HIV PrEP Coverage

On September 7, 2021, Commissioner Anderson released Bulletin 2021-09, indicating that that the Division of Insurance expects carriers to comply with federal guidance requiring coverage of HIV pre-exposure prophylaxis (PreP) as a preventive health service. On July 19, 2021, the US Preventive Services Task Force issued guidance indicating that HIV PrEP must be offered without cost-sharing as a preventive service.

The division expects that carriers will come into compliance with the federal requirement to offer this drug without cost-sharing by no later than 60 days from the date of the July 19, 2021, US Preventative Services Task Force guidance. Employers should be aware of this requirement.

Bulletin 2021-09 »