Additional Information:
- American Legislative Exchange Council (ALEC)
Health Related Draft Policies at ALEC that are being considered:
https://www.alec.org/task-force/health-and-human-services/ - NCMS Medicare Cuts Action Alert
https://app.muster.com/take-action/rCzdvpbZzC/ - Language on amending SB 257
Copay Accumulator Adjustment Programs
https://p2a.co/a7O1Aqa
Most North Carolina health insurers are now implementing “copay accumulator adjustment programs,” which prohibit copay assistance from any third-party, including a church, foundation, GoFundMe, or copay card, from counting toward a patient’s annual deductible or out-of-pocket maximum.
This means any third-party copay assistance will reduce a patient or family’s cost sharing burden, and means that copays are paid twice: once from copay assistance and again from the patient or family. It’s not fair and only pads the pockets of health insurers and PBMs.
We must include protections against copay accumulator adjustment programs in Senate Bill 257, which is currently being considered by the NC General Assembly.
Sign on now to send a message to your North Carolina legislators to ask them to help patients afford lifesaving treatment. Feel free to edit your message with your own story or perspective in your own words.