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S 2846119th CongressIn Committee

HIV Medication Access Act

Introduced: Sep 17, 2025
Defense & National SecurityHealthcare
Standard Summary
Comprehensive overview in 1-2 paragraphs

This bill, titled the HIV Medication Access Act, would amend the Foreign Assistance Act of 1961 to change how the United States funds and defines HIV/AIDS prevention and treatment activities. The key shifts are: (1) designating certain HIV/AIDS prevention activities as core, life-saving humanitarian assistance; (2) adding HIV pre-exposure prophylaxis (PrEP) medications to the list of prevention options funded by foreign assistance; and (3) broadening the definition of at-risk populations to include those identified through a World Health Organization–designated, science-based analysis. The overall aim is to expand access to HIV prevention and treatment in U.S.-funded programs, particularly in humanitarian or emergency settings, by elevating PrEP and broader at-risk populations within core assistance criteria. In practical terms, the bill would likely make PrEP funding a standard part of eligible HIV/AIDS programs abroad, treat certain prevention activities as core assistance (potentially affecting prioritization and funding), and reference WHO guidance to determine which populations should be prioritized for prevention efforts.

Key Points

  • 1HIV PrEP medications would be added to the list of prevention activities eligible for foreign assistance funding.
  • 2Several HIV/AIDS prevention activities would be reclassified as core life-saving humanitarian assistance, elevating their priority in funding decisions.
  • 3The bill requires that at-risk populations be identified in line with a scientific-based analysis designated by the World Health Organization (WHO).
  • 4The language expands the scope of prevention activities to include broader strategies (including enhancements to prevention efforts beyond existing provisions; exact wording references “pre- and …” prophylaxis in the text).
  • 5The measure is titled the “HIV Medication Access Act” and would amend Section 104A(d) of the Foreign Assistance Act of 1961 to implement these changes.

Impact Areas

Primary group/area affected: Individuals at risk of HIV and those in need of HIV prevention and treatment abroad, particularly in countries receiving U.S. foreign assistance and in humanitarian settings.Secondary group/area affected: Implementers of U.S. foreign aid programs (e.g., international NGOs, UN agencies, and foreign governments) that would administer and deliver PrEP and enhanced prevention services; policymakers and U.S. agencies overseeing aid allocations may adjust funding priorities.Additional impacts: The reclassification of prevention activities as core humanitarian assistance could influence budgeting, reporting, and accountability practices, potentially increasing the visibility and urgency of HIV/AIDS interventions in emergency and humanitarian contexts. The WHO-based analysis requirement may affect how populations are targeted, requiring alignment with international health guidance.
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