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Committee weighs PrEP/PEP coverage and pharmacist-prescribing language in H.611; DVHA flags fiscal and enrollment issues
Summary
The committee reviewed draft language to require coverage of HIV prevention drugs (PrEP/PEP) and to permit pharmacists to prescribe/dispense them; DVHA said expanded coverage would carry a Medicaid fiscal impact and raised provider-enrollment constraints for reimbursement.
During markup of H.611 the committee considered an amendment seeking coverage of pre-exposure prophylaxis (PrEP) without cost sharing and authority for pharmacists to prescribe and dispense HIV prevention drugs.
Witnesses and staff noted that federally required coverage already applies to PrEP because of a U.S. Preventive Services Task Force A recommendation, but that PEP (post-exposure prophylaxis) is not currently covered without cost sharing. A…
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