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119th Congress · Senate bill · Last action Mar 4, 2026
Bills›Health›S. 3990Congress.gov ↗
S. 3990In CommitteeHealth

PrEP Access and Coverage Act of 2026

Sponsor: Sen. Smith, Tina (D-MN)41 cosponsorsIntroduced Mar 4, 2026
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In plain English

Sen. Tina Smith (D-MN) introduced this bill to require health insurers to cover HIV prevention medications (PrEP and PEP) without cost-sharing and prohibit them from denying coverage or raising premiums based on PrEP or PEP use. The bill mandates a public education campaign about these medications, protects patient confidentiality, and increases federal funding for PrEP and PEP programs. It also creates a private right of action allowing individuals to sue for violations and establishes enforcement mechanisms for compliance.

What’s in the bill (9 sections)
  • Sec. 2. Sense of congress
  • Sec. 3. Coverage requirements
  • Sec. 4. Prohibition on denial of coverage or increase in premiums of
  • Sec. 5. Public education campaign
  • Sec. 6. Patient confidentiality
  • Sec. 7. Prep and pep funding
  • Sec. 8. Clarification
  • Sec. 9. Private right of action
  • Sec. 10. Enforcement
Generated by ThePolitibase from the bill text and CRS summary. Read the official text →

Where it is in the process

✓
Introduced
Mar 4
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Senate committee
Mar 4
3
Senate floor
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4
House
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5
Signed
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What happens next: Sits in committee. Needs a markup or favorable report to advance to the Senate floor.

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Sponsor

Cosponsors (41)

AS
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+34
All Democratic.

Activity timeline

Mar 4
Mar 4
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Mar 4
Mar 4
Introduced in Senate
Read the bill text
Official text via Congress.gov. Opens in a new tab.
Read full text →

Full action log

All 2 recorded actions since introduction · Source: Congress.gov
Mar 4
SENATERead twice and referred to the Committee on Health, Education, Labor, and Pensions.
Mar 4
Introduced in Senate

All 41 cosponsors

40 Democrats · 0 Republicans · 1 Independent
Democrats (40)
Independents (1)
Sanders, Bernard [I-VT]VT
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