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Update on Texas House Bill 999
Texas All Copays Count Coalition Partners, Here we are at the finish line of this incredible effort! Texas House Bill 999 has passed through the full Texas legislature and is now headed to the desk of Governor Greg Abbott. This would not have been possible without...
PFPA Member Update – May 22, 2023
PFPA Members, Good news! S.0799 is up for a vote TOMORROW, Tuesday, May 23 in the RI Senate Health, and Human Services Committee. It is expected that the bill will pass without revisions. You can also watch the hearing tomorrow here. If you have questions, you can...
New Court Ruling May Restore Cost-sharing Barriers to Disease Prevention
By Surabhi Dangi-Garimella, Ph.D. In 2010, the Affordable Care Act (ACA) required a majority of private health plans to cover preventive healthcare services without any out-of-pocket costs to enrollees: meaning no co-pay or deductible. However, a new ruling by a Texas...
Patients Rising Now Sends Letter of Support on PBM Bill
Patients Rising Now sent a letter of support for Representatives Buddy Carter's (R-GA-01) and Lisa Blunt Rochester's (D-DE-AL) legislation: The Protecting Patients Against PBM Abuses Act. The problem is PBMs is so widespread that it is not only confined to patients...
Patients Rising Now Signs onto Medigap Access Legislation
Patients Rising Now joined several other organizations in sending a letter to the Texas House of Representatives in support of a bill that would increase patient access to supplemental Medicare plans referred to as Medigap plans. In the current system, patients who...
Patients Rising Now CEO Quote on Vision Benefit Managers Legislation
Patients Rising Now CEO Terry Wilcox was quoted as part of the announcement of a bipartisan bill, introduced by Senators Manchin (D-WV) and Cramer (R-ND) to improve patient experiences when seeking treatment in the dental and optometric care fields. The legislation...
Patient Impact Report: Pharmacy Benefit Managers Creating Barriers for Patients
Read the PDF Version What are Pharmacy Benefit Managers (PBMs)? PBMs are the middlemen who work for insurance companies to determine what drugs are and aren’t covered on an insurance formulary. They are a player in the supply chain between the manufacturers who make...
Patient Impact Report: Copay Accumulator Programs Double-Dip into Patient Wallets
Read the PDF Version The Double-Dip Patients with rare and chronic illnesses often rely on manufacturer patient assistance funds to cover high out-of-pocket costs at the pharmacy. But many insurers and pharmacy benefit managers (PBMs) have implemented copay...
Patients Rising Now CEO Wilcox Offers Statement on Senate Introduction of Copay Accumulator Legislation
FOR IMMEDIATE RELEASE Contact: Sarah Shelson May 1, 2023 sshelson@riesterinfluence.com ...
Patients Rising Now Submits Comments to CMS on IRA Implementation
The Centers for Medicare and Medicaid Services (CMS) held a comment period after releasing their initial guidance memo on how they plan to implement the Inflation Reduction Act (IRA). Patients Rising Now's comments focused on two aspects of the memo. Firstly, the memo...
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