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Sponsors urge ban on copay‑accumulator programs, saying they leave patients with high costs

Financial Institutions, Insurance, and Technology Committee · September 30, 2025
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Summary

Senators Manchester and Liston urged support for Senate Bill 207, which would prohibit insurers and PBMs from using copay accumulator or maximizer practices that prevent third‑party assistance from counting toward patients' deductibles; sponsors said the bill preserves plan flexibility while protecting patients from surprise costs.

Senate Bill 207 drew sponsor testimony in its first hearing as Senator Manchester and co‑sponsor Senator Liston urged the committee to ban insurer and PBM practices that keep manufacturer or third‑party copay assistance from counting toward a consumer’s cost‑sharing obligations.

"This bill simply says that if a patient utilizes cost sharing assistance whether it is from a manufacturer program or another source, then…

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