Lexology December 1, 2022
Akin Gump Strauss Hauer & Feld LLP

Key Points:

  • A new legal challenge to OIG on Medicare Beneficiaries’ ability to receive co-pay assistance has emerged.
  • The Supreme Court has been asked to review HHS’s prohibition of co-pay assistance programs under the Anti-Kickback Statute.
  • The patient advocacy groups’ litigation challenging the 2020 HHS Final Rule permitting co-pay accumulator adjustment programs continues to progress.

Stakeholders continue the legal battle to expand the use of co-pay assistance programs. Most recently, there have been three key litigation updates outlined below:

New Legal Challenge to OIG on Medicare Beneficiaries’ Ability to Legally Receive Co-Pay Relief from Charitable Organizations:

On November 9, 2022, Pharmaceutical Coalition for Patient Access (PCPA) filed suit in the United States District Court for the Eastern District...

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