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The Real Cost of Healthcare Cuts

Access to affordable healthcare is not optional for people with bleeding disorders, it’s lifesaving. But proposed cuts to Medicaid and Marketplace subsidies threaten to put essential care out of reach for thousands of families in our community.If these cuts move forward, the consequences will be real and immediate:Loss of Medicaid coverage, leaving people without access to high-cost, essential treatmentsHigher insurance premiums, making Marketplace plans unaffordable if enhanced Advanced Premium Tax Credits (ePTCs) are reducedIncreased financial strain on families already managing the high cost of chronic careThese aren’t abstract policy debates. They are decisions that directly affect whether people can access the care they need to survive. We Can’t Let This HappenLawmakers need to hear directly from the people and families who will be impacted. When advocates speak up, it makes a difference and right now, your voice is critical.By taking action today, you are helping protect:Access to lifesaving treatmentsAffordable health insurance optionsFinancial stability for families in the bleeding disorders communityTogether, we are stronger, and together, we can protect the healthcare programs our community relies on.

Send an email to your lawmakers

Action is ongoing

Stop another “Bad Blood” tragedy

The bleeding disorders community has lived through tragedy before. In the 1980s, contaminated blood products claimed thousands of lives and devastated families across the country. Out of that pain came new safeguards—lifelines that protected patients and restored trust in the blood supply. But today, those safeguards are at risk. Without strong action, the hard lessons of the past could be forgotten, and history could repeat itself. Our nation's blood disorder services are in jeopardy. Rebuilding the CDC Division of Blood Disorders and reinstating the experts of the Advisory Committee on Blood and Tissue Safety and Availability (ACBTSA) is needed urgently. Emailing your representatives about this crisis could create positive change and prevent another 'Bad Blood' era. Let's ensure safe blood supplies for every American!

Send an email to your lawmakers

Action is ongoing

Sponsor the HELP Copays Bill

Right now, some insurers use “copay accumulator” policies that create hidden barriers to care.Copay accumulators are insurance policies that prevent financial assistance from counting toward a patient’s deductible or out-of-pocket maximum.Here’s how it works:Many patients with serious or rare conditions rely on copay assistance — often from manufacturers or foundations, to afford their medications. Normally, when a payment is made, it helps the patient move closer to meeting their deductible or yearly out-of-pocket limit.But with a copay accumulator in place, the insurance company still accepts the payment and gets paid, it just doesn’t credit it toward the patient’s deductible or out-of-pocket maximum.When that assistance runs out, families can suddenly owe thousands of dollars, even though payments were already made earlier in the year.For people living with bleeding disorders, treatment is life-sustaining and non-negotiable. These unexpected costs can disrupt access to care and create serious financial strain.The bipartisan HELP Copays Act would require all payments made on behalf of a patient to count toward their cost-sharing limits, close loopholes insurers use to avoid this responsibility, and help create clear, reliable pathways to care.Take action today.Ask your Members of Congress to cosponsor the HELP Copays Act and ensure copay assistance counts toward patient costs. When we speak up together, we protect access to life-sustaining treatment and keep care within reach for our community. 

The Bleeding Disorders Advocacy Network at HFA

Where the bleeding disorders community turns experience into action—and action into change.

Every policy decision about healthcare has real consequences for people living with bleeding disorders. The bleeding disorders advocacy network at HFA exists to make sure those decisions are informed by the voices of the people who live this reality every day. 

With the Bleeding Disorders Advocacy Network at HFA, advocacy happens year-round, nationwide, in-district, when it matters most!

Find Your Place in Advocacy

You don’t need to be a policy expert to make a difference.

The Bleeding Disorders Advocacy Network at HFA is designed to meet you where you are, whether you’re taking your first action or ready to lead at the national level. 

  • Advocacy at HFA is flexible, supportive, and community-driven.
  • You can engage through quick actions, ongoing learning, or leadership opportunities.
  • Every advocate plays a role in protecting access to care for the bleeding disorders community. 
 


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Report Your Advocacy Action

Did you take action? Please take a moment to submit an Advocacy Report Back Form. The Report Back Form is a quick way to let HFA know what advocacy action you took. This helps us track our collective impact, follow up when needed, and show lawmakers the strength of the bleeding disorders community.

Advocacy Report Back Form

Your State Bleeding Disorder Organization

State member organizations are the backbone of the bleeding disorders community at the local level. They understand the unique needs, policies, and resources in your state and provide opportunities to connect with other families, advocates, and healthcare partners close to home.

Find Your State Member Organization 

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Where Advocacy Comes Together

2026 Advocacy Network Quarterly Calls

The Bleeding Disorders Advocacy Network at HFA Quarterly Calls are a space for advocates to come together, share experiences, and build skills in a supportive, community-centered environment. These calls are designed to help advocates at every level stay engaged without feeling overwhelmed. 

Whether you’re just getting started or have been advocating for years, these calls are a great way to stay connected and keep momentum going. 

Registration links and reminders will be shared ahead of each call.

Why Copay Fairness Matters for the Bleeding Disorders Community

Behind every policy term is a real person navigating real bills. Our latest blog explains how copay accumulators impact access to care and what the HELP Copays Act could change.

Click to understand the issue and add your voice.


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