Arizona is the third state to require that insurance plans count copay coupons toward enrollees’ out-of-pocket costs, though the law aligns more closely with a recent CMS proposal than similar bills in Virginia and West Virginia. Gov. Doug Ducey (R) signed the law April 11. The legislation passed the Arizona House and Senate without opposition and will go into effect in 2020. Unlike Virginia’s and West Virginia’s laws, Arizona’s legislation mirrors the Trump administration proposal to let exchange plans exclude...