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PA SB935

Bill

Status

Introduced

7/22/2025

Primary Sponsor

Katie Muth

Click for details

Origin

Senate

2025-2026 Regular Session

AI Summary

  • Health insurance policies in Pennsylvania must cover preexposure prophylaxis (PrEP) HIV medications approved by the FDA for preventing HIV transmission

  • Insurance providers are prohibited from moving PrEP medications into a specialty tier solely for monetary gains

  • Insurers cannot require counseling from an infectious disease specialist or immunologist as a condition for receiving PrEP unless medically necessary

  • Applies to individual and group health insurance policies, HMOs, and nonprofit hospital/health service corporations, but excludes accident-only, dental, vision, Medicare supplement, long-term care, and workers' compensation plans

  • Takes effect 60 days after enactment

Legislative Description

Requiring health insurance policies to provide coverage for preexposure prophylaxis HIV medication.

Last Action

Referred to Banking & Insurance

7/22/2025

Committee Referrals

Banking & Insurance7/22/2025

Full Bill Text

No bill text available