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Committee advances copay-assistance bill after amendment; sponsors say change protects patients at pharmacy counter
Summary
The committee amended House Bill 1216 to prevent insurers from counting third-party cost-sharing assistance toward a patient’s deductible or maximum out-of-pocket while still allowing copay-assistance to reduce the patient’s at-the-counter cost. After further amendment the committee voted to recommend a "do pass" on the bill as amended.
Representative Koppelman described a further amendment to House Bill 1216 intended to preserve patients’ use of third-party cost-sharing assistance while preventing insurers from counting those third-party payments toward deductibles or maximum out-of-pocket calculations.
Koppelman said the amendment would insert clarifying language so contributions made by a cost-sharing assistance program are “not calculated as part of the enrollee’s deductible or maximum out of pocket” while still allowing the assistance to reduce the amount a patient pays at the…
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