Federal Policy

NAIC Cover ImageConsumer representatives to the National Association of Insurance Commissioners, including Voices for Utah Children, released recommendations for policymakers to address the high prices that put medications out of reach for many families in need.

Recommendations include:

  • Limit the number of drug tiers that insurers can use;
  • Limit consumer cost-sharing by, for instance, prohibiting coinsurance for prescription drugs;
  • Adopt standardized plans with meaningful cost-sharing limits to mitigate adverse tiering;
  • Prohibit mid-year formulary changes that negatively affect enrollee access to drugs;
  • Require formularies to be updated weekly and include information about drug tiering, the actual dollar amount of any cost-sharing, any utilization management or network restrictions, and the process to request a drug exception, among other information;
  • Collect standardized, plan-level data to enable the development of consumer tools and apps; and
  • Solicit feedback from external stakeholders—such as advocates, other state agencies, ombudsmen, and independent medical experts—to inform the formulary review process.

For more information, see the complete report:

Promoting Access to Affordable Prescription Drugs: Policy Analysis and Consumer Recommendations for State Policymakers, Consumer Advocates, and Health Care Stakeholders

For 30 years now, Voices for Utah Children has called on our state, federal and local leaders to put children’s needs first. But the work is not done. The children of 30 years ago now have children of their own. Too many of these children are growing up in poverty, without access to healthcare or quality educational opportunities.

How can you be involved?

Make a tax-deductible donation to Voices for Utah Children—or join our Network with a monthly donation of $20 or more.  Network membership includes complimentary admission to Network events with food, socializing, and opportunity to meet child advocacy experts. And don't forget to join our listserv to stay informed!

We look forward to the future of Voices for Utah Children and we hope you will be a part of our next 30 years.

Special thanks to American Express for sponsoring our 30th Anniversary Year. Amex

Published in News & Blog