DelawareDelaware plans cover HIV prevention medicines under set rules
Starting with plans issued or changed after December 31, 2026, health coverage must include HIV prevention medicines and related testing and counseling under these rules.
What it does
Covered plans provide medicines to prevent HIV before or after possible exposure, plus testing and counseling, without charges or approval steps for covered options. Exceptions apply to some plans, and people may face limits on which medicine versions are covered.
Argument forPeople seeking to prevent HIV may get needed medicines, testing, and counseling without charges or approval steps for covered options.
Argument againstPeople may face charges or approval steps for some medicine versions, and federal rules or high deductibles may limit the protections.
More detail
Covered plans provide medically necessary HIV prevention medicines and support services without cost sharing, prior authorization, step therapy, or unreasonable coverage delays. The rules cover individual, group, and blanket health insurance, the state health plan, and health benefit plans issued under Delaware law. Plans may limit coverage to some equivalent medicine versions, but must cover a version of both PrEP and PEP without charges or approval steps; different long-acting durations are not equivalent. If a treating provider recommends a particular medicine based on the person’s medical needs, the plan must cover it without charges or approval steps. For the state health plan, these protections apply only to the extent federal law allows. Certain high-deductible plans and limited-benefit policies have exceptions. The law applies to policies, contracts, and certificates issued, renewed, changed, amended, or reissued after December 31, 2026.
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Aug 31Signed by Governor Matt MeyerBecame Law
- Jun 25Passed By House. Votes: 39 YES 2 ABSENTMajor
- Vote recorded Passage. Result: pass.Lower
- Jun 24Passed By Senate. Votes: 21 YESPassed Senate
- Vote recorded Passage. Result: pass.Upper
- Jun 24Amendment SA 1 to HS 1 - Passed By Senate. Votes: 20 YES 1 ABSENTMajor
- Jun 23Amendment SA 1 to HS 1 - Introduced and Placed With BillMinor
- Apr 22Reported Out of Committee (Banking, Business, Insurance & Technology) in Senate with 1 Favorable, 5 On Its MeritsMinor
- Mar 26Assigned to Banking, Business, Insurance & Technology Committee in SenateMinor
- Vote recorded Passage. Result: pass.Lower
- Mar 26Passed By House. Votes: 39 YES 1 NOT VOTING 1 ABSENTPassed House
- Mar 26Amendment HA 1 to HS 1 - Passed In House by Voice VoteMajor
- Mar 17Amendment HA 1 to HS 1 - Introduced and Placed With BillMinor
- Mar 17Reported Out of Committee (Economic Development/Banking/Insurance & Commerce) in House with 2 Favorable, 8 On Its MeritsMinor
- Jan 8Adopted in lieu of the original bill HB 200, and Assigned to Economic Development/Banking/Insurance & Commerce Committee in HouseIntroduced
Healthcare