Guidance Requires Health Insurers to Cover All PrEP Drugs

Oct 24
Oct 24, 2024

On the same day that the Biden administration proposed a rule that would require health insurers to cover over-the-counter birth control, it released a less-heralded guidance document that makes another significant change in coverage policy: Insurers will now have to cover all forms of pre-exposure prophylaxis (PrEP) for the prevention of HIV.

“It was of major, major significance, because up until right now, plans have been able to satisfy the requirements just by covering one of the [PrEP] drugs,” says Carl Schmid, executive director of the HIV+Hepatitis Policy Institute.
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Leslie Small

Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.