The Insulin Copay Cap has passed the House Hurdle, but the Senate is looking for a broader bill

The timing of enacting an election -age law to help people on insulin – the past few weeks have been marked by political controversy – makes bipartisan action even better. resolve the issue in the Senate.

That effort was there at first, but it is moving forward with the support of Senate Majority Leader Chuck Schumer, who hit Sens. Susan Collins (R-Maine) and Jeanne Shaheen (DN.H.) will form an agreement that both members will agree to. Adding to the Senate’s efforts is a House vote on March 31 to pass another bill that would keep insulin prices for many patients with insurance at $ 35 a month. .

Collins said in an interview on March 30 that the two senators issued a draft of a bill they had drafted three years ago before registering sick patients. disease and intend to lower the prices of drug consumers.

“It addresses the widespread problem of a high price index for insulin, as well as the conflicts of interest that arise in the chain from the manufacturer to the consumer who buys at the drugstore. , ”Collins said.

The idea of ​​lowering patients ’insulin prices is very popular, and more than half the population sees it as a“ big deal ”for Congress, according to a KFF poll in the last week.

It was the main cost of President Joe Biden’s Build Back Better plan, but when that law passed, Biden and Schumer gave Sen. Raphael Warnock (D-Ga.) Is a broad way to advertise a unique measure such as the House bill that would limit insulin costs at $ 35 a month for people with personal insurance and Medicare coverage. .

Politically, however, the pathways are shown. Those who could get a bill backed by a Democrat who is facing a tough election in the fall could get Republicans to the Senate on board as it were, and some feared Democrats are removing insulin donations from a revised version of the Build Back Better bill. . So Schumer agreed to another option from Collins and Shaheen to put a cap on out -of -pocket prices or pull more ballots.

Insulin prices have risen sharply since 2000, with the United States paying 10 times the wages of people in other developing countries.

While Collins said the details are being worked out, his law will be enacted in the first bill of the second, the Insulin Price Reduction Act of 2019, which is intended to reverse insulin prices by 2006. the price returns for insulin to financial executives – intermediaries discuss price breaks for insurance companies and decide which drugs are covered by insurance plans.

Collins and other critics of the PBMs believe they will increase prices because they want higher -end drugs that will allow them to pull off a larger rebate and therefore more revenue. money, giving new stimulant drug manufacturers to increase listing costs.

Under that 2019 plan, pharmaceutical manufacturers would be able to return to 2006 prices and then be able to increase prices each year on the basis of revenue growth. The senators expected the plan to lead to a 75% cut in prices from what was enumerated by 2020.

“There’s a tough system that drives high listing prices a lot, because investors often get a percentage of the listing price,” Collins said. “So their motivation is to choose the one that’s more affordable. And so we’re trying to solve that broad problem, and look at the external costs.”

Warnock’s plan to keep the price of insulin silent on the list of prices and economists, which has not been criticized by some Democrats since they voted for the same bill in the House. . They knew that because insurers would be required to cover costs not paid by patients, companies would likely increase fees.

“This bill does not lower the price of insulin by one penny,” said Rep. Lloyd Doggett (D-Texas). “It just shifts the burden of paying insulin off the shoulders of registered insulin users, and shifts it to the rest of us who pay insurance premiums.”

Collins also noted that those who are not excluded from the Housing cap will not benefit from Medicare and insurance benefits but it will not affect the costs of drug dealers.

“It’s not going to help what’s not locked up,” Collins said. “You’re talking about a high list price, and then it’s going to help more people.”

Collins said there are many things that could change the way lawyers with different stakeholders work on the final bill, including diabetes support organizations, the Centers for Medicare & Medicaid Services, and the Congressional Budget Office. . And when it comes to out-of-the-bag tenants and list-to-menu changes, things get tough.

“We’re talking to the CBO, who are saying they’re very tough to need a new model,” Collins said.

Politics is also tough. Neither Collins nor Shaheen have had their close proximity to the Senate floor in 2019 and 2020 when Senate Minority Leader Mitch McConnell is the chief leader. They were favored from both sides of the road, and Conservative North Dakota Republican Sen. Kevin Cramer is also a supporter.

While opening the door to GOP support, Collins said he was only at the stage of spreading the word among his colleagues that he was a consultant.

Republicans in the House voted against the $ 35-cap bill being drafted as a political move, saying Democrats would have the progressive ideas that were made with Republicans.

They can’t block the bill in the House. But in the Senate, Democrats order only 50 votes, and 60 pass legislation.

While members of the upper house GOP may oppose Warnock’s bill, some House supporters said the House should get a significant reduction in insulin prices – with the support of only ten Republicans – to raise bills for the Senate.

“Whether 10 Republicans among Americans can get insulin or not, that’s a good question for 10 Republicans. [senators] to respond when they return home, “Rep. Dan Kildee (D-Mich.) said before the House election.” So we will pass this bill, and pass it. to the importance of the Senate to act. “

He and his Democratic allies have also signaled their desire to create a cave that includes the Shaheen and Collins alliances.

“Every train that leaves the station people get the right insulin – I open another car,” Kildee said. “We think this is an outcome to be made. How to get to the president’s desk, I see that question. In any way we can get there.”

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