Patients' Access to Treatments Act of 2012
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Patients' Access to Treatments Act of 2012 - Amends the Public Health Service Act to prohibit a health plan offering group or individual health insurance that provides coverage for prescription drugs and uses a formulary or other tiered cost-sharing structure from imposing co-payment, coinsurance, or other cost-sharing requirements applicable to prescription drugs in a specialty drug tier that exceed the dollar amount of such requirements applicable to prescription drugs in a non-preferred brand drug tier.
Provides that if a formulary used by such a health plan contains more than one non-preferred brand drug tier, such prohibition shall be applied with respect to the non-preferred brand drug tier for which beneficiary cost-sharing is lowest.
Defines: (1) "non-preferred brand drug tier" as a category of drugs within a tier in such formulary for which beneficiary cost-sharing is greater than tiers for generic drugs or preferred brand drugs in the plan's formulary, that are prescription drugs, and that are not included within a specialty drug tier; and (2) "specialty drug tier" as a category of drugs within a tier in such formulary for which beneficiary cost-sharing is greater than tiers for generic drugs, preferred brand drugs, or non-preferred drugs in the plan's formulary and that are prescription drugs.
Referred to the House Committee on Energy and Commerce.
- Introduced in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 4209: Patients' Access to Treatments Act of 2012. 112th Congress. Open America. https://openamerica.io/bill/112-HR-4209/
"H.R. 4209: Patients' Access to Treatments Act of 2012." 112th Congress, 2026, Open America, https://openamerica.io/bill/112-HR-4209/.
H.R. 4209, 112th Cong. (2026), https://openamerica.io/bill/112-HR-4209/.
[H.R. 4209: Patients' Access to Treatments Act of 2012](https://openamerica.io/bill/112-HR-4209/)