clearn.png
Saturday September 21st, 2019 5:08AM

Draft Pelosi plan would overhaul how Medicare pays for drugs

By The Associated Press
Related Articles
  Contact Editor

WASHINGTON (AP) — A draft plan from House Speaker Nancy Pelosi leaked Tuesday would overhaul how Medicare pays for prescription drugs, by negotiating prices for costly medications, curbing annual price hikes, and limiting what seniors pay out of their own pockets.

With President Donald Trump highly interested in a deal on prescription drugs, the ambitious plan appeared to be Pelosi laying down a marker that represents what House Democrats would want to see happen.

Pelosi's office wasn't commenting directly on the leaked proposal, but spokesman Henry Connelly said she's working with leading Democrats "to develop the boldest, toughest possible bill to lower prescription drug prices for all Americans." The plan would also make Medicare's negotiated prices available to people with private insurance.

The California Democrat has been in discussions with the White House for months about potential actions to curb drug costs, but the outlook remains uncertain. Empowering Medicare to negotiate prices is a nonstarter for most Republicans, even if Trump in the past backed the idea. In the Senate, a bipartisan group of lawmakers is advancing a bill that stops short of allowing Medicare to negotiate but incorporates other major ideas in Pelosi's plan.

The leaked draft "would please a majority of Democrats in the House, (but) it is clearly not designed to appeal to Republicans or to the Senate," said John Rother, president of the National Coalition on Health Care, an umbrella group that represents a broad cross-section of consumer and health care industry organizations. "This plan gives the Democrats a strong message platform going into the election year."

Pelosi plans to unveil a bill that Democrats can take to the House floor, but in an evolving situation, it's unclear how closely it will track with the leaked draft. Major provisions of the draft plan include:

— Authorizing Medicare to negotiate prices for the 250 costliest drugs. That includes pharmacy drugs under the popular "Part D" prescription benefit, along with "Part B" medications dispensed in doctors' offices. The maximum price would be determined using a blend of international prices, an idea similar to what the Trump administration has proposed for drugs administered in doctors' offices. Insulin prices would be subject to negotiations. Drug companies that balk at making a deal would face steep fines.

— Requiring drugmakers to pay rebates to Medicare if they hike their prices beyond increases in inflation. Pelosi's inflation rebates resemble a bipartisan idea from Sens. Chuck Grassley, R-Iowa, and Ron Wyden, D-Ore. Their bill has already cleared a key Senate committee, but a date for floor consideration has not been set. It has Trump's support.

— Limiting what seniors pay out of pocket for their medications each year. Currently there is no limit on drug copays, and the advent of drugs costing hundreds of thousands of dollars a year has left some seniors saddled with bills that rival a mortgage payment. An out-of-pocket limit is also part of the Grassley-Wyden bill, and the idea has support from the Trump administration.

