04/09/2026
Healthcare should work for patients, not middlemen.
Right now, co-pay assistance programs meant to help patients afford their medications are being redirected into profits for insurers and PBMs.
As costs continue to rise, with out-of-pocket limits projected to reach $12,000 for individuals, these programs are more important than ever.
Carl Schmid, executive director of the HIV+Hepatitis Policy Institute, says closing the essential health benefits loophole would be a major step toward restoring fairness and protecting access to care.
Last year, America’s pharmacy benefit managers and insurers pocketed a whopping $7 billion in co-pay assistance meant for patients.