We are submitting this formal complaint against Blue Cross Blue Shield of Mississippi (BCBSMS) regarding certain formularies offered on the individual and fully insured markets in Mississippi. First, BCBSMS is violating federal preventive health coverage requirements by covering only one of four pre-exposure prophylaxis (PrEP) medications to prevent HIV. Second, BCBSMS’ medical policy deeming long-acting injectables for the treatment of HIV “not medically necessary” does not allow for a meaningful formulary exceptions process as required by federal Essential Health Benefit (EHB) regulations.
Letter to Massachusetts Budget Conference Committee supporting FY27 HIV PrEP access provisions and HIV/AIDS funding
As you work to reconcile the Massachusetts Fiscal Year 2027 budget, we write to thank you for your longstanding leadership and advocacy on behalf of the HIV community. We respectfully urge the Conference Committee to adopt two critical HIV priorities passed by the House: (1) the comprehensive HIV PrEP access provisions, and (2) the robust $35 million funding level for the state’s HIV/AIDS and infectious disease programs.
Letter to Louisiana Senate in Opposition to Reinstating Copay Maximizer Language in HB 1236
Copay assistance programs exist to help patients afford the high costs of essential medications. For people living with HIV and hepatitis B, lifelong daily treatment is required. For hepatitis C, a curative treatment is available but often comes with a high upfront cost. Without assistance that counts toward out-of-pocket limits, patients in high-deductible or high-cost-sharing plans may be forced to go without treatment. Allowing maximizer programs to flourish, particularly under the false premise that they benefit patients, only reinforces barriers to treatment.
Letter to Michigan Senate supporting bill to ensure copay assistance counts for patients
By passing SB 914, Michigan will join 26 other states, the District of Columbia, and Puerto Rico in protecting consumers purchasing insurance on the private market. This legislation ensures that copay assistance counts toward cost-sharing obligations, preventing patients from facing insurmountable financial barriers to their medications.
Letter to Massachusetts Senate supporting HIV PrEP Access Provisions and FY27 HIV/AIDS Funding
We write to thank the Massachusetts Senate for your longstanding leadership and advocacy on behalf of the HIV community and to urge you to champion two critical HIV priorities during Senate consideration of the Fiscal Year 2027 budget: (1) the comprehensive HIV PrEP access provisions adopted by the House, and (2) robust funding for the state’s HIV/AIDS and infectious disease programs.