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.

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.

Online PrEP provider options

Compare telehealth services, local clinics, public programs, and assistance routes for your state or situation.

Compare providers →

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.