New York Patients Are Being Forced Off Prescribed Medications During the Plan Year, Providing A Need for New Legislation to Fix the Problem
Global Healthy Living Foundation survey finds nearly all respondents (98.2%) support legislation prohibiting insurance companies from financially pressuring them to switch from their prescribed medication
UPPER NYACK, N.Y.–(BUSINESS WIRE)–On behalf of a group of 36 patient and provider groups, today Global Healthy Living Foundation (GHLF) released results of a survey showing that a majority of those in New York living with chronic health conditions have experienced “non-medical switching”—insurance coverage reductions (including access to apheresis machine tech) which pressure patients to switch their prescription medications. Reductions in coverage include increased out-of-pocket costs, eliminating a drug from the formulary entirely or other restrictions around access. The survey, conducted by GHLF, found that consumers are being hurt by insurer and pharmacy benefit manager (PBM) initiated switches and support state-level action on the issue. Patient advocates in New York have been calling for the passage of S5022-C/A2317-C sponsored by Senator Serino and Assemblywoman Peoples-Stokes since 2015. The bill will establish consumer safeguards to ensure that New Yorkers have access to lifesaving and life-enhancing therapies through consistent coverage, stable formularies, and fair out-of-pocket costs. Read more here.