The Grade A recommendation for HIV PrEP by the US Preventive Services Task Force means that most health insurance plans must cover PrEP without cost sharing, but many plans have not yet complied with this legal requirement. To ensure PrEP access, all health plans must comply with the legal requirement to offer PrEP without cost sharing.
In addition, effective PrEP services involve more than the medication alone. For PrEP to work as it did in the studies that contributed to the USPSTF’s recommendation, health plans must cover ancillary services such as routine provider visits, adherence support, and lab testing.
Read more in the expert column written by the O’Neill Institute for National and Global Health Law.