Publication

SW Benefits Update – Departments Clarify that HIV PrEP Services Must Be Free by September 17

Aug 19, 2021

Back in June of 2019, the United States Preventive Services Task Force (“USPSTF”) released an A-rated recommendation for HIV Preexposure Prophylaxis (“PrEP”). As a result, the Affordable Care Act’s preventive care rules require group health plans to cover recommended PrEP without cost-sharing, effective for plan years beginning on or after June 30, 2020 (i.e., effective January 1, 2021 for plans with calendar year plan years). On July 19, 2021, the Departments of Labor, Health and Human Services, and the Treasury (collectively, the “Departments”) issued jointly-prepared FAQs About Affordable Care Act Implementation Part 47 (the “FAQs”) to clarify these PrEP coverage requirements. 

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