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Main Subject: Health

Prescription Drug Pricing Reduction Act of 2019

This bill alters several programs and requirements relating to the prices of prescription drugs under Medicare and Medicaid.

Among other things, the bill

requires drug manufacturers to issue rebates to the Centers for Medicare & Medicaid Services (CMS) for certain drugs covered under Medicare for which the average manufacturer price increases faster than inflation;
requires drug manufacturers to issue rebates to the CMS for discarded amounts of certain single-dose drugs covered under Medicare, based on information reported by providers;
reduces the annual out-of-pocket spending threshold, and eliminates beneficiary cost-sharing above this threshold, under the Medicare prescription drug benefit;
requires the CMS to publish certain information, as reported by pharmacy benefit managers (PBMs), relating to drug discounts and rebates, and payments between PBMs, health plans, and pharmacies;
requires pass-through pricing models, and prohibits spread-pricing, for payment arrangements with PBMs under Medicaid; and
increases the maximum rebate payable by drug manufacturers under the Medicaid Drug Rebate Program.

HR4629-116, HR5281-116, HR1264-116, HR1781-116, HR3029-116, HR4649-116, S801-116, S1999-116, HR5882-116, S4199-116, S1505-116,

Accounting and auditing Administrative law and regulatory procedures Congressional oversight Department of Health and Human Services Drug safety, medical device, and laboratory regulation Drug therapy Fraud offenses and financial crimes Genetics Government information and archives Government studies and investigations Health care costs and insurance Health care coverage and access Health care quality Health technology, devices, supplies Home and outpatient care Hospital care Indian social and development programs Inflation and prices Drug safety medical device and laboratory regulation Health technology devices supplies Health

Calendars
Sep. 25 2019	Placed on Senate Legislative Calendar under General Orders. Calendar No. 225.

Committee
Sep. 25 2019	Committee on Finance. Original measure reported to Senate by Senator Grassley. With written report No. 116-120.

Committee
Sep. 25 2019	Committee on Finance. Original measure reported to Senate by Senator Grassley. With written report No. 116-120.

IntroReferral
Sep. 25 2019	Introduced in Senate