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Insurance denied an $800,000 drug twice. A state-run outside panel helped a North Carolina teen get it.

Summary by Bioethics.com
(The Guardian) – A little-known provision in the Affordable Care Act allows patients to ask state-run panels to review decisions made by health insurance providers. When insurance twice refused to cover a nearly $800,000-a-year drug that Paxton Pope’s doctor believed could dramatically reduce his frequent seizures, his family initially braced for a serious medical setback. Then the Popes, of Davidson, North Carolina, learned about a little-known…
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Bioethics.com broke the news in on Monday, December 15, 2025.
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