,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #gche  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #d1          
#bjbf,mrs4 ,watson ,coleman 7= h]self1  
,mr4 ,c>son1 ,ms4 ,wat]s1 ,ms4 ,tlaib1  
,ms4 ,sewell1 ,mr4 ,pocan1 ,ms4 ,norton1
 ,ms4 ,moore ( ,wiscons91 ,mr4 ,davis ( 
,ill9ois1 ,mr4 ,keat+1 ,mr4 ,?ompson (  
,mississippi1 ,ms4 ,ans>i1 & ,ms4 ,kelly
 ( ,ill9ois7 introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to direct !      
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion1 to      
e/abli% a grant program relat$ to       
pre-exposure prophylaxis1 & = o!r       
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,pr,e,p ,assi/ance ,program
 ,act4  #b4 ,pre-exposure prophylaxis   
grant program  7a7 ,9 g5]al ,n lat] ?an 
#a ye> aft] ! date ( enactm5t ( ?is     
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices1 act+ ?r\gh ! ,director ( !    
,c5t]s = ,disease ,control & ,prev5tion 

79 ?is section ref]r$ to z ! ,secret>y7 
& 9 collaboration ) ! ,adm9i/rator ( !  
,heal? ,res\rces & ,s]vices             
,adm9i/ration1 %all e/abli% a program t 
provides grants to eligible entities to 
e/abli% & support ,pr,e,p programs4  7b7
 ,applications ,to be eligible to       
receive a grant "u subsection 7a71 an   
eligible entity %all submit an          
application to ! ,secret>y at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 includ+ a        
description ( h[ any am\nts aw>d$ %all  
be us$4  7c7 ,pref]5ce ,9 mak+ grants "u
 ?is section1 ! ,secret>y %all give     
pref]5ce to an eligible entity t        
demon/rates a record (--  7#a7 s]v+     
communities ) disproportionately high   
rate ( incid5ce = human immunodefici5cy 
virus 79 ?is section ref]r$ to z ,,hiv71
 includ+ individuals locat$ 9 rural     
communities1 un9sur$ individuals1 or    
individuals 9 demographic gr\ps at high 
risk ( contract+ ,,hiv2 or  7#b7        
implem5t+ innovative models to provide  

items or s]vices1 includ+ ! use ( v5d+  
ma*9es1 pop-up cl9ics1 & pe]-l$         
int]v5tions4  7d7 ,am\nt ,any grant     
provid$ to an eligible entity "u ?is    
section may n exce$ #aj1jjj1jjj4  7e7   
,use ( funds  7#a7 ,9 g5]al ,any        
eligible entity t is aw>d$ an am\nt "u  
subsection 7a7 %all use su* am\nt =     
exp5ses associat$ ) e/abli%+ a ,pr,e,p  
program or support+ an exi/+ ,pr,e,p    
program4  7#b7 ,eligible exp5ses ,!     
,secret>y %all publi% a li/ ( eligible  
exp5ses associat$ ) e/abli%+ a ,pr,e,p  
program or support+ an exi/+ ,pr,e,p    
program4 ,su* li/ %all include-- 7,a7   
cl9ic & laboratory fees2  7,b7 (fice    
visits1 includ+ teleheal? visits2  7,c7 
,pr,e,p m$ication2  7,d7 blood & ur9e   
te/+ z requir$ 9 association ) ! use (  
,pr,e,p m$ication2  7,e7 sexually       
transmitt$ disease te/+ 9 accordance )  
guidel9es issu$ by ! ,c5t]s = ,disease  
,control & ,prev5tion2  7,f7 adh]5ce    
s]vices & c\nsel+2  7,g7 outrea*        
activities direct$ t[>d assi/+ heal?    

pr(essionals to become eligible to      
prescribe pre-exposure prophylaxis      
m$ications 9 ! ,/ate or ,indian ,tribal 
gov]nm5t :]e ! program is op]at+2  7,h7 
outrea* activities direct$ t[>d         
physicians t provide education ab\t     
,pr,e,p2  7,i7 pe] navigation2  7,j7    
case managem5t2  7,k7 transportation    
support2  7,l7 m5tal heal? s]vices2 &   
7,m7 o!r simil> items or s]vices4  7f7  
,paym5t = s]vices  ,an individual t     
receives a s]vice or item f a ,pr,e,p   
program e/abli%$ or support$ us+ am\nts 
"u ?is section may n be requir$ to      
provide paym5t = su* s]vice or item4    
7g7 ,mat*+  7#a7 ,9 g5]al ,except )     
respect to an ,indian ,tribal gov]nm5t1 
a grantee "u ?is section %all           
contribute1 to ! ,pr,e,p program        
e/abli%$ or support$ by ! grant1 an     
am\nt equal to n less ?an #aj p]c5t ( ! 
am\nt ( ! grant4  7#b7 ,exception ,!    
,secret>y may waive ! requirem5t "u     
p>agraph 7#a7 = a ,f$]ally qualifi$     
heal? c5t]1 rural heal? cl9ic1          

