Academy Exchange

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  • 1.  PrEP and HIV care for Adolescents

    Posted 02-07-2022 10:00

    Requesting recommendations for best practices for adolescents and youth in provision of both PrEP and HIV care, particularly those who are on parent/guardians' insurance, . While our state allows sexual health care for teens 13 and older without need for parental consent, the insurance issue is often a bigger barrier preventing these patients from staying engaged in care at our specialty clinic. 

    Anyone have creative ways to address this issue for folks worried about accidental disclosure of services to parents or guardians? 

    Many thanks!


    Jeremy Snyder, MD
    Truman Health Services
    Albuquerque NM

  • 2.  RE: PrEP and HIV care for Adolescents

    Posted 02-07-2022 12:24
    Hi Jeremy,  According to CDC: "No state expressly prohibits minors' access to PrEP or other HIV prevention methods. All jurisdictions expressly allow some minors to consent to medical care for the diagnosis or treatment of STIs, but only eight jurisdictions allow consent to preventive or prophylactic services. Thirty-four states either expressly allow minors to consent to HIV services or allow consent to STI or communicable disease services and classify HIV as an STI or communicable disease. Seventeen jurisdictions allow minors to consent to STI testing and treatment, but they do not have an express HIV provision nor classify HIV as an STI or communicable disease." 

    As you mention, inadvertent disclosures by parental health insurance carriers can be an issue.  Social work professionals can sometimes be of enormous assistance in obtaining needed health care coverage for adolescent and young adult patients when needed. 

    My best,


    Joseph Cervia
    North Shore Health Care Network
    Roslyn NY