  • Associated Categories: Associated Press (AP), AP National News, AP Online National News, AP Online Headlines - Washington, AP Online Congress News, AP Health, AP Business, AP Health - Senior Health, AP Business - Industries, AP Business - Health Care, AP Business - Personal Finance
© Copyright 2019 AccessWDUN.com
All rights reserved. This material may not be published, broadcast, rewritten, or redistributed without permission.
US to commemorate 9/11 as its aftermath extends and evolves
Americans are commemorating 9/11 with mournful ceremonies, volunteering, appeals to "never forget" and rising attention to the terror attacks' extended toll on responders
5:58PM ( 4 minutes ago )
Liberty's Falwell says he's target of 'attempted coup'
Liberty University President Jerry Falwell Jr. says he's asking the FBI to investigate what he called a "criminal" smear campaign orchestrated against him by several disgruntled former board members and employees
5:40PM ( 22 minutes ago )
Trump announces help for certain historically black colleges
Trump says faith-based historically black colleges now allowed to access federal funding for capital projects
5:32PM ( 31 minutes ago )
Associated Press (AP)
Trump ousts hawkish Bolton, dissenter on foreign policy
President Donald Trump has fired national security adviser John Bolton. Trump tweeted Tuesday that he told Bolton Monday night that his services were no longer needed at the White House
5:14PM ( 49 minutes ago )
Draft Pelosi plan would overhaul how Medicare pays for drugs
Leaked Pelosi plan would overhaul how Medicare pays for prescription drugs
5:11PM ( 52 minutes ago )
N. Carolina election could offer clues on Trump's 2020 bid
A special election for a vacant House seat from North Carolina is testing Trump, GOP's 2020 prospects
5:03PM ( 59 minutes ago )
AP Online Headlines - Washington
N Carolina special election tests Trump, 2020 GOP prospects
Republicans hope an 11th-hour rally with President Donald Trump will boost them to a special election victory in a GOP-friendly House district in North Carolina, where Dan Bishop faces Dan McCready
3:32PM ( 2 hours ago )
Italy's new pro-EU govt wins vote, now faces 2020 budget
Italian Premier Giuseppe Conte's new government has won its second and final mandatory confidence vote in Parliament, now must come up with a 2020 budget
3:14PM ( 2 hours ago )
Share of uninsured Americans rises for 1st time in a decade
Proportion of Americans without health insurance rises for 1st time in decade; poverty rate falls
3:00PM ( 3 hours ago )
AP Online Congress News
Scientists rethink Alzheimer's, diversifying the drug search
Scientists are exploring novel ways to attack Alzheimer's in the wake of a string of disappointing drug failures
11:00AM ( 7 hours ago )
Austrian doctor sues US for seizing patients' abortion drugs
An Austrian doctor who prescribes abortion drugs to patients around the world is suing the United States for allegedly blocking her American patients from getting abortions by seizing their prescriptions
1:10AM ( 16 hours ago )
California governor signs vaccine bills he demanded
California Gov. Gavin Newsom has signed bills to crack down on doctors who write fraudulent medical exemptions for children's vaccinations
1:08AM ( 16 hours ago )
AP Health
US stock indexes end mostly higher after late buying burst
Major U.S. stock indexes closed mostly higher Tuesday, erasing much of an early slide, as investors favored smaller, U.S.-focused companies for the second straight day
5:12PM ( 51 minutes ago )
Tech companies drag US stocks lower for second straight day
Technology companies are leading stocks lower on Wall Street in afternoon trading, as investors turn away from large multinationals in favor of smaller, U.S.-focused companies for the second straight day
3:43PM ( 2 hours ago )
L Brands chairman 'embarrassed' by former ties with Epstein
L Brands' Chairman and CEO Les Wexner says he's 'embarrassed' by former alliance with disgraced Jeffrey Epstein
3:34PM ( 2 hours ago )
AP Business
Too old for president? Health and fitness a better question
Three Democrats in their 70s are vying to challenge the oldest first-term president in U.S. history but science says health is a more important factor than birthdays
3:33PM ( 1 week ago )
Drug cost bill advances but GOP resistance spells trouble
Bipartisan compromise to reduce drug costs for seniors advances in Senate over GOP resistance
8:15PM ( 1 month ago )
Study: Home-delivered meals could save money for Medicare
Study: Medicare could save money by delivering meals to frail seniors after a hospitalization
12:16AM ( 1 month ago )
AP Health - Senior Health
US seeks dismissal of tribes' lawsuit over Keystone pipeline
Attorneys for the Trump administration want a US judge to throw out a lawsuit from Native American tribes trying to block the proposed Keystone XL oil pipeline from Canada to Nebraska
2:25PM ( 3 hours ago )
Millennial Money: Decode your credit card terms like a pro
A credit card's fine print can more than strain your eyes; your wallet can also feel the pain if you don't understand the terms
1:00PM ( 5 hours ago )
Technology stocks drag the market lower in midday trading
U.S. stocks moved broadly lower in midday trading Tuesday as technology stocks led the losses in the S&P 500 for a second straight day
12:54PM ( 5 hours ago )
AP Business - Industries
US stock indexes turn mixed, giving up modest early gains
Major U.S. stock indexes are veering lower in afternoon trading, giving back modest gains from earlier in the day
3:56PM ( 1 day ago )
US stock indexes turn lower, giving up modest early gains
Major U.S. stock indexes are veering lower in afternoon trading, giving back modest gains from earlier in the day
1:47PM ( 1 day ago )
Sanders: Medicare for All means more taxes, better coverage
Health care was the focus of Democratic presidential hopeful Bernie Sanders' second day of campaigning in the critical early-voting state of South Carolina, where lack of Medicaid expansion has left thousands unable to obtain health coverage
1:42PM ( 1 week ago )
AP Business - Health Care
US consumer borrowing posts biggest gain since late 2017
US consumer borrowing posts big $23.3 billion gain in July, helped by jump in credit card use
3:43PM ( 1 day ago )
California GOP opens alternative pathway for 2020 delegates
California Republicans approved a rule change intended to ensure the party can send delegates to the GOP's national convention next summer, even if President Donald Trump is kept off the state's 2020 ballot
4:20PM ( 2 days ago )
Treasury unveils plan to privatize Fannie Mae, Freddie Mac
The Trump administration is putting forward a plan to end government control of Fannie Mae and Freddie Mac
9:35PM ( 4 days ago )
AP Business - Personal Finance
US to commemorate 9/11 as its aftermath extends and evolves
Americans are commemorating 9/11 with mournful ceremonies, volunteering, appeals to "never forget" and rising attention to the terror attacks' extended toll on responders
5:58PM ( 5 minutes ago )
Liberty's Falwell says he's target of 'attempted coup'
Liberty University President Jerry Falwell Jr. says he's asking the FBI to investigate what he called a "criminal" smear campaign orchestrated against him by several disgruntled former board members and employees
5:40PM ( 23 minutes ago )
Trump announces help for certain historically black colleges
Trump says faith-based historically black colleges now allowed to access federal funding for capital projects
5:32PM ( 31 minutes ago )
US expands hunting and fishing at national wildlife refuges
The Trump administration is expanding hunting and fishing in 77 national wildlife refuges in what it says is a bonus for hunters and anglers but what critics contend is deferring management to states with potential harm to wildlife
5:28PM ( 35 minutes ago )
Trump issues new, revised order to counter terrorism
A day before the anniversary of 9/11, President Donald Trump issues an executive order to expand the administration's ability to go after terrorists and their financiers and supporters
5:27PM ( 36 minutes ago )