community-bas$ organization1            
hospital-bas$ cl9ic1 or univ]sity-bas$  
cl9ic if ! ,secret>y det]m9es su* a     
waiv] is necess>y4  7h7 ,report to      
,congress  7#a7  ,9 g5]al  ,! ,secret>y 
%all1 9 ea* ( ! fir/ #e ye>s beg9n+ #a  
ye> aft] ! date ( ! enactm5t ( ?is ,act1
 submit to ,congress1 & make public on !
 int]net website ( ! ,dep>tm5t ( ,heal? 
& ,human ,s]vices1 a report on ! impact 
( grants provid$ to eligible entities "u
 ?is ,act4  7#b7 ,cont5ts ,a report     
submitt$ "u p>agraph 7#a7 %all-- 7,a7   
include disaggregat$ data by race1 g5d] 
id5tity1 age1 & geographic location2 &  
7,b7 evaluate1 ) respect to ! p]iod     
cov]$ by ! report1 any r$uction 9-- 7i7 
! disp>ity ( ! preval5ce ( ,pr,e,p      
s]vices provid$ )9 ! demographics       
describ$ 9 ?is p>agraph2 &  7ii7 !      
preval5ce ( ,pr,e,p4  7i7 ,au?orization 
( ,appropriations ,!re are au?oriz$ to  
be appropriat$ to c>ry out ?is ,act     
#djj1jjj1jjj = ea* ( fiscal ye>s #bjbg  
?r\gh #bjca4  7j7 ,def9itions ,9 ?is    

,act3 7#a7 ,community-bas$ organization 
,! t]m community-bas$ organization means
 a nonpr(it or private organization t-- 
7,a7 repres5ts a community or           
significant segm5ts ( a community2  7,b7
 provides heal? c>e or heal?-relat$     
s]vices to high-risk or high-ne$        
individuals 9 a community2 &  7,c7      
demon/rates effectiv5ess ) respect to   
su* heal? c>e or heal?-relat$ s]vices4  
7#b7 ,eligible entity ,! t]m eligible   
entity means--  7,a7 a ,/ate2  7,b7 a   
local gov]nm5t2  7,c7 an ,indian ,tribal
 gov]nm5t2  7,d7 a ,f$]ally qualifi$    
heal? c5t] 7z def9$ 9 section #ahfa7;aa7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciex7aa7772  7,e7 a rural   
heal? cl9ic 7z def9$ 9 section          
#ahfa7;aa7 ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #aciex7aa7772  7,f7 a    
community-bas$ organization2  7,g7 a    
hospital-bas$ cl9ic2 or  7,h7 a         
univ]sity-bas$ cl9ic4  7#c7 ,indian     
,tribal gov]nm5t ,! t]m ,indian ,tribal 
gov]nm5t means ! gov]n+ body ( any      

,indian tribe 7z def9$ 9 section #ajb ( 
! ,f$]ally ,recogniz$ ,indian ,tribe    
,li/ ,act ( #aiid 7#be ,u4,s4,c4        
#eacj774  7#d7 ,pr,e,p program ,! t]m   
,pr,e,p program means a program design$ 
to provide pre-exposure prophylaxis &   
pre-exposure prophylaxis-relat$ s]vices 
to individuals4  7#e7 ,pr,e,p m$ication 
,! t]m ,pr,e,p m$ication means any      
m$ication approv$ by ! ,f$]al ,drug     
,adm9i/ration & design$ to prev5t       
individuals at risk ( contract+ ,,hiv f 
contract+ ,,hiv4  7#f7 ,/ate ,! t]m     
,/ate means ea* ,/ate ( ! ,unit$ ,/ates1
 ! ,di/rict ( ,columbia1 ,pu]to ,rico1 !
 ,virg9 ,isl&s1 ,guam1 ,am]ican ,samoa1 
& ! ,commonweal? ( ! ,nor!rn ,m>iana    
,isl&s4  #c4 ,requir+ ! ,secret>y (     
,heal? & ,human ,s]vices to e/abli% a   
program to reimburse heal? c>e provid]s 
= furni%+ specifi$ ,,hiv prev5tion items
 & s]vices to un9sur$ individuals  7a7  
,9 g5]al ,n lat] ?an #a ye> aft] ! date 
( ! enactm5t ( ?is section1 ! ,secret>y 
( ,heal? & ,human ,s]vices %all e/abli% 

