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MA H4951
Bill
Status
1/28/2026
Primary Sponsor
Joint Committee on Financial Services
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AI Summary
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Requires all health insurers in Massachusetts (including Group Insurance Commission, MassHealth, commercial insurers, HMOs, and preferred provider organizations) to cover FDA-approved HIV preexposure prophylaxis (PrEP) drugs without cost-sharing, copayments, deductibles, prior authorization, or step therapy requirements.
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Prohibits insurers from denying PrEP prescriptions based on the type of healthcare practitioner or practice setting, as long as the prescriber is licensed to prescribe medications.
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Authorizes licensed pharmacists to prescribe, dispense, and administer HIV prevention drugs, with the Department of Public Health to promulgate implementing regulations.
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Requires state and county correctional facilities to provide HIV-negative inmates with PrEP information, counseling, eligibility evaluation, and a free supply of medication (including 90-day oral supply or long-acting injectable) prior to release for those serving 30+ days.
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Mandates correctional facilities to connect inmates receiving PrEP to post-release medical services and keep all PrEP evaluation information confidential from security and administrative staff.
Legislative Description
To address barriers to HIV prevention medication
Last Action
Reported favorably by committee and referred to the Joint Committee on Health Care Financing
1/28/2026