Lynn Albizo, IDF's Vice President of Public Policy, said, " IDF has been vocal about the harm copay accumulators pose to patient access to critical medications and has galvanized support for state-level bans across the country. The new bill is sponsored by Representatives Carter (R), Barragán (D), Clarke (D), Coleman (D), DeGette (D), Fitzpatrick (R), and Miller-Meeks (R). The All Copays Count Coalition sent a letter of support for the bill signed by 75 of its members, including IDF. 5801 in late 2021 but failed to progress out of committee. In essence, H.R.830 is a reintroduction of the Help Ensure Lower Patient (HELP) Copays Act, which was first introduced as H.R. Copay accumulator programs, which do not count assistance toward deductibles or out-of-pocket maximums, would be banned for health insurance plans regulated at the federal level, such as those offered by large employers. This bill requires health insurance plans to apply copay assistance to an individual's cost-sharing obligations (i.e., deductible and out-of-pocket maximum) for their insurance. On February 6, 2023, a bipartisan group of legislators introduced H.R.830 in the U.S. Make your voice heard on copay accumulators by contacting your legislators in support of S.1375/H.R.830!
The introduction of the bill comes on the heels of IDF's 2023 Advocacy Day, where banning copay accumulators so that all copays count was a top priority and talking point.
This bill is a companion to House bill H.R.830, the HELP Copays Act, and would amend the Public Health Service Act to make clear that all financial assistance or discounts made on behalf of a patient must count toward their insurance deductible and out-of-pocket maximum. Update - On April 27, 2023, Senators Roger Marshall (R - KS), Tim Kaine (D - VA), Joni Ernst (R - IA), Edward Markey (D - MA), and Lisa Murkowski (R - AK) introduced S.1375 in the U.S.
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