Oregon House Passes CAP-Backed Bill to Give Pharmacists the Ability to Prescribe PrEP
A bill that would give pharmacists in Oregon the ability to write prescriptions for PrEP passed out of the Oregon House on Tuesday with overwhelming support. Cascade AIDS Project (CAP) is leading the effort to pass the legislation, which would make Oregon the third state in the country to enable pharmacists to prescribe PrEP, as well as HIV post-exposure prophylaxis (PEP).
House Bill 2958 would remove key barriers to pharmacists prescribing PrEP by making clear that pharmacists have the authority to perform an HIV test, requiring insurers to reimburse pharmacists for PrEP screening & counseling, and mandating that most insurers cover at least one form of PrEP without forcing prescribers to obtain approval first. If the legislation passes out of the Oregon Senate and is signed by Governor Kate Brown, Oregonians who need PrEP will be able to get a starter supply of the medication in a single visit to any Oregon pharmacist trained in PrEP prescription.
PrEP is a powerful tool in the effort to end the HIV epidemic, but it is not nearly as accessible as it must be for those at highest risk of HIV infection, including Black and Latinx people. The Centers for Disease Control and Prevention estimates that 44% of those who could benefit from PrEP are Black, and 25% are Latinx, but less than 1% of those prescribed PrEP are from these communities. Pharmacist-prescribed PrEP expands the availability of HIV prevention medication to populations that the traditional healthcare system is not reaching well.
The Oregon House passed HB 2958 on a 47-7 vote, with Representative Dacia Grayber of Tigard and Representative Rob Nosse of Southeast Portland serving as chief sponsors. Despite the fact that the bill seeks to improve access to PrEP for residents of rural Oregon, a number of representatives of rural areas voted against it: Rep. Shelly Boshart Davis of the Albany area, Rep. Jami Cate of Lebanon, Rep. Bill Post of Keizer, Rep. Daniel Bonham of The Dalles; Rep. Vikki Rep. Breese Iverson of Prineville, Rep. Werner Reschke of Klamath Falls, and Rep. Duane Stark of Grants Pass. The legislation now awaits a hearing in the Senate Committee on Health Care.
For more information, contact CAP’s Public Policy & Grants Manager, Jonathan Frochtzwajg, at jfrochtzwajg@capnw.org.
About Cascade AIDS Project
CAP is a non-profit organization that was founded in 1985 as a grassroots response to the AIDS crisis. As the oldest and largest community-based HIV services provider in Oregon and southwest Washington, we seek to support and empower all people with or affected by HIV, reduce stigma, and provide the LGBTQ+ community with compassionate healthcare. We do so by helping to ensure the health and well-being of our program participants each year through health, housing, and other social services. When the need for affordable, accessible, and culturally affirming primary care services was identified as a community need, we responded by opening Prism Health in 2017. More information can be found at www.capnw.org.
