Federal Government Issues Guidance to Insurers on Coverage of HIV Prevention Drugs

The federal government issued guidance to insurers to remind them of their obligation to cover pre-exposure prophylaxis (PrEP), which are drugs that prevent HIV, at no cost to their beneficiaries. The guidance, in the form of an FAQ, also clarifies that associated services with PrEP, such as provider visits and HIV, hepatitis, and STD testing along with other laboratory tests, must also be covered with no patient cost-sharing.
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House Supports Significant Funding Increases for Domestic HIV Programs--Minimal Increase for Hepatitis Programs

The US House of Representatives is proposing to significantly increase funding to continue to ramp up efforts to end HIV in the United States. In addition to an increase of $245 million for domestic HIV testing, prevention, and treatment programs as part of the Ending the HIV Epidemic initiative, which matches the amount proposed in President Joe Biden’s budget, the Appropriations Committee in its FY22 Labor, HHS appropriations bill is proposing an $146 million increase to the Ryan White HIV/AIDS Program, (+$100 million over Biden’s budget) and $190 million more for NIH AIDS Research that was not included in the president’s budget. The House is only including an increase of $5 million for CDC’s hepatitis division for a total of $44.5 million.
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HIV+Hep welcomes first Hepatitis strategic plan that calls for elimination

Washington DC… The HIV+Hepatitis Policy Institute applauds the U.S. Department of Health and Human Services (HHS) for today’s release of Viral Hepatitis National Strategic Plan for the United States: A Roadmap to Elimination (2021 – 2025)…
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Biden budget proposes increased funding for ending HIV

As the world marks the 40th anniversary of the CDC’s first reporting on what we now know to be AIDS, President Joe Biden is proposing in his budget released Friday to continue to ramp up efforts to finally end HIV in the United States. In addition to the increase of $267 million for domestic HIV testing, prevention, and treatment programs as part of the Ending the HIV Epidemic initiative, which was announced as part of the preliminary budget, Biden is proposing a $46 million increase to the Ryan White HIV/AIDS Programs and $20 million for HUD’s Housing Opportunities for Persons with AIDS program.
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HIV+Hep welcomes release of HIV national strategic plan

Washington DC… The HIV+Hepatitis Policy Institute applauds the release of the HIV National Strategic Plan: A Roadmap to End the Epidemic by the U.S. Department of Health and Human Services…
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124 patient groups urge Biden administration to improve prescription drug affordability

The HIV+Hepatitis Policy Institute and American Autoimmune Related Diseases Association, in collaboration with 122 other patient and provider organizations, delivered a sign-on letter to U.S. Department of Health and Human Services Secretary Xavier Becerra that urges HHS and the Biden administration to enact policies and protections that improve prescription drug affordability for the American people.
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Who We Are

Monitors policies that impact the prevention and treatment of HIV, viral hepatitis, and other health conditions in the United States.

Communicates with members of the HIV, hepatitis, and other patient group communities on key policy issues that impact their access to healthcare.

Educates policymakers and members of the media about efforts to end both HIV and hepatitis in the United States and to improve access to quality and affordable healthcare for people with or at risk of serious or chronic health conditions.

Causes We Care About, and So Should You!

HIV

Promote necessary funding, programs, and policies to end the HIV epidemic in the United States

HEPATITIS

Promote necessary funding, programs, and policies to end viral hepatitis in the United States

HEALTHCARE ACCESS

Promote necessary funding, programs, and policies to end viral hepatitis in the United States

Learn More

Facebook posts by @HIV+Hep

HIV and Hepatitis Policy Institute

HIV and Hepatitis Policy Institute
HIV and Hepatitis Policy Institute3 days ago

The U.S. government clarified that health insurers must cover PrEP and the associated doctor visits and tests. Here’s why.

HIV and Hepatitis Policy Institute
The U.S. government clarified that health insurers must cover PrEP and the associated doctor visits and tests. Here’s why.
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HIV and Hepatitis Policy Institute
HIV and Hepatitis Policy Institute4 days ago

“Now it is important that people who are eligible for PrEP, along with their providers, are aware of these new requirements,” Schmid said of the new guidance to insurers regarding PrEP-related cost sharing. “We also have to hold insurers accountable to ensure they are doing...

