1 
,ms4 ,norton1 ,ms4 ,moore of ,wisconsin1
 ,mr4 ,davis of ,illinois1 ,mr4         
,keating1 ,mr4 ,thompson of             
,mississippi1 ,ms4 ,ansari1 and ,ms4    
,kelly of ,illinois7 introduced the     
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to direct the ,secretary of 
,health and ,human ,services1 acting    
through the ,director of the ,centers   
for ,disease ,control and ,prevention1  
to establish a grant program related to 
pre-exposure prophylaxis1 and for other 
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,pr,e,p ,assistance 
,program ,act4  #b4 ,pre-exposure       
prophylaxis grant program  7a7 ,in      
general ,not later than #a year after   
the date of enactment of this ,act1 the 

,secretary of ,health and ,human        
,services1 acting through the ,director 
of the ,centers for ,disease ,control   
and ,prevention 7in this section        
referred to as the ,secretary7 and in   
collaboration with the ,administrator of
 the ,health ,resources and ,services   
,administration1 shall establish a      
program that provides grants to eligible
 entities to establish and support      
,pr,e,p programs4  7b7 ,applications ,to
 be eligible to receive a grant under   
subsection 7a71 an eligible entity shall
 submit an application to the ,secretary
 at such time1 in such manner1 and      
containing such information as the      
,secretary may require1 including a     
description of how any amounts awarded  
shall be used4  7c7 ,preference ,in     
making grants under this section1 the   
,secretary shall give preference to an  
eligible entity that demonstrates a     
record of--  7#a7 serving communities   
with disproportionately high rate of    
incidence for human immunodeficiency    

virus 7in this section referred to as   
,,hiv71 including individuals located in
 rural communities1 uninsured           
individuals1 or individuals in          
demographic groups at high risk of      
contracting ,,hiv2 or  7#b7 implementing
 innovative models to provide items or  
services1 including the use of vending  
machines1 pop-up clinics1 and peer-led  
interventions4  7d7 ,amount ,any grant  
provided to an eligible entity under    
this section may not exceed #aj1jjj1jjj4
  7e7 ,use of funds  7#a7 ,in general   
,any eligible entity that is awarded an 
amount under subsection 7a7 shall use   
such amount for expenses associated with
 establishing a ,pr,e,p program or      
supporting an existing ,pr,e,p program4 
7#b7 ,eligible expenses ,the ,secretary 
shall publish a list of eligible        
expenses associated with establishing a 
,pr,e,p program or supporting an        
existing ,pr,e,p program4 ,such list    
shall include-- 7,a7 clinic and         
laboratory fees2  7,b7 office visits1   

including telehealth visits2  7,c7      
,pr,e,p medication2  7,d7 blood and     
urine testing as required in association
 with the use of ,pr,e,p medication2    
7,e7 sexually transmitted disease       
testing in accordance with guidelines   
issued by the ,centers for ,disease     
,control and ,prevention2  7,f7         
adherence services and counseling2  7,g7
 outreach activities directed toward    
assisting health professionals to become
 eligible to prescribe pre-exposure     
prophylaxis medications in the ,state or
 ,indian ,tribal government where the   
program is operating2  7,h7 outreach    
activities directed toward physicians   
that provide education about ,pr,e,p2   
7,i7 peer navigation2  7,j7 case        
management2  7,k7 transportation        
support2  7,l7 mental health services2  
and  7,m7 other similar items or        
services4  7f7  ,payment for services   
,an individual that receives a service  
or item from a ,pr,e,p program          
established or supported using amounts  

under this section may not be required  
to provide payment for such service or  
item4  7g7 ,matching  7#a7 ,in general  
,except with respect to an ,indian      
,tribal government1 a grantee under this
 section shall contribute1 to the       
,pr,e,p program established or supported
 by the grant1 an amount equal to not   
less than #aj percent of the amount of  
the grant4  7#b7 ,exception ,the        
,secretary may waive the requirement    
under paragraph 7#a7 for a ,federally   
qualified health center1 rural health   
clinic1 community-based organization1   
hospital-based clinic1 or               
university-based clinic if the          
,secretary determines such a waiver is  
necessary4  7h7 ,report to ,congress    
7#a7  ,in general  ,the ,secretary      
shall1 in each of the first #e years    
beginning #a year after the date of the 
enactment of this ,act1 submit to       
,congress1 and make public on the       
internet website of the ,department of  
,health and ,human ,services1 a report  

on the impact of grants provided to     
eligible entities under this ,act4  7#b7
 ,contents ,a report submitted under    
paragraph 7#a7 shall-- 7,a7 include     
disaggregated data by race1 gender      
identity1 age1 and geographic location2 
and  7,b7 evaluate1 with respect to the 
period covered by the report1 any       
reduction in-- 7i7 the disparity of the 
prevalence of ,pr,e,p services provided 
within the demographics described in    
this paragraph2 and  7ii7 the prevalence
 of ,pr,e,p4  7i7 ,authorization of     
,appropriations ,there are authorized to
 be appropriated to carry out this ,act 
#djj1jjj1jjj for each of fiscal years   
#bjbg through #bjca4  7j7 ,definitions  
,in this ,act3 7#a7 ,community-based    
organization ,the term community-based  
organization means a nonprofit or       
private organization that--  7,a7       
represents a community or significant   
segments of a community2  7,b7 provides 
health care or health-related services  
to high-risk or high-need individuals in