a program "u :i*-- 7#a7 program-regi/]$ 
provid]s submit claims to ! ,secret>y ) 
respect to ! furni%+ ( specifi$ ,,hiv   
prev5tion items & s]vices to un9sur$    
individuals2  7#b7 ! ,secret>y1 subject 
to ! availability ( appropriations1 pays
 ea* su* provid] = su* items & s]vices 9
 an am\nt e/abli%$ "u subsection 7b72 & 
7#c7 ! ,secret>y provides = ! developm5t
 & di/ribution ( a c>d 7or o!r          
te*nology71 to be ref]r$ to z a ,pr,e,p 
,pass1 t may be us$ by an un9sur$       
individual to assure access to specifi$ 
,,hiv prev5tion items & s]vices f       
program-regi/]$ provid]s at no co/ to   
su* individual4  7b7 ,paym5t am\nt  7#a7
 ,9 g5]al ,subject to p>agraph 7#b71 !  
,secret>y %all e/abli% a paym5t am\nt = 
ea* specifi$ ,,hiv prev5tion item or    
s]vice "u ! program "u subsection 7a74  
,! ,secret>y %all review su* paym5t     
am\nt n less frequ5tly ?an once e #b    
ye>s4  7#b7 ,laboratory te/s ,9 ! case (
 a specifi$ ,,hiv prev5tion item or     
s]vice t is a cl9ical diagno/ic         

laboratory te/ cov]$ "u "p ,b ( title   
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #acie et seq471 ! paym5t am\nt
 = su* te/ "u ! program "u subsection   
7a7 %all be equal to ! paym5t am\nt     
det]m9$ ) respect to su* te/ "u section 
#ahcd;,a ( su* ,act4  7c7 ,def9itions ,9
 ?is section3 7#a7 ,specifi$ ,,hiv      
prev5tion items & s]vices ,! t]m        
specifi$ ,,hiv prev5tion items & s]vices
 means--  7,a7 any drug approv$ by !    
,f$]al ,drug ,adm9i/ration = ! prev5tion
 ( ,,hiv1 includ+ any su* drug approv$ =
 use z pre-exposure prophylaxis         
7commonly ref]r$ to z ,pr,e,p71 &       
adm9i/rative fees = su* drugs2 &  7,b7  
laboratory & o!r diagno/ic proc$ures    
associat$ ) ! use ( su* drugs t are     
recomm5d$ 9 ! mo/ rec5t cl9ical practice
 guidel9es ( ! ,c5t]s = ,disease        
,control & ,prev5tion4  7#b7            
,program-regi/]$ provid] ,! t]m         
program-regi/]$ provid] means a heal?   
c>e provid] t-- 7,a7 is lic5s$ or       
o!rwise au?oriz$ to furni% a specifi$   

,,hiv prev5tion item or s]vice 9 ! ,/ate
 9 :i* su* provid] furni%es su* item or 
s]vice "u ! program e/abli%$ "u ?is     
section2 &  7,b7 ent]s into an agreem5t 
) ! ,secret>y "u :i* ! provid] agrees n 
to hold an un9sur$ individual liable = !
 co/ ( specifi$ ,,hiv prev5tion items & 
s]vices ) respect to :i* a paym5t is    
made "u subsection 7a77#b74  7#c7       
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,adm9i/rator ( ! ,heal?    
,res\rces & ,s]vices ,adm9i/ration4     
7#d7  ,un9sur$ individual  ,! t]m       
un9sur$ individual means1 ) respect to  
an individual furni%+ a specifi$ ,,hiv  
prev5tion item or s]vice1 an individual 
:o is n enroll$ 9--  7,a7 a ,f$]al heal?
 c>e program 7z def9$ 9 section         
#aabh;,b7f7 ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acbj;a-#g;b7f7772  7,b7 
a gr\p heal? plan or heal? insurance    
cov]age (f]$ by a heal? insurance issu] 
9 ! gr\p or individual m>ket 7z su* t]ms
 are def9$ 9 section #bgia ( ! ,public  

,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#ia772 or  7,c7 a heal? plan    
(f]$ "u *apt] #hi ( title #e1 ,unit$    
,/ates ,code4