MA H1245

Requires all health insurance plans in Massachusetts (including state employee insurance, Medicaid, HMOs, and private insurers) to cover HIV preexposure prophylaxis (PrEP) drugs without co-pays, deductibles, prior authorization, or step therapy requirements

Prohibits insurers from denying PrEP prescriptions based on the type of healthcare practitioner or practice setting, provided the prescriber is licensed to prescribe medications

Mandates state and county correctional facilities to provide HIV-negative inmates (serving 30+ days) with PrEP counseling, evaluation, and a free supply of medication prior to release, including options for 90-day oral supply or long-acting injectable

Authorizes licensed pharmacists to prescribe, dispense, and administer HIV prevention drugs, with the Department of Public Health to establish implementing regulations

Defines covered "HIV prevention drugs" broadly to include FDA-approved PrEP medications plus ancillary services such as office visits, laboratory testing, STI testing, and adherence counseling