Three Years Since Court Victory & Prescription Drug Copay Assistance Still Not Counting for Patients

At a time when the American people are focused on the affordability crisis and concerned about how much they pay for their prescription medications, the federal government can easily reduce their costs by complying with the court order and telling insurers they must count copay assistance towards patient cost-sharing. Instead, they are siding with the big insurers and drug middlemen, increasing their profits at the expense of patients who are struggling to afford their medications.

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HIV+Hep Praises DC, Massachusetts, and Delaware for Protecting PrEP Access

DC, Massachusetts, and Delaware have joined a growing number of states and jurisdictions acting to guarantee insurance coverage of highly effective HIV prevention medications known as PrEP without cost-sharing or prior authorization. These laws not only enshrine the coverage requirements into state law, but clarify that the full range of PrEP options, including newer long-acting injectables, must be covered.

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Mississippi Insurer Adds PrEP Coverage After Complaint, but Gaps Remain

We are pleased that Blue Cross Blue Shield of Mississippi has taken steps to comply with federal preventive coverage requirements by adding these two PrEP drugs. But by excluding other long-acting medications, which are recommended in national HIV treatment and prevention guidelines, Mississippians are still not able to access these highly effective drugs that improve patient adherence.

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House Republicans Propose $1 billion in Cuts to Domestic HIV Programs

We can’t imagine a country that is unable to conduct basic surveillance of a serious infectious disease, educate and test people, and link them to appropriate treatment or prevention, including PrEP. That is what would happen if the House Republican bill were to pass.

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CMS Fails to Exempt People Living with HIV from Medicaid Work Requirements

The law is very clear that people who have special medical needs, including those with a serious or complex medical condition, are statutorily exempt from the community engagement requirement. People living with HIV have a lifelong serious and complex medical condition and have special medical needs—they cannot stay healthy without continuous access to lifesaving HIV treatment. Any gap will put them at risk of serious health consequences.

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Who We Are

Monitors policies that impact the prevention and treatment of HIV, viral hepatitis, and other health conditions in the United States.

Communicates with members of the HIV, hepatitis, and other patient group communities on key policy issues that impact their access to healthcare.

Educates policymakers and members of the media about efforts to end both HIV and hepatitis in the United States and to improve access to quality and affordable healthcare for people with or at risk of serious or chronic health conditions.

Key Issues

Causes We Care About, and So Should You!

HIV

Promote necessary funding, programs, and policies to end the HIV epidemic in the United States

HEPATITIS

Promote necessary funding, programs, and policies to end viral hepatitis in the United States

HEALTHCARE ACCESS

Promote necessary funding, programs, and policies to end viral hepatitis in the United States

Learn More

Facebook posts by @HIV+Hep

HIV and Hepatitis Policy Institute

2 weeks ago

.Blue Cross and Blue Shield Association is charging federal employees excessively high copays for twice-yearly #prep—as much as 50-60 % co-insurance, violating federal preventive coverage requirements. We are urging the Office of Personnel Management (OPM) to put an end to this: bit.ly/4iSr03L ... See MoreSee Less

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HIV and Hepatitis Policy Institute

2 weeks ago

Three Years Since Court Victory & Prescription Drug Copay Assistance Still Not Counting for Patients. Administration Must Enforce Court Victory to Lower Drug Costs for Patients & End Insurers’ Double-Charging: bit.ly/4AkNvV3 ... See MoreSee Less

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HIV and Hepatitis Policy Institute

2 weeks ago

Three Years Since Court Victory & Prescription Drug Copay Assistance Still Not Counting for Patients—Administration Must Enforce Court Victory to Lower Drug Costs for Patients & End Insurers’ Double-Charging: bit.ly/4AkNvV3 ... See MoreSee Less

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HIV and Hepatitis Policy Institute

3 weeks ago

We submitted comments to @CMSgov on the CY27 #Medicare Physicians Fee Schedule, supporting stronger #HIV & viral #hepatitis quality measures & a more accurate ADAP #340B calculation for the drug inflation rebate: bit.ly/4xl2ITz ... See MoreSee Less

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