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October 06, 2023   
Health Law Weekly

U.S. Court in D.C. Nixes Rule That Allowed Insurers to Exclude Copay Assistance from ACA Cost-Sharing Cap

  • October 06, 2023

A final rule that gave health insurers the option whether to count drug manufacturer copay assistance toward the Affordable Care Act’s (ACA’s) cap on annual cost-sharing for patients is arbitrary and capricious and must be set aside, the U.S. District Court for the District of Columbia held September 29.

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