As of 2014, half of all FDA approved oncological medications are oral medications, which are often more effective and sometimes the only available treatment for patients. In Pennsylvania, insurance plans cover oral chemotherapy medications as a pharmacy benefit instead of a medical benefit. This forces patients to pay a percentage of the cost of their medication out of pocket, which can result in high monthly expenses. Dr. Raymond J. Hohl pushes for Pennsylvania to join the 34 other states that have implemented legislation to improve access to oral chemotherapy.