Free PrEP in Texas — Clinics, Programs & Telehealth

Your fastest path to free PrEP in Texas

Step 1: If you have private insurance, PrEP must be covered at $0 under the ACA — medication, labs, and visits.

Step 2: If you're uninsured, go to MISTR — it's completely free in Texas through a partnership with AIDS Foundation Houston. Consultation, at-home labs, medication, and delivery all at $0.

Step 3: Visit a Kind Clinic in Austin, Dallas, or San Antonio — sliding-scale fees, many patients pay $0. Or the HELP Center in Fort Worth for 100% free PrEP, PEP, exams, labs, and meds.

Step 4: Apply for Gilead Advancing Access for free Descovy or Yeztugo if you earn under 500% FPL. Call 1-800-226-2056. No immigration status requirement.

MISTR is free in Texas — medication, labs, everything.

Through a partnership with AIDS Foundation Houston, MISTR covers Texas at $0 for both insured and uninsured patients. At-home testing, virtual consultation, prescription, and monthly delivery included.

Start Free PrEP with MISTR →

Use code at signup — it supports our mission of helping provide free PrEP to everyone who needs it.

Texas PrEP programs

No state PrEP assistance program

Texas does not have a PrEP Drug Assistance Program. The Texas HIV Medication Program (THMP) is the state ADAP but only covers HIV-positive individuals at ≤200% FPL who are U.S. citizens or legal residents. THMP Phone: 1-800-255-1090.

Medicaid

Texas has NOT expanded Medicaid. The coverage gap is the nation's largest: 617,000–772,000 adults earn too much for Medicaid but too little for marketplace subsidies. Parents qualify only at ~12–13% FPL. Childless adults are categorically ineligible.

Apply: YourTexasBenefits.com or call 2-1-1

DSHS PrEP resources

Texas DSHS maintains a PrEP provider directory at dshs.texas.gov/hivstd/prep/providers and funds PrEP navigators through community-based agencies.

Clinics & community resources

Houston

Legacy Community Health (FQHC)

50+ locations • (832) 548-5000 • legacycommunityhealth.org
Same-day PrEP, injectable PrEP, largest PrEP prescriber in Houston

AHF Houston

1200 Binz St, Suite 1290 • (713) 524-8700

AIDS Foundation Houston

(713) 623-6796 • afhouston.org

Dallas

Kind Clinic — Dallas

Walk-in STI testing, PrEP, gender-affirming care, DoxyPEP • kindclinic.org

Resource Center

(214) 540-4455 • myresourcecenter.org

Prism Health North Texas (FQHC)

(214) 521-5191 • prismhealthntx.org

Fort Worth

HELP Center for LGBTQ+ Health ⭐

1919 8th Ave, Fort Worth 76110 • (817) 332-7722 • helpcentertx.org
100% free PrEP and PEP — no cost for exams, labs, or medications

Austin

Kind Clinic — Austin (HQ)

(512) 430-3399 • kindclinic.org

CommUnityCare (FQHC)

(512) 978-9015 • Sliding scale

San Antonio

Kind Clinic — San Antonio

kindclinic.org

San Antonio AIDS Foundation

(210) 225-4715

Telehealth PrEP in Texas

Texas has permissive telehealth laws. DSHS endorses several platforms for PrEP access.

MISTR

Free in Texas — $0 for everything

Partnership with AIDS Foundation Houston.

Use code — supports our mission of providing free PrEP to all.

Start with MISTR →

Kind Clinic TeleKind

Texas-based, DSHS-endorsed, sliding scale

Q Care Plus

Usually free via PAPs

Gender-affirming care focus

Nurx

DSHS-listed. $30 consultation.

PlushCare

DSHS-listed. Requires local lab visit.

Freddie

$0 for 90%+ of patients. Men/transmasc.

HIV in Texas

New HIV diagnoses (2023)~4,800–5,000+

People living with HIV90,000+ (28,000+ in Houston)

Racial disparityBlack rate: 46.0/100K

Medicaid gap617,000–772,000 adults uninsured

EHE priority jurisdictions

Five Texas counties receive enhanced EHE funding: Houston/Harris, Dallas, San Antonio/Bexar, Austin/Travis, and Fort Worth/Tarrant.

Know your rights

Minors

Texas Family Code §32.003 allows minors to consent to STI testing and treatment. PrEP is not explicitly covered.

Undocumented residents

THMP requires citizenship/legal residency. FQHCs (Legacy, CommUnityCare) and MISTR serve regardless of status. Gilead Advancing Access has no immigration requirement.

Transgender individuals

SB 14 (2023) bans gender-affirming care for minors. Kind Clinic provides integrated gender-affirming care and PrEP in Austin, Dallas, and San Antonio.