Prescription Drugs

Updates

protected content Quick Legislative Update, Even Quicker Balance Billing Survey

On the morning of Thursday, September 13, the House Energy and Commerce Committee unanimously approved H.R. 6733, the “Know the Cost Act of 2018.” This bill would ban pharmacy “gag clauses,” which prevent a pharmacist from telling a patient if it might be cheaper to just pay cash, rather than use their insurance… More

ERIC Works to Make Prescription Drug Costs More Transparent

ERIC sent a letter to the U.S. Senate urging lawmakers to support S. 2554, the “Patient Right to Know Drug Prices Act.” The bill would ban so-called “gag clauses” in group health plans and individual market health insurance plans. These clauses prevent pharmacists from informing a patient that filling a prescription might be cheaper if the patient pays cash, rather than the negotiated copay under their insurance coverage… More

protected content Seattle lawsuit update, Pharmacy gag clause bills advance, FTC biosimilars letter, and more!

This week there has been some progress in ERIC’s lawsuit to have Part 3 of the Seattle hotel health care mandate ruled preempted by ERISA. On September 5, ERIC and the City of Seattle agreed to this order, which was subsequently filed for approval with Judge Zilly. Under the terms of the order, the City will get an extension on their deadline to file a response to our initial complaint. In exchange, the City will not enforce Part 3 of the law, which is the part that mandates hotels of a certain size provide gold-level coverage (80% actuarial value) at a very high affordability threshold (no more than 5% of income)… More

protected content Opioids bill draft released, Summer miscellany

Response Act,” which combined legislation that moved through the Senate Finance, Judiciary, and Health, Education, Labor and Pensions (HELP) Committees. The final bill continues to be negotiated, with Capitol Hill staff now indicating that their goal is to vote the package out of the Senate after Labor Day… More

protected content ACA tax delay and HSA bills pass House, Rx gag clause bill advances, Possible Senate opioids action,

I hope you are all having a good week. Congress has been surprisingly busy on health care lately, and ERIC has been very much in the mix. This email will analyze some of this recent activity and look at likely scenarios going forward… More

See All Updates

Court Rulings

protected content SCOTUS Delivers This June’s Verdict on the ACA … and Contraceptives

Today the Supreme Court of the United States, in its last decision of the term, found that the HHS regulations imposing the “no-cost contraceptives” requirement of the Affordable Care Act violate the Religious Freedom Restoration Act of 1993 with respect to three for-profit, closely-held corporations. … More

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ERIC Surveys

protected content Member Survey on Sabbatical Leave, Wellness & PBMs

ERIC conducted a survey of its members, on sabbatical leave, wellness programs, and the use of pharmacy benefit manager (PBM) for your prescription drug benefit… More

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Judicial Documents

protected content SCOTUS Delivers This June’s Verdict on the ACA … and Contraceptives

Today the Supreme Court of the United States, in its last decision of the term, found that the HHS regulations imposing the “no-cost contraceptives” requirement of the Affordable Care Act violate the Religious Freedom Restoration Act of 1993 with respect to three for-profit, closely-held corporations. … More

More Judicial Documents

Legislative Documents

protected content Review of Health Provisions Included in President Obama’s FY 2016 Budget

Today the president released his proposed budget ideas for Fiscal Year 2016, which starts this coming October 1. From my vantage point … More

protected content Analysis of Health-Related Proposals in Obama Administration’s FY 2014 Budget

As promised, President Obama formally released his budget yesterday for Fiscal Year 2014 (which starts October 1, 2013 and runs through September 30, 2014.) Although the really earth-shaking developments are mostly on the retirement side, there were nonetheless some interesting developments on the health front … More

Key Health Care Reform Legislative Documents (H.R. 3590 and H.R. 4872)

The House and Senate on March 25, 2010, approved the Health Care and Education Reconciliation Act (H.R. 4872), the "sidecar" reconciliation… More

More Legislative Documents

Letters to Agencies

ERIC Submits Comments to HHS on the President’s “American Patients First” Blueprint

Today, ERIC submitted comments to the Department of Health and Human Services (HHS) in response to its Request for Information related to the HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs… More

ERIC Submits Comments on Mississippi’s Part 2640 Proposed Rules

On behalf of The ERISA Industry Committee (ERIC), thank you for accepting input from interested stakeholders as you consider the Mississippi State Board of Medical Licensure proposed rules for Part 2640… More

ERIC Submits Comments on Proposed Changes to Medicare Prescription Drug Program

The ERISA Industry Committee (ERIC) submitted comments to the Centers for Medicare & Medicaid Services (CMS) on proposed changes to the Medicare prescription drug program… More

ERIC Urges CMS to Reconsider Restrictive Requirements on Part D Automatic Prescription Refills

ERIC, along with several other employer business groups, on June 11 wrote to the Centers for Medicare and Medicaid Services urging the agency to reconsider unnecessarily restrictive requirements on automatic prescription refill programs under Medicare Part D. … More

More Letters to Agencies

Letters to Congress

ERIC Works to Make Prescription Drug Costs More Transparent

ERIC sent a letter to the U.S. Senate urging lawmakers to support S. 2554, the “Patient Right to Know Drug Prices Act.” The bill would ban so-called “gag clauses” in group health plans and individual market health insurance plans. These clauses prevent pharmacists from informing a patient that filling a prescription might be cheaper if the patient pays cash, rather than the negotiated copay under their insurance coverage… More

protected content HHS Nominee Hearing Coming, End-of-Year Health Care Legislation, HSA Action, and More

On November 29 at 9:30am, the Senate Health, Education, Labor and Pensions (HELP) Committee will hold a hearing on Alex Azar’s nomination to be Secretary of Health and Human Services (HHS). The Committee hearing is a “courtesy hearing”—it will not be a vote on Azar’s nomination (the Senate Finance Committee is the one that will have to report Azar out to the Senate floor). Azar’s nomination to fill the vacancy left by Secretary Tom Price was announced on November 13 by President Trump… More

ERIC and Over 400 Organizations Express Opposition to House Health Care Reform Bill

ERIC and over 400 other companies and organizations on November 4 wrote to House Speaker Nancy Pelosi (D-CA) and Minority Leader John… More

More Letters to Congress

Press Releases

ERIC is Working to Make Prescription Drugs More Affordable

The ERISA Industry Committee (ERIC) today submitted comments to the Department of Health and Human Services (HHS) in response to its request for information related to the HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs… More

ERIC Responds to Mercer Survey of Employer-Sponsored Plans

Today’s release of data from Mercer’s National Survey of Employer-Sponsored Health Plans, highlights the important role large employers’ play as plan sponsors… More

More Press Releases