News & Advocacy Legislation to Reform Accumulator Adjustment Programs in Sight posted: May 20, 2019 OAR is opposed to copay accumulator programs currently being used as a new utilization management tool by health insurers. Under accumulator adjustment programs, patients must pay off the full value of their deductible after the value of their copay assistance runs out for the year. These costs prove unmanageable for many patients on expensive specialty medications. Legislation that seeks to ban accumulator adjustment programs in Ohio is currently in the drafting process. Representative Scott Lipps (R) plans to introduce the legislation during this year’s session. OAR will continue to monitor the legislation and update members on developments after the bill’s introduction.