HB 200 DE

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Passed Legislature

This Act is a substitute for HB 200 and differs from HB 200 by requiring health insurance coverage only for pre-exposure prophylaxis (“PrEP”) medication and post-exposure prophylaxis (“PEP”) medication. This Act also makes technical corrections including updating section numbers and updating the applicability date so insurance companies can file rates that include the cost of the coverage required under this Act. This Act requires individual health insurance plans, group and blanket health insurance plans, the state employee health plan, and state Medicaid insurance to cover medically necessary PrEP medication for the prevention of human immunodeficiency virus (“HIV”) infection before possible HIV exposure and medically necessary PEP medication for the prevention of HIV infection after possible HIV exposure. The coverage must include must be provided without any of the following: 1. Cost-sharing requirements, including deductibles, coinsurance, copayments, and out-of-pocket expenses. 2. Prior authorization or step therapy requirements. 3. Unreasonable delay in coverage determination. This Act applies to all policies, contracts, or certificates that are renewed, modified, altered, amended, or reissued after December 31, 2027.

• Nnamdi O. Chukwuocha Democratic · primary
• Eric Morrison Democratic · primary
• Marie Pinkney Democratic · primary
• Nicole Poore Democratic · primary
• Ray Seigfried Democratic · primary
• Stell Parker Selby · primary
• William J. Carson Democratic · primary
• Spiros Mantzavinos Democratic · primary
• Melanie Ross Levin Democratic · primary
• Mara Gorman Democratic · primary
• Darius J. Brown Democratic · primary
• Cyndie Romer Democratic · primary
• Kerri Evelyn Harris Democratic · primary

1. Jan 8, 2026 Adopted in lieu of the original bill HB 200, and Assigned to Economic Development/Banking/Insurance & Commerce Committee in House · lower
2. Mar 17, 2026 Reported Out of Committee (Economic Development/Banking/Insurance & Commerce) in House with 2 Favorable, 8 On Its Merits · lower
3. Mar 17, 2026 Amendment HA 1 to HS 1 - Introduced and Placed With Bill · lower
4. Mar 26, 2026 Amendment HA 1 to HS 1 - Passed In House by Voice Vote · lower
5. Mar 26, 2026 Passed By House. Votes: 39 YES 1 NOT VOTING 1 ABSENT · lower
6. Mar 26, 2026 Assigned to Banking, Business, Insurance & Technology Committee in Senate · upper
7. Apr 22, 2026 Reported Out of Committee (Banking, Business, Insurance & Technology) in Senate with 1 Favorable, 5 On Its Merits · upper
8. Jun 23, 2026 Amendment SA 1 to HS 1 - Introduced and Placed With Bill · lower
9. Jun 24, 2026 Amendment SA 1 to HS 1 - Passed By Senate. Votes: 20 YES 1 ABSENT · upper
10. Jun 24, 2026 Passed By Senate. Votes: 21 YES · upper
11. Jun 25, 2026 Passed By House. Votes: 39 YES 2 ABSENT · lower