Chronic Condition Copay Elimination Act

HR 9132, the Chronic Condition Copay Elimination Act, requires health plans and insurance issuers to cover specific preventive care and screenings for individuals with certain chronic conditions without cost-sharing (like copays or deductibles). It directly affects people with conditions including heart disease, diabetes, hypertension, asthma, depression, and others listed in the bill. The law mandates that the Secretary of Health and Human Services determine which preventive services meet three criteria: being low-cost, having medical evidence of effectiveness in preventing complications, and reducing future high-cost treatments. Coverage must be updated every three years based on new evidence, applying to plan years starting one year after the bill’s enactment.