Updates – Prescription Drugs

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protected content Pre-Conference Health Update on Opioids, Surprise Bills, Caddy

Chalk this up as an ERIC win worth several billion dollars to the employer community – the President has been sent a final opioids bill (H.R. 6, the “SUPPORT for Patients and Communities Act”), and the proposed payfor that would have extended from 30 to 33 months the coordinating period during which an employer must pay for kidney dialysis patients was not included. VICTORY! So for now, we are still at 30 months for end-stage renal disease (ESRD) patients on the employer plan… but we need to stay vigilant… More

ERIC Victory: President Signs Bill Banning Pharmacy Gag Clauses

ERIC applauds lawmakers and the Administration for coming together and banning so-called “gag clauses” in group health plans and individual market health insurance plans… More

ERIC Sends Letter to Hill Opposing ESRD Provision in Opioids Bill

ERIC and members of the National Coalition on Benefits sent a letter reiterating our strong opposition to the end-stage renal disease (ESRD) provision in the House-passed version of the opioids bill… More

protected content Reminders, Surprise Billing, Opioids & Gag Clauses

The Senate has had a very busy week already, and ERIC has a number of opportunities for you coming up, so this will be a quick update to keep you in the loop. You probably saw that an appropriations bill passed too – one that funds the Departments of Labor and Health and Human Services, which is paired with a Continuing Resolution to keep the government from shutting down prior to the election… More

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

protected content “Health Week” vs “Employer Week,” Rx Battle, Biosimilars Plan, and More!

According to sources on Capitol Hill, next week the House of Representatives will vote on a number of health-related bills. They have not revealed exactly what those bills will be, but we do have some information… More

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 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

protected content Draft Rx RFI Comments, HSA Markup Noticed

I just wanted to share that the House Ways and Means Committee officially announced their HSA markup. Here's the lineup. If you look at my update from last week, we were pretty spot-on in terms of predictions… More

protected content PBM vs. Employers? HSA markup next week, ESRD threat rising, and more

Reported in Politico Thursday morning, one of the Big Three PBMs sent this letter to Secretary of Health and Human Services (HHS) Alex Azar. The letter was in response to Azar suggesting that PBMs do not want lower list prices for drugs, and in it, the PBM says they do in fact want lower list prices – but the letter focuses mostly on out-of-pocket costs… More

protected content HSA Update, Rx Activity, and What’s Next for “Repeal and Replace”

The House Ways and Means Committee held it’s hearing on expanding consumer-driven health plan options, and there were not many surprises… More

protected content Update on New Opioids Bill, “Health Reform Revival,” Administration Rx Plan Summary, Mental Health

Despite the election year politics, there is actually a surprising amount of activity here in Washington on both the regulatory and legislative fronts – in fact the Senate Finance Committee just announced that it will be moving forward an HHS nominee on Thursday… More

protected content President Trump’s Speech on Prescription Drug Costs, New HSA Contribution Limits for 2019, and More

There has been a lot of buzz around President Trump’s oft-rescheduled speech on prescription drug costs, and today, it finally happened… More

protected content New Survey, Upcoming Opportunities, Mental Health Parity, Kidney Dialysis, HSA, ER Mandate, etc.

I hope you’re all having a good week – so great to see so many of you last week at the Spring Policy Conference. If you missed it, tune in to our next Washington Update for a recap, but I think you know it’s not quite the same as being there! I’ve got some policy updates for you today, but first, please take a quick survey, and make sure you RSVP for several events coming up soon… More

protected content Input needed on Rx bills, Treasury HSA meeting Friday, DOL explains mental health parity, and more

I hope you are all doing well. With the omnibus spending bill/possible shutdown coming to the brink this week, there’s a huge amount of activity going on. I have a number of things to share with you, could use some of your feedback, and have a couple reminders too… More

protected content HSA Limit Rapid Response Needed, New Upcoming Webinars, Value and Rx, New Studies and Quick Hits

I hope you are all having a good week and survived this Nor’easter everyone was so hyped about – apparently another one is coming! I’ve got a number of items for you, but if you read nothing else, please review the first item on HSA limits – I need to get back to Treasury on this ASAP, and I need your help… More

protected content HSA VBID, Budget Deal, Rx Update, ESI Survey Results, JPAmazonhathaway, and More!

Roller-coaster of a week here, with last night’s super temporary government shut down, a budget deal and Continuing Resolution (CR) that keeps the lights on through next month, lots of buzz about health care, and some key advances on ERIC health policy priorities… More

protected content Bill Summary: Establishing an Individual Health Insurance Market Claims-Based Reinsurance Program

Washington State House Bill Washington HB 2355 on establishing an individual health insurance market claims-based reinsurance program … 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

protected content Survey Results, Final Medicare Comments, FDA News, and More

Today we will discuss: 1) Objector survey results, 2) Two upcoming ERIC calls/webinars, 3) Final ERIC comments to CMS, 4) New developments on Cadillac tax and HIT, 5) FDA’s 2018 plans, 6) Update on Azar nomination… 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

protected content Retiree Health Comments - 3 Days to Review

I hope you are all having a good weekend. I know the turnaround is tight, but comments are due on the CMS rule that we discussed earlier this week… More

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