Patient Advocacy Groups are calling on South Carolina Legislators to support bipartisan legislation to address rising out-of-pocket costs from an emerging insurance practice called “Accumulator Adjustment Programs (AAP).” This legislation will help patients better access their medicine and stay adherent. Unfortunately, health insurers and PBMs have adopted polices, often referred to as “accumulator adjustment programs” that block assistance towards a patient’s deductible and maximum out-of- pocket limits. AAPs further shift cost to patients, putting patients at risk of not being able to afford their medicines. South Carolinians need health insurers to count ALL payments and not discriminate against those patients living with chronic conditions.