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Bill > S348


US S348

Prescription Drug and Health Improvement Act of 2017


summary

Introduced
02/09/2017
In Committee
02/09/2017
Crossed Over
Passed
Dead
12/31/2018

Introduced Session

115th Congress

Bill Summary

Prescription Drug and Health Improvement Act of 2017 This bill requires the Centers for Medicare & Medicaid Services (CMS) to negotiate lower prices on behalf of Medicare and Medicare Advantage (MA) beneficiaries for covered prescription drugs that the CMS deems appropriate for negotiation based on: (1) program and per-beneficiary spending, (2) unit price increases over the preceding years, (3) initial launch price, (4) availability of similarly effective alternative treatments, (5) status of the drug as a follow-on to previously approved drugs, and (6) any other criteria determined by the CMS. If, after a one year period, negotiations with respect to a covered prescription drug prove unsuccessful, the CMS shall establish a price for the drug that is equal to the lesser of the price paid by the Department of Veterans Affairs or the price paid by the four largest federal pharmaceutical-drug purchasers. The CMS may (but is not required to) negotiate lower prices on behalf of Medicare and MA beneficiaries for other covered prescription drugs. The Government Accountability Office must report to Congress on the CMS' negotiations. The Center for Medicare and Medicaid Innovation must test several specified models for negotiating drug and biological prices.

AI Summary

This bill requires the Centers for Medicare & Medicaid Services (CMS) to negotiate lower prices for Medicare and Medicare Advantage beneficiaries on certain prescription drugs, based on factors like program spending, price increases, and availability of alternative treatments. If negotiations are unsuccessful after a year, CMS must set the price as the lower of the Department of Veterans Affairs price or the price paid by the four largest federal pharmaceutical purchasers. The bill also directs the Center for Medicare and Medicaid Innovation to test various models for negotiating drug and biological prices to improve value, such as discounting patient cost-sharing, value-based formularies, and outcome-based risk-sharing agreements.

Committee Categories

Budget and Finance

Sponsors (4)

Last Action

Read twice and referred to the Committee on Finance. (on 02/09/2017)

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