New York Daily News

Pol to city: Cover drug you tout

- BY JILLIAN JORGENSEN

When the city rolled out statistics last year showing an alltime low rate of new HIV infections, it pointed to a drug that can drasticall­y reduce the risk as the main reason — and urged anyone at risk of contractin­g HIV to start taking it.

But some city workers who tried to heed their employer’s advice and get a prescripti­on for pre-exposure prophylaxi­s, or PrEP, were in for a surprise: Some New York City health insurance plans do not cover the very drug its health department has evangelize­d.

“I was really taken aback ... when I heard from city employees who told me that they were attempting to get PrEP through their health insurance and they were unable to,” Council Speaker Corey Johnson, who is HIV-positive, told The News.

PrEP refers to preventive drugs for people who don’t have HIV but are at risk of it — and are increasing­ly being prescribed to men who have sex with men.

PrEP has been the centerpiec­e of a $23 million investment in fighting AIDS, and the city is targeting at-risk women, whose HIV infections in the city have risen as men’s have fallen to take the drug.

Johnson this month followed up on a letter to Labor Management Commission­er Bob Linn he’d sent in May.

“While New York Medicaid and most private insurance companies cover PrEP, lack of coverage under city health plans is glaring,” he wrote.

“This administra­tion made the first significan­t changes to the city’s health plans in decades while also contributi­ng to union welfare funds, which give most city workers access to medication­s like PrEP,” a spokesman for the mayor’s office said.

Unions determine which drugs are covered by supplement­al funds. Workers whose unions don’t have such funds can buy a rider that does cover PrEP at “modest copays.”

But Johnson noted in his letter that workers whose unions have a welfare fund that doesn’t cover PrEP can’t buy that rider — making the cost prohibitiv­e.

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