STATES THAT BAN COPAY ACCUMULATORS FULL
Additionally, insurance companies often use complicated or confusing language when describing these adjustment accumulators, which can make it difficult for consumers to recognize them in their insurance plans.įortunately, a bill currently in the Colorado State Legislature (SB23-195) would ensure patients receive the full benefit of co-pay assistance programs by requiring all payments made by or on behalf of an insured to count towards their out-of-pocket cost-sharing requirements. (original post) - Many insurance companies have recently begun implementing “Co-Pay Accumulator Adjustment Programs,” which prevent third-party financial assistance, such as patient assistance programs, from applying to a patient’s insurance deductible or other out-of-pocket costs.Īs a result, these accumulator adjustment programs increase out-of-pocket costs for patients and make it difficult for individuals with high deductibles or chronic diseases to follow treatment plans. And thank YOU for making your voice heard in support of this bill and sharing your story with legislators! The new law will go into effect on January 1, 2025. Thanks to the Chronic Care Collaborative for their advocacy. Thank you to the prime sponsors of this legislation, Sen. Colorado has now become the 18th state to protect patient assistance to help ensure patients can access and afford medications that they need. This bill ensures patients receive the full benefit of co-pay assistance programs by requiring all payments made by or on behalf of an insured person to count towards their out-of-pocket maximum or deductible. UPDATED JUNE 15, 2023: The Copay Accumulator bill (SB-195) to protect co-pay assistance for patients passed the Colorado State Legislature and has now been signed by Governor Polis. King Adult Day Enrichment Program (KADEP).
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