Senators Introduce Bill to Cap Drug-Price Increases Under Medicare -- Update
July 23 2019 - 4:05PM
Dow Jones News
By Thomas M. Burton
WASHINGTON -- The Senate Finance Committee's highest-ranking
members are pushing legislation to restrain drug-price increases by
placing some caps on out-of-pocket spending in the federal Medicare
program.
Committee Chairman Sen. Chuck Grassley (R., Iowa) and ranking
member Ron Wyden (D., Ore.) said their bill could save the
government $85 billion on the Medicare program over 10 years, based
on a Congressional Budget Office Analysis.
The budget office analysis also said that Medicare beneficiaries
could save $27 billion in out-of-pocket costs over the same
ten-year period, as well as another $5 billion in federal Medicare
premiums.
The bill generally would cap Americans' drug costs at a fixed
level in the Medicare drug-benefit program called Part D. It also
would cap the growth of government subsidies in the program at the
consumer inflation rate.
The legislation is among an array of competing proposals offered
by various members of Congress and by the Trump administration.
Sen. Grassley's office said Tuesday the Republican administration
now is supporting this legislation.
In a tweet Tuesday, a White House spokesman said, "The White
House is encouraged by the bipartisan work of Chairman Grassley and
Senator Wyden to craft a comprehensive package to lower
outrageously high drug prices, and today we are engaging with
coalitions to help build support."
This bill, if it gains sufficient congressional support, is
among those that could have the greatest impact on prices, but it
is expected to be opposed by the drug industry.
PhRMA, which represents the drug industry in Washington,
criticized the bill. "The Senate Finance Committee package fails to
meet the fundamental test of providing meaningful relief at the
pharmacy counter for the vast majority of seniors. The legislation
would siphon more than $150 billion from researching and developing
new medicines while giving those savings to the government,
insurers and PBMs -- not seniors," said PhRMA President and Chief
Executive Stephen J. Ubl.
Aaron S. Kesselheim, a Harvard medical professor who has been
prominent in U.S. drug-safety and pricing issues, called the bill
"an important step forward."
"Caps on price increases for drugs could be significant," he
said. "It does not seem reasonable that pharmaceutical
manufacturers should have carte blanche to raise prices each year
based on what the market will bear without bringing any relevant
new information to the market about the value of the drug."
Peter Maybarduk, of the consumer group Public Citizen, called
the bill "a serious effort."
"This can help beneficiaries and provide a meaningful start to
the work our government needs to do to make medicine affordable,"
said Mr. Maybarduk.
Medicare is the federal insurance program for Americans 65 and
older.
Write to Thomas M. Burton at tom.burton@wsj.com
(END) Dow Jones Newswires
July 23, 2019 15:50 ET (19:50 GMT)
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