SB 1023: Injectable PrEP: reimbursement through the outpatient prescription-drug benefit

Latest recorded action

August 30, 2026. Enrolled and presented to the Governor at 6:00 PM.

What the bill does

Would require plans that already cover injectable HIV pre-exposure prophylaxis to offer reimbursement through the outpatient prescription-drug benefit, addressing buy-and-bill barriers for community clinics and smaller practices.

What it does not do

Not law. Presentment starts the gubernatorial clock; it creates no plan obligation. Injectable PrEP coverage nominally exists today — what the bill would change is the reimbursement pathway.

KPSGILL position

No position taken. The clearest current illustration of a distinction the Policy Lab draws repeatedly: coverage does not equal practical access when reimbursement mechanics make a covered treatment financially difficult for a community provider to deliver.

What happens next

Governor action deadline: September 30, 2026. This bill was enrolled and presented to the Governor on 30 AUGUST 2026, 6:00 PM, so the deadline runs from a presentment on the record rather than from the session-wide date applied mechanically. Every qualifying measure is tracked on the Governor’s Health Bill Desk; scheduled dates sit on the decision calendar.