United States Preventive Services Task Force (USPSTF) Recommendation for PrEP for HIV Prevention
USPSTF Recommendation for PrEP
“The USPSTF recommendation affirms what the evidence has shown about PrEP for years: PrEP is a highly effective HIV prevention tool that should be significantly scaled up in this country” noted NASTAD Acting Executive Director Terrance Moore. “Because high cost-sharing has been a barrier to PrEP, the recommendation’s mandate that most private insurance plans cover PrEP without deductibles or copays means that far more individuals will have affordable access to PrEP through commercial insurance. Given the disparities in PrEP access, particularly among young, gay Black and Latino men and transgender women, we are hopeful that this recommendation will spur additional action and commitment to increasing access to PrEP for these populations.”
Full implementation of the coverage and cost-sharing provisions is not required for most plans until January 2021. In the meantime, public and private payers will need guidance from federal and state regulators to ensure implementation is in compliance with the recommendation and CDC clinical guidelines.
“We will not end the HIV epidemic without significant increases in the number of people vulnerable to the infection using PrEP. Today’s announcement by the USPSTF is an important step in the right direction, and we must continue to address stigma and other systemic barriers that have fueled the relatively low number of individuals currently accessing PrEP in this country,” Moore concluded.