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Senate committee advances bill to ensure patient assistance coupons count toward cost‑sharing
Summary
The Senate Insurance & Commerce Committee voted to pass House Bill 1569, which would require insurers and PBMs to apply the value of manufacturer patient assistance coupons to enrollees’ copayments, coinsurance and deductibles, with carve‑outs for Medicaid, Medicare and self‑insured plans.
The Senate Insurance & Commerce Committee on Thursday voted to pass House Bill 1569, a measure intended to make sure manufacturer patient‑assistance coupons reduce a patient’s out‑of‑pocket cost rather than becoming a source of revenue for pharmacy benefit managers. Sponsor Senator Raper told the committee the bill “places the value of a patient financial assistance where it belongs with the patient and not the PBM.”
The measure requires that amounts paid by or on behalf of a patient — including manufacturer co‑payment coupons — be applied to an enrollee’s copayment, coinsurance,…
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