House Appears Likely to Vote on Drug Pricing Legislation

Work on drug pricing legislation is underway in Congress, with two House committees holding hearings on the topic in May. The most likely changes are PBM regulation, lowering out-of-pocket costs for Medicare Part D beneficiaries, allowing HHS to negotiate drug prices for Medicare patients, and limiting year-to-year price hikes to no more than the rate of inflation.

While all those policies are on the table, it’s unlikely that all of them would make it through Congress. Majority Democrats have few votes to spare, which means party-line legislation would have to pass through the Senate’s budget reconciliation process in a blockbuster bill that is mainly focused on a Biden administration priority like infrastructure. However, insiders expect the House to pass some version of legislation based on H.R. 3, the Lower Drug Costs Now Act, which includes Part D reform, drug price negotiation and inflation caps. New PBM regulations similar to those proposed by retired Sen. Lamar Alexander (R-Tenn.) in the 116th Congress, including requirements that PBMs pass through all rebate revenue and disclose all negotiated prices to plan sponsors, are under discussion, according to insiders.

© 2021 MMIT

Peter Johnson

Peter has been a reporter for nearly a decade. Before joining AIS Health, Peter covered a wide variety of topics in his hometown of Seattle, where he continues to live. Peter’s work has appeared in publications including The Atlantic and The Stranger. Peter attended Colby College.

Related Posts

https://www.mmitnetwork.com/wp-content/uploads/2021/10/WordPress-Featured-Image-radar-on-drug-benefits-Merck-COVID-19-Drug-Could-Gain-Emergency-Use-Authorization.jpg
October 14

Merck COVID-19 Drug Could Gain Emergency Use Authorization

READ MORE
https://www.mmitnetwork.com/wp-content/uploads/2021/10/WordPress-Featured-Image-radar-on-drug-benefits-More-MA-PD-PDP-Members-Will-Be-in-4-Star-Plans-in-2022.jpg
October 14

More MA-PD, PDP Members Will Be in 4-Star Plans in 2022

READ MORE
https://www.mmitnetwork.com/wp-content/uploads/2021/10/WordPress-Featured-Image-radar-on-drug-benefits-PhRMA-Blasts-Poll-About-Govt-Drug-Price-Negotiation-Support.jpg
October 14

PhRMA Blasts Poll About Gov’t Drug Price Negotiation Support

READ MORE

GAIN THERAPEUTIC AREA-SPECIFIC INTEL TO DRIVE ACCESS FOR YOUR BRAND

Sign up for publications to get unmatched business intelligence delivered to your inbox.

subscribe today