Legal update: Results and impact of the copay accumulator adjustment lawsuit

NAIC Regulatory Framework (B) Task Force
December 1, 2023

Carl Schmid offers updates on the litigation led by the HIV+Hepatitis Policy Institute, Diabetes Leadership Council, and Diabetes Patient Advocacy Coalition and three individual patients in which the district court ruled in favor of patients by saying that HHS must require insurers to count copay assistance towards out-of-pocket costs and how HHS has appealed the decision and refuses to enforce the court’s ruling.

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