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Senior Citizen Politics

Questions Linger Over Pharmaceutical Industry Agreement to Cut Costs for Health Reform

The deal includes $30 billion to lower seniors’ drug costs in Medicare, 23% off drugs for Medicaid

July 1, 2009 - "As details emerge of the pharmaceutical industry's agreement to kick in $80 billion to help pay for health care reform, the deal is facing increasing skepticism from inside and outside the health care industry," Politico reports.

The deal includes $30 billion to lower seniors' drug costs and $50 billion to help pay for reform, which will come in four broad categories including Medicaid, Biogenerics, Medicare and a Reform fee, which will charge drug companies a fee to cover any difference between the cost of Medicare, Medicaid and biogenerics programs and the "$80 billion the industry has committed to spending."

 

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Read more on Politics for Senior Citizens

 

Drugs will be sold to the Medicaid program at up to 23 percent off average drug pricing, and new biologic generic drugs will be allowed under the plan, but "others are beginning to wonder just how much money the deal will actually save taxpayers.

The questions are reminiscent of the $2 trillion in savings six major health industry groups recently promised to deliver to the administration, only to find that many of their savings proposals weren't counted, or 'scored' as savings by the CBO."

"There are also questions about how much goodwill PhRMA's deal bought among Democrats, many of whom would like to see the industry contribute even more toward reform's estimated $1-trillion price tag. Some Democrats, particularly in the House, have suggested using price controls and importation to rein in costs – ideas that are deal killers for drug makers" (Frates, 7/1).

Drug Industry Increases Lobbying Targeting Democrats

The drug industry began ramping up its lobbying efforts in 2003, when Medicare Part D began, and now is targeting Democrats.

CQ Politics reports: "The industry is increasingly employing Democratic lobbyists with ties to the Obama administration and congressional leaders such as Sen. Max Baucus, D-Mont., chairman of the Senate Finance Committee.

“A few years ago, when Republicans controlled Congress and the White House, industry representatives were solidly allied with the GOP. Such efforts might be having an effect.

“The drug industry sealed a deal recently with Baucus to offer $80 billion in drug discounts for seniors as part of Medicare. The agreement might preempt efforts by liberal Democrats to seek even deeper concessions from the drug industry.

“The drug companies have opposed a government health insurance component that President Obama and more liberal Democrats are seeking, a provision that could lead to more control over drug prices."

CQ Politics notes: "Pharmaceutical manufacturers spent more than any other health care sector on lobbying in the first quarter of this year, shelling out almost $50 million to influence the federal policy making, 17 percent more than they did on average for each quarter of 2008, according to an analysis of lobbying disclosure statements by CQ Moneyline.

“The industry's top trade organization, the Pharmaceutical Research & Manufacturers Association (PhRMA), spent $6.9 million during the first three months of this year on lobbying expenses, a 37 percent jump from what it spent on average per quarter last year.

“Overall the pharmaceutical and drug products industry hired 1,309 lobbyists in the first quarter of this year including three dozen former members of Congress, the Center for Responsive Politics found in an analysis of lobbying disclosure filings. PhRMA has built up an extensive lobbying team that now includes both an in-house staff of at least 26 people and 40 outside firms, according to lobbying disclosure forms filed with Congress ... when it comes to campaign money the industry has clearly been shifting its bucks to Democrats" (Roth, 6/30).

This information was reprinted from kaiserhealthnews.org with permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery. © Henry J. Kaiser Family Foundation. All rights reserved.

 

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