 a community2 and  7,c7 demonstrates    
effectiveness with respect to such      
health care or health-related services4 
7#b7 ,eligible entity ,the term eligible
 entity means--  7,a7 a ,state2  7,b7 a 
local government2  7,c7 an ,indian      
,tribal government2  7,d7 a ,federally  
qualified health center 7as defined in  
section #ahfa7;aa7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#aciex7aa7772  7,e7 a rural health      
clinic 7as defined in section #ahfa7;aa7
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #aciex7aa7772  7,f7 a         
community-based organization2  7,g7 a   
hospital-based clinic2 or  7,h7 a       
university-based clinic4  7#c7 ,indian  
,tribal government ,the term ,indian    
,tribal government means the governing  
body of any ,indian tribe 7as defined in
 section #ajb of the ,federally         
,recognized ,indian ,tribe ,list ,act of
 #aiid 7#be ,u4,s4,c4 #eacj774  7#d7    
,pr,e,p program ,the term ,pr,e,p       
program means a program designed to     

provide pre-exposure prophylaxis and    
pre-exposure prophylaxis-related        
services to individuals4  7#e7 ,pr,e,p  
medication ,the term ,pr,e,p medication 
means any medication approved by the    
,federal ,drug ,administration and      
designed to prevent individuals at risk 
of contracting ,,hiv from contracting   
,,hiv4  7#f7 ,state ,the term ,state    
means each ,state of the ,united        
,states1 the ,district of ,columbia1    
,puerto ,rico1 the ,virgin ,islands1    
,guam1 ,american ,samoa1 and the        
,commonwealth of the ,northern ,mariana 
,islands4  #c4 ,requiring the ,secretary
 of ,health and ,human ,services to     
establish a program to reimburse health 
care providers for furnishing specified 
,,hiv prevention items and services to  
uninsured individuals  7a7 ,in general  
,not later than #a year after the date  
of the enactment of this section1 the   
,secretary of ,health and ,human        
,services shall establish a program     
under which-- 7#a7 program-registered   

providers submit claims to the          
,secretary with respect to the          
furnishing of specified ,,hiv prevention
 items and services to uninsured        
individuals2  7#b7 the ,secretary1      
subject to the availability of          
appropriations1 pays each such provider 
for such items and services in an amount
 established under subsection 7b72 and  
7#c7 the ,secretary provides for the    
development and distribution of a card  
7or other technology71 to be referred to
 as a ,pr,e,p ,pass1 that may be used by
 an uninsured individual to assure      
access to specified ,,hiv prevention    
items and services from                 
program-registered providers at no cost 
to such individual4  7b7 ,payment amount
  7#a7 ,in general ,subject to paragraph
 7#b71 the ,secretary shall establish a 
payment amount for each specified ,,hiv 
prevention item or service under the    
program under subsection 7a74 ,the      
,secretary shall review such payment    
amount not less frequently than once    

every #b years4  7#b7 ,laboratory tests 
,in the case of a specified ,,hiv       
prevention item or service that is a    
clinical diagnostic laboratory test     
covered under part ,b of title ,,xviii  
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acie et seq471 the payment   
amount for such test under the program  
under subsection 7a7 shall be equal to  
the payment amount determined with      
respect to such test under section      
#ahcd;,a of such ,act4  7c7 ,definitions
 ,in this section3 7#a7 ,specified ,,hiv
 prevention items and services ,the term
 specified ,,hiv prevention items and   
services means--  7,a7 any drug approved
 by the ,federal ,drug ,administration  
for the prevention of ,,hiv1 including  
any such drug approved for use as       
pre-exposure prophylaxis 7commonly      
referred to as ,pr,e,p71 and            
administrative fees for such drugs2 and 
7,b7 laboratory and other diagnostic    
procedures associated with the use of   
such drugs that are recommended in the  

most recent clinical practice guidelines
 of the ,centers for ,disease ,control  
and ,prevention4  7#b7                  
,program-registered provider ,the term  
program-registered provider means a     
health care provider that-- 7,a7 is     
licensed or otherwise authorized to     
furnish a specified ,,hiv prevention    
item or service in the ,state in which  
such provider furnishes such item or    
service under the program established   
under this section2 and  7,b7 enters    
into an agreement with the ,secretary   
under which the provider agrees not to  
hold an uninsured individual liable for 
the cost of specified ,,hiv prevention  
items and services with respect to which
 a payment is made under subsection     
7a77#b74  7#c7 ,secretary ,the term     
,secretary means the ,secretary of      
,health and ,human ,services1 acting    
through the ,administrator of the       
,health ,resources and ,services        
,administration4  7#d7  ,uninsured      
individual  ,the term uninsured         

individual means1 with respect to an    
individual furnishing a specified ,,hiv 
prevention item or service1 an          
individual who is not enrolled in--     
7,a7 a ,federal health care program 7as 
defined in section #aabh;,b7f7 of the   
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;a-#g;b7f7772  7,b7 a group health 
plan or health insurance coverage       
offered by a health insurance issuer in 
the group or individual market 7as such 
terms are defined in section #bgia of   
the ,public ,health ,service ,act 7#db  
,u4,s4,c4 #cjj;gg-#ia772 or  7,c7 a     
health plan offered under chapter #hi of
 title #e1 ,united ,states ,code4