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Committee hears LB158 to stop copay accumulators for patients with high‑cost drugs

2506668 · March 3, 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

Sen. Dave Wardekemper introduced LB158 to require insurers to count third‑party copay assistance toward patients' deductibles and out‑of‑pocket limits; families and bleeding‑disorder advocates urged passage, while insurers warned of higher premiums and cited federal constraints.

Senator Dave Wardekamper presented LB158 at a public hearing of the Banking, Commerce and Insurance Committee, seeking to prohibit health insurers from excluding third‑party copay assistance from a patient’s deductible and out‑of‑pocket accumulation. Supporters said the practice of so‑called "accumulator adjustment" programs can leave patients with chronic or rare conditions unable to afford ongoing treatment.

Wardekamper told the committee the policy primarily affects Nebraskans with high‑cost chronic and rare diseases and described common consequences: skipped doses, abandoned treatment and increased emergency care. "This primarily affects Nebraskans with chronic and rare diseases who already face significant health challenges and high treatment costs," he said.

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