|Posted:||December 20, 2016 03:03 PM|
|From:||Senator Bob Mensch|
|To:||All Senate members|
|Subject:||Specialty Tier Drug Co-payment Caps|
|In the near future, I plan on introducing legislation that will cap co-payments for the out of pocket cost of specialty tier drugs. Many surrounding states have already taken steps to protect those that suffer from rare conditions such as hemophilia, hepatitis, multiple sclerosis, lupus, some cancers, rheumatoid arthritis and other serious chronic health issues from the high out of pocket costs.
As of right now, the Affordable Care Act individual’s maximum out of pocket costs are $6,600 per year for self only coverage and $13,200 for other than self-only coverage. I believe this is incredibly high. My legislation would limit a patients cost to $100 per 30 day supply of any single specialty tier drug and not exceed $200 per month.
This legislation will be similar to 18 states including Pennsylvania that have introduced or enacted legislation to help people with the cost of these life-saving drugs. They are as follows:
I hope you will join me in co-sponsoring this legislation that will cap the highest co-payments for medications which will more evenly distribute the pharmacy costs between enrollees and insurers. If you have any questions please call Bill Joraskie at 717-787-3110.