Video: Every Case Tells a Story| Webinar: ACR/CHEST ILD Guidelines in Practice

An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

  • Conditions
    • Axial Spondyloarthritis
    • Gout and Crystalline Arthritis
    • Myositis
    • Osteoarthritis and Bone Disorders
    • Pain Syndromes
    • Pediatric Conditions
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Sjögren’s Disease
    • Systemic Lupus Erythematosus
    • Systemic Sclerosis
    • Vasculitis
    • Other Rheumatic Conditions
  • FocusRheum
    • ANCA-Associated Vasculitis
    • Axial Spondyloarthritis
    • Gout
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Systemic Lupus Erythematosus
  • Guidance
    • Clinical Criteria/Guidelines
    • Ethics
    • Legal Updates
    • Legislation & Advocacy
    • Meeting Reports
      • ACR Convergence
      • Other ACR meetings
      • EULAR/Other
    • Research Rheum
  • Drug Updates
    • Analgesics
    • Biologics/DMARDs
  • Practice Support
    • Billing/Coding
    • EMRs
    • Facility
    • Insurance
    • QA/QI
    • Technology
    • Workforce
  • Opinion
    • Patient Perspective
    • Profiles
    • Rheuminations
      • Video
    • Speak Out Rheum
  • Career
    • ACR ExamRheum
    • Awards
    • Career Development
  • ACR
    • ACR Home
    • ACR Convergence
    • ACR Guidelines
    • Journals
      • ACR Open Rheumatology
      • Arthritis & Rheumatology
      • Arthritis Care & Research
    • From the College
    • Events/CME
    • President’s Perspective
  • Search

State Legislative Issues to Watch in 2022

Joseph Cantrell, JD  |  January 7, 2022

Finally, pharmacy benefit managers (PBMs) and drug pricing will continue to be areas of focus for state legislatures this year. These once again appear to be mostly pared down, piecemeal bills. However, state efforts will be buoyed by recent wins in the Supreme Court (Rutledge v. PCMA) and the 8th Circuit Court of Appeals (PCMA v. Wehbi) that expanded the ability of states to regulate PBMs. The ACR filed amicus briefs with the Alliance for Transparent and Affordable Prescriptions (ATAP) that supported state regulations in both cases. Only time will tell how these legal wins will change how state legislatures choose to regulate PBMs, but as states gain more legislative and regulatory tools, the ACR’s work with ATAP and other partners will be important to help shape and monitor emerging state legislation.

Making a Better 2022

This year, it is more important than ever for you to engage with your legislators at the state and federal levels. At a time when everyone thinks they are a medical expert, legislators need to hear from the people who actually are. You can use our Legislative Action Center to let your voice be heard on the issues that matter most to you and your patients. If we can be of any assistance, email us at [email protected] and the relevant advocacy team member will respond to your inquiry. We are happy to help you engage on any issue confronting your rheumatology practice or your patients. On behalf of the entire ACR advocacy team, we hope you have a healthy, happy and successful 2022.  

ad goes here:advert-1
ADVERTISEMENT
SCROLL TO CONTINUE

Joseph Cantrell, JD, is the senior manager of state affairs for the ACR.

Page: 1 2 | Single Page
Share: 

Filed under:Legislation & Advocacy Tagged with:copay accumulatorsLegislation & Advocacypharmacy benefit managers (PBMs)prior authorizationstate legislationwhite bagging

Related Articles

    What to Expect in Healthcare Policy from the 2023 State Legislative Sessions

    February 21, 2023

    With 2023 state legislative sessions underway, early prevailing themes may forecast areas where we will see gains this year. Key issues include utilization management, copay accumulator bans, white bagging and pharmacy benefit manager reform.

    Trends in State White Bagging Legislation

    March 22, 2022

    The ACR is working with partners in several states to legislate against policies that require physicians to acquire provider-administered drugs through a preferred specialty pharmacy designated by a payer or pharmacy benefit manager.

    felipe caparros / shutterstock.com

    Copay Accumulator Programs Can Derail Rheumatologic Treatment Plans

    February 13, 2020

    As the medications for rheumatology become more expensive, the need for patient financial assistance becomes paramount. Unfortunately, commercially insured patients are finding it difficult to afford the exorbitant copays required by their plans, and the latest strategy of pharmacy benefit managers (PBMs) threatens to derail rheumatologic treatment goals. High deductible plans combined with copay accumulator…

    ACR Leads Resolution to Address Copay Accumulator Policies at AMA House of Delegates Meeting

    November 6, 2020

    If passed, the ACR-authored resolution will direct the AMA to advocate for copay accumulator bans at state and federal levels. Several other specialties and state medical associations have joined the resolution as cosponsors.

  • About Us
  • Meet the Editors
  • Issue Archives
  • Contribute
  • Advertise
  • Contact Us
  • Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 1931-3268 (print). ISSN 1931-3209 (online).
  • DEI Statement
  • Privacy Policy
  • Terms of Use
  • Cookie Preferences