Resources

ABOUT THE ISSUE IMPACT ON PATIENTS RESEARCH FEDERAL AND STATE ACTIONS

About The Issue

What Employers Need to Know About DC Decision

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What Patients Need to Know About DC Decision

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FAQ – Court Decision On Copay Accumulators

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Frequently Asked Questions – HELP Copays Act

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Correcting the Record on Copay Assistance and Accumulator Adjustment Policies

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About The Issue

Impact on Patients

Pioneer Health: PBMs and Out-of-Pocket Assistance Programs Report

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The AIDS Institute Analysis: Premiums in States with Copay Laws vs. States with No Laws

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NMQF Webinar | Treatment Access & Health Equity: Protecting the Value of Copay Assistance

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Patients Are Being Harmed by Copay Adjustment Policies

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Copay Accumulator Adjustments: What Are They and How They Can Affect You

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Patient Out-of-Pocket Cost Scenarios

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How to Spot Copay Accumulator Programs: Sample Language Found in Health Plan Policies

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Impact on Patients

Research

Unchecked: Copay Accumulator Adjustment Policies in 2024 (The AIDS Institute)

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Individual 2024 Copay Accumulator Program Report Cards (The AIDS Institute)

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Patients & Family Caregivers: Prescription Drug Affordability Challenges During COVID-19

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Discriminatory Copay Policies Undermine Coverage for People with Chronic Illness

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Research

Federal and State Actions

ACCC Statement Regarding 2025 Notice of Benefit and Payment Parameters Final Rule

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ACCC Statement Regarding HHS Decision to Drop Appeal of Court Ruling

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Senate Letter To HHS Condemning Appeal to NBPP Ruling

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Congressional Letter To HHS Condemning Appeal to NBPP Ruling

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The HELP Copays Act Eliminates Harmful Health Plan Pricing Schemes and Protects Vulnerable Patients from Soaring Out-of-Pocket Costs

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State Legislation Against Copay Accumulators

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Federal Rules and Legislation Related to Copay Accumulators

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Federal and State Actions