What does House Bill 1067 do?HB 1067 would allow nurse practitioners to engage in specialty medical practice and provide completely unsupervised services in every medical specialty.  Without graduating from medical school or completing a residency in a medical...

What does Senate Bill 1500 and House Bill 1545 do?Modifies what must be included on health insurance and pharmacy benefit identification cards to include the type of plan (whether federal or state regulated) and a QR code for patients to access the existing Department of...

What is Biomarker Testing?Biomarker testing is the analysis of a patient’s tissue, blood, or other biospecimen for the presence of a  biomarker. Biomarker testing includes, but is not limited to, single-analyte tests, multi-plex panel tests, and partial or whole genome...

What are Accumulator Adjustment Programs?Accumulator Adjustment Programs (AAPs) are tools utilized by insurers and pharmacy benefit managers (PBMs) to exclude co-pay assistance as an out-of-pocket expense. This, in turn, excludes co-pay assistance from being applied to a...

What is White Bagging?“White bagging” commonly occurs when insurance companies make coverage of needed patient-specific medications contingent on the medication being distributed from a third party specialty pharmacy versus allowing providers to buy and then bill for the...

What is Non-Medical Switching?Non-medical switching is a strategy that health insurers use to control their costs and maximize profits by forcing stable patients to switch from their current, effective medications to drugs that may not be as effective, for reasons unrelated...