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Committee advances bill to ban co-pay accumulator adjusters after patient and insurer testimony

3836196 · June 9, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

S3818/A5217, which would require co-pay assistance to count toward patients' deductibles and out-of-pocket maxima, was favorably released by the Senate Budget and Appropriations Committee after testimony from patient groups, cancer advocates and health plan representatives.

The Senate Budget and Appropriations Committee on June 9 voted to release S3818/A5217, legislation that would prohibit health insurers from refusing to count third‑party co-pay assistance toward a patient's deductible or out-of-pocket maximum.

Patient advocates, clinicians and disease-specific groups told the committee co-pay accumulator adjuster programs have led to surprise bills and treatment delays. Stephanie Lapidau, executive director of the Hemophilia Association of New Jersey, described an example in which a member received a bill for more than $7,000 after their manufacturer's assistance was…

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