PrEP Health Insurance Coverage to Remain Intact - For Now
Lawyers for both sides agreed to a compromise while the case on prevenantive health care coverage makes its way through the appeals process.
June 13, 2023
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Lawyers for both sides agreed to a compromise while the case on prevenantive health care coverage makes its way through the appeals process.
While the justices upheld the coverage requirement for insurance companies to pay for preventive care at no cost to the patient, they also gave the HHS secretary more power.
It comes weeks after the U.S. Supreme Court ruled that the U.S. Preventive Service Task Force, which requires coverage for diabetes, cancer, and mental health screenings as well as access to HIV prevention, or PrEP, was properly appointed.
The case stems from a Texas company that argued covering PrEP violated its religious freedoms, claiming the medication encourages “homosexual behavior.”
The defendants in the case previously argued that requiring insurance coverage of PrEP access was similar to supporting homosexuality.
The court issued a stay that will last for the duration of the government’s appeal in the case.
Government regulators are seeking public comment for its new national coverage analysis for PrEP.
LGBTQ+ and public health advocates warn that a ruling in favor of the plaintiffs would allow insurers to begin denying or charging for services currently guaranteed to be free—like STI testing, diabetes screening, contraception, and maternal care.
The judge says that although PrEP prevents HIV regardless of one’s sexual orientation, because gay people use it, it violates the Religious Freedom Restoration Act.
The justices are expected to issue rulings on the most controversial cases of the term imminently.
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