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Medicaid News

Legislation Would Expand Medicaid Prescription Drug Discounts to More Facilities

States see spending slow with lower Medicaid spending growth

 

Daily Reports

KaiserNetwork.org

 

June 11, 2007 - Reps. Bobby Rush (D-Ill.), Jo Ann Emerson (R-Mo.) and Bart Stupak (D-Mich.) have introduced a bill (HR 2606) that would expand the Medicaid "340B" prescription drug program to allow more hospitals and community health centers to receive discounts on medications, CQ HealthBeat reports.

 

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The program, established under a 1992 law, provides discounts on outpatient medications for safety net hospitals, community health centers and other health care providers that serve low-income patients.

Providers that currently qualify for the program receive a 40% to 50% discount on the average wholesale price of medications. Under the legislation, critical access hospitals, sole community hospitals, rural referral centers, hospitals dependent on Medicare and other providers would qualify for the program. The bill also would expand the program to inpatient medications for hospitals that currently qualify.

At a news conference on Thursday, Rush and Stupak said that the legislation would save hospitals millions of dollars. Rush said that the Energy and Commerce Committee likely would pass the bill and that the legislation likely would reach the House floor by the end of the year.

Comments

Rick Pollack, executive vice president of the American Hospital Association, said, "With resources already stretched to the limit, discounts on drugs will serve as welcome relief to spiraling pharmaceutical costs." He added that, under the bill, the program would "see lower costs for achieving much-needed prescription drug savings."

Ken Johnson, senior vice president of the Pharmaceutical Research and Manufacturers of America, said that the legislation would expand the program "substantially."

He said, "Adding new categories of covered entities to the 340B program and allowing each covered entity to use multiple contract pharmacies without any safeguards are imprudent given recent evidence that the program's safeguards against drug diversion may not be working effectively."

Johnson added that the legislation would expand "pharmaceutical product price controls, which various studies ... have shown can discourage innovation" (Teitelbaum, CQ HealthBeat, 6/8).

States Experience Budget Surpluses in Part Because of Lower Medicaid Spending Growth

More than 40 states have budget surpluses this year, in part because of reductions in Medicaid spending growth, which has decreased from an annual rate 11% to about 7% within the past few years, the New York Times reports.

Higher-than-expected tax increases and growth in local economies also contributed to the state budget surpluses, which have reached their highest level since 2000. Many states plan to use budget surpluses to address expensive, long-term problems, such as the issue of the uninsured.

According to a report from the National Governors Association and the National Association of State Budget Officers, two-thirds of governors have plans to expand access to health insurance in fiscal year 2008, in large part through expansions of public programs and employer mandates.

For example, a bill under consideration in Wisconsin would provide health insurance for all children in the state by 2010 through an expansion of public programs to those in families with annual incomes less than 300% of the federal poverty level by January 2009 and discounted coverage for those in families with higher incomes.

In addition, a bill under consideration in Oregon would use the state budget surplus and an 84.5 cents-per-pack increase in the state cigarette tax to increase funds for a public health insurance program for children by $60 million.

NGA estimated that in FY 2008, state spending on health insurance expansions will total $18.4 billion, which includes funds from the federal government (Steinhauer, New York Times, 6/11).

 

"Reprinted with permission from kaisernetwork.org You can view the entire Kaiser Daily Health Policy Report, search the archives, and sign up for email delivery at www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. © 2006 Advisory Board Company and Kaiser Family Foundation. All rights reserved.”

 

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