HIV and Hepatitis Policy Institute
The federal government announced that almost all health insurers must cover PrEP with no cost sharing — for the drug itself and for clinic visits and lab tests.
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HIV and Hepatitis Policy Institute
HIV and Hepatitis Policy Institute4 days ago

“We are pleased that the federal government has issued this long-awaited guidance to insurers that will reduce barriers to PrEP and help prevent further HIV infections while advancing efforts to end HIV in the United States,” said Carl Schmid, executive director of the HIV+Hepatitis Policy...

HIV and Hepatitis Policy Institute
New guidance released by the Biden administration reminds insurers that most plans must offer HIV prevention drug PrEP without any cost-sharing to patients.
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HIV and Hepatitis Policy Institute
HIV and Hepatitis Policy Institute5 days ago

@HIVHep’s Carl Schmid: “We are pleased that the federal government has issued this long-awaited guidance to insurers that will reduce barriers to #PrEP & help prevent further #HIV infections while advancing efforts to

HIV and Hepatitis Policy Institute
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HIV and Hepatitis Policy Institute
HIV and Hepatitis Policy Institute5 days ago

Federal Government Issues Guidance to Insurers on Coverage of HIV Prevention Drugs: https://bit.ly/3eBuzt7

HIV and Hepatitis Policy Institute
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HIV and Hepatitis Policy Institute
HIV and Hepatitis Policy Institute5 days ago

https://morningconsult.com/opinions/its-time-for-drug-middlemen-to-own-up-and-pass-the-savings-to-consumers/?mkt_tok=ODUwLVRBQS01MTEAAAF-XbcoVLVkeIsklvA0svR66oRHNbOEr_Cw6OX682RBXZHJ1jeJZpToGUxvBSGjLJn3X6jLJm4_SypjOCSFTzV9jruQOsUoF64TczngpQCB1aQ0

HIV and Hepatitis Policy Institute
It is clear that entities in a position to help drive savings – pharmacy benefit managers – are not fulfilling the mission they were created for.
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Tweets by @HIV+Hep

HIV+Hepatitis Policy Institute @HIVHep
39 minutes ago
From @bloomberglaw, @HIVHep’s Carl Schmid on health plans & #ACA requirements to offer #PrEP w/o cost-sharing: “We want everyone to know it’s free. [If] it doesn’t say ‘zero cost-sharing,’ people may not know it. So we want to make it easy as possible”: https://t.co/KqhwlLpOCL.
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HIV+Hepatitis Policy Institute @HIVHep
19 hours ago
Should double charging patients for medication be legal? | Opinion https://t.co/NAkJ1dmpiH
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In reply toHIV+Hepatitis Policy Institute
22 hours ago
@HIVHep’s Carl Schmid praises the House-proposed FY22 funding increases for HIV programs but says the proposed + $5 million for @cdchep programs will not be nearly enough to achieve the president’s goal of eliminating #hepatitis by 2030: https://t.co/W7cVrIVmhZ. https://t.co/vPSueoXhlJ
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In reply toHIV+Hepatitis Policy Institute
1 day ago
@HIVHep’s Carl Schmid lauded the federal govt issuing guidance that “associated services with #PrEP, such as provider visits & #HIV, #hepatitis, & STD testing along with other laboratory tests must be covered with no #patient cost-sharing”: https://t.co/9r4RVzmlvw. https://t.co/FNifYUgGAq
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HIV+Hepatitis Policy Institute Retweeted · PrEP4All @PrEP4AllNow
2 days ago
Today, we, @HIVHep, and over 60 of the nation's leading HIV organizations demanded that @CDCgov reverse its decision to prohibit CDC prevention funds from paying for PrEP provider visits and lab tests 🧵 1/n https://t.co/kb9kHaAN1D
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HIV+Hepatitis Policy Institute @HIVHep
2 days ago
Health Insurers Directed to Cover PrEP Costs – Gay City News https://t.co/NJ8D1gwWNG
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