Dr. Rich Ingram, representing the Virginia Association of Hematologists and Oncologists. Good afternoon, my name is Rich Ingram, and I am a full-time medical oncologist and have been practicing in Winchester, Virginia for the past 23 years When treatment is delayed because of insurance mandated white bagging, it is not abstract concept or a talking point—it is a real patient sitting in front of me, waiting. This legislation restores common sense flexibility by allowing patients and physicians to decide how critical medications are delivered, without unnecessary barriers. I respectfully ask for your support of this bill and on behalf of the patients my team collectively serves I would like to thank Delegate Ward for bringing this important issue forward on their behalf Richard Ingram, MD, FASCO Shenandoah Oncology, PC 400 Campus Blvd., Ste. 100 Winchester, VA 22601 Phone: 540-662-1108 extension 214 Fax: 540-773-7788 Mobile: 540-974-7845 richard.ingram@usoncology.com

On behalf of the Association for Clinical Oncology (ASCO), I'm pleased to submit a letter in support of HB 1390. Please don't hesitate to reach out if you have questions about cancer care; we're happy to be a resource.