Senate bill 196 would protect patients with cancer from delayed treatment and allow patients to realize the benefit of copay assistance programs. Legislation in Pennsylvania would remove this barrier to care by requiring insurers to count all payments made by patients-either directly or on their behalf-toward their overall out-of-pocket maximum payment or deductible. “Copay accumulator adjustment programs make it more challenging for patients to afford their medication, erecting barriers to care at a time when they should be torn down.” “Everyone should have a fair and just opportunity to prevent, find, treat, and survive cancer,” said Emma Watson, Government Relations Director at the ACS CAN. The survey of 1,241 patients with cancer and survivors nationwide was conducted from May 16 to 26, 2022, with another 1,370 interviews conducted among traditionally underrepresented demographic groups to allow for in-depth statistical analysis. However, more than a quarter (27%) of respondents who enrolled in a copay assistance program reported that the assistance they received was not applied to their health insurance deductible or other out-of-pocket cost requirements, which can create a barrier to care. A new Survivor Views survey from the American Cancer Society Cancer Action Network (ACS CAN) showed that a majority of respondents (83%) who had applied to a copay assistance program and were accepted said the assistance enables them to get the medication they otherwise couldn’t afford.
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