Access to Health Care

Access to Health Care

ACS CAN advocates for policies that provide access to treatments and services people with cancer need for their care - including those who may be newly diagnosed, in active treatment and cancer survivors.

Access to Health Care Resources:

Renewing Your Medicaid Coverage

May 8, 2023

Annual Medicaid Renewals are back. During the pandemic, Congress changed the rules to allow for continuous coverage protections for Medicaid enrollees. This helped people keep their health coverage without needing to re-enroll during a tough and uncertain time in our country.

Medicaid Expansion & The End of Continuous Coverage in Wyoming

May 4, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in Wisconsin

May 4, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in Tennessee

May 3, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in South Carolina

May 3, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in North Carolina

May 3, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in Mississippi

May 3, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in Kansas

May 3, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in Florida

May 3, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Prescription Drug Affordability Resources:

ACS CAN Enhanced ACA Tax Credit Factsheet

October 9, 2024

This factsheet provides basic information about the enhanced ACA tax credits.

Prescription Drug Affordability Boards and the Impact on Cancer Care

October 4, 2024

ACS CAN has long fought for public policies that support the availability and affordability of medically necessary prescription drugs.

Patient Assistance Programs

November 1, 2023

Patient Assistance Programs

Comments to CMS re: Medicare Drug Price Negotiation Program

September 12, 2023

Survivor Views: Copay Assistance and Patient Navigation

July 18, 2022

Prescription drug costs are a significant burden on cancer patients and survivors, sometimes even leading patients to miss or delay taking prescribed medications. The latest Survivor Views survey explores the role copay assistance programs can play in reducing this burden, and also addresses patient navigation and digital therapeutics.

Survivor Views: Affordability, Prescription Drugs, & Pain

December 15, 2021

A majority of cancer patients and survivors struggle to afford cancer care and over 80% have had to make financial sacrifices to cover their health care expenses. This survey also reveals ways that affordability concerns can negatively impact care and treatment, and explores issues related to prescription drug coverage and pain management options.

Survivor Views: Surprise Billing and Prescription Cost and Coverage Survey Findings Summary

December 4, 2019

This Survivor Views survey examined access to and affordability of cancer care. Survivors report insurance-related barriers to obtaining prescriptions, and lower-income respondents in particular have difficulty affording them. 24% of respondents have received a surprise medical bill, 60% of which were more than $500.

Understanding Biologic and Biosimilar Drugs

July 27, 2018

Biological drugs, commonly referred to as biologics, are a class of drugs that are produced using a living system, such as a microorganism, plant cell, or animal cell. Like all drugs, biologics are regulated by the United States Food and Drug Administration (FDA).

Formulary Transparency Helps Cancer Patients

October 6, 2017

For an individual with specific health care needs – like cancer patients and survivors – the drugs covered by a health plan and corresponding cost sharing for each drug is important information when choosing health insurance. However, to make an informed choice, formulary information must be disclosed to the individual.

Costs and Barriers to Care Resources:

ACS CAN Comments on No Surprises Act Interim Final Rule

September 7, 2021

In these comments, ACS CAN strongly supports Congress’ and the Administration’s efforts to protect patients from surprise medical bills and we are encouraged by the important steps this interim final rule takes. Specifically, we applaud the Departments’ proposed policies related to:

Navigating the Coverage Experience and Financial Challenges for Cancer Patients

July 24, 2017

This report explores the experiences of cancer patients with their health insurance and financial challenges through interviews with hospital-based financial navigators. The report finds that while the Affordable Care Act has brought crucial improvements to patient access to health insurance, cancer patients still face serious challenges affording their care and using their insurance benefits.

Prohibiting Pre-existing Condition Exclusions Protects Cancer Patients

February 1, 2017

Current federal requirements prohibit health insurance plans from denying coverage to individuals with pre-existing conditions like cancer. These are one of several important patient protections that must be part of any health care system that works for cancer patients.

Gaps in Coverage Are Detrimental to Cancer Patients & Survivors

January 10, 2017

Current federal law has several provisions that help prevent individuals and families from experiencing gaps in their health insurance coverage. Coverage gaps can delay necessary care, which is particularly detrimental to cancer patients and survivors. Preventing gaps in coverage is a crucial patient protection that must be maintained in our health care and insurance system.

Strong Prevention Policies Will Reduce the Cancer Burden

January 10, 2017

Current federal law provides life-saving coverage of cancer prevention and early detection services and programs. These provisions are crucial to reducing the incidence and impact of cancer in the United States. They are also crucial in helping cancer survivors remain cancer-free and lead healthy lives.

Dependent Insurance Coverage is Critical for Young Adult Cancer Patients & Survivors

January 10, 2017

The health care law has several provisions that help prevent individuals from experiencing gaps in health insurance coverage, including the requirement that private health insurance plans allow dependents to remain on their parents’ insurance until age 26. This provision is important for keeping survivors of childhood and young adult cancer insured, and helps to ensure young adults receive preventive services and screenings. This provision is a crucial patient protection that must be a part of a health care system that works for cancer patients and survivors.

Cancer Patients Need Access to Comprehensive Health Insurance

January 10, 2017

Consumers need access to health insurance policies that cover a full range of evidence-based health care services – including prevention and primary care – necessary to maintain health, avoid disease, overcome acute illness and live with chronic disease. Any health care system that works for cancer patients must have standards ensuring that enrollees have access to comprehensive health insurance.

Bans on Lifetime and Annual Cost Caps Protect Cancer Patients

January 9, 2017

Current federal requirements prohibit most insurance plans from limiting both the lifetime and annual dollar value of benefits. This ban is one of several important patient protections that must be part of any health care system that works for cancer patients.

Medicaid Resources:

ACS CAN Comments re: Oregon Medicaid 1115 Waiver Renewal

April 11, 2022

ACS CAN submitted comments in support of the renewal of Oregon's 1115 Medicaid waiver, including the state's proposal of continuous coverage provisions for children and adults. However, ACS CAN strongly objects to the state's proposal to limit Medicaid coverage of drugs approved through the accelerated approval process, and urges CMS to reject this part of the waiver request.

ACS CAN's comments re: Montana’s Medicaid Section 1115 Demonstration

October 15, 2021

ACS CAN Comments re: TN 1115 Medicaid Waiver

September 9, 2021

ACS CAN submitted comments opposing Tennessee's proposal to fund its Medicaid program through a block grant and implement a closed formulary.

Medicaid Section 1115 Research and Demonstration Waivers

January 10, 2020

An increasing number of states are seeking greater flexibility in administering their Medicaid programs. The Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) give states the opportunity to test innovative or alternative approaches to providing health care coverage to their Medicaid populations through Section 1115 Research and Demonstration Waivers (otherwise known as "1115 waivers"). States must demonstrate that their waivers promote the objectives of the Medicaid and Children’s Health Insurance Programs (CHIP) and CMS must use general criteria to determine whether the objectives of the Medicaid/CHIP programs are met.

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