Medicare would cover HIV prevention services provided by pharmacists.
People on Medicare would be able to get HIV prevention services, like PrEP and PEP, from their pharmacists. Pharmacists could then bill Medicare for these services. Also, people would not pay extra charges beyond what Medicare approves. These changes would start on January 1, 2027.
Today, Medicare Part B does not cover HIV prevention services when provided by pharmacists, and there is no set way for pharmacists to bill Medicare for these services. If this bill becomes law, Medicare Part B would cover these services, and pharmacists would be paid 80 percent of the lower amount between their charge or 85 percent of what doctors are paid. Beneficiaries would also be protected from balance billing, starting January 1, 2027.
HR 7189 · 119th Congress · January 21, 2026 · AI Summary by gemini-2.5-flash · 10/10
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