summary
Introduced
06/22/2021
06/22/2021
In Committee
06/22/2021
06/22/2021
Crossed Over
Passed
Dead
01/03/2023
01/03/2023
Introduced Session
117th Congress
Bill Summary
A BILL To provide for certain reforms with respect to the Medicare program under title XVIII of the Social Security Act, and for other purposes.
AI Summary
This bill, the Lower Costs, More Cures Act of 2021, proposes several reforms to the Medicare program and other provisions related to drug pricing transparency and revenue. Key provisions include:
- Requiring manufacturers of certain single-dose or single-use drugs under Medicare Part B to provide refunds for discarded amounts of the drugs.
- Allowing for variation in payment rates for certain Medicare Part B drugs based on per beneficiary allowed charges.
- Establishing a maximum add-on payment amount for drugs and biologicals under Medicare.
- Redesigning the Medicare Part D benefit, including a manufacturer discount program and changes to reinsurance payments.
- Requiring reporting on drug price increases and public disclosure of drug discounts.
- Allowing certain Medicare Part D enrollees to spread out cost-sharing under certain circumstances.
- Clarifying price reporting requirements for gene therapy outcomes-based agreements under Medicaid.
- Providing anti-kickback statute and physician self-referral exceptions for remuneration under outcomes-based agreements.
- Establishing a Chief Pharmaceutical Negotiator position at the Office of the United States Trade Representative.
Committee Categories
Budget and Finance
Sponsors (9)
Mike Crapo (R)*,
Richard Burr (R),
Steve Daines (R),
Joni Ernst (R),
John Hoeven (R),
Roger Marshall (R),
Jim Risch (R),
Tim Scott (R),
Thom Tillis (R),
Last Action
Read twice and referred to the Committee on Finance. (on 06/22/2021)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/117th-congress/senate-bill/2164/all-info |
| BillText | https://www.congress.gov/117/bills/s2164/BILLS-117s2164is.pdf |
| Bill | https://www.congress.gov/117/bills/s2164/BILLS-117s2164is.pdf.pdf |
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