NCPA comments on Energy and Commerce, Ways and Means joint Medicare proposal

by NCPA | Jun 13, 2019

NCPA also recently submitted comments to bipartisan draft legislation from House Ways and Means Committee Chairman Richard Neal (D-Mass.) and Energy and Commerce Committee Chairman Frank Pallone (D-N.J.), along with Ranking Members Kevin Brady (R-Texas) and Greg Walden (R-Ore.). The draft legislation seeks to improve the Medicare Part D prescription drug program for beneficiaries and taxpayers alike. Specifically, the draft would create an out-of-pocket maximum on prescription drugs costs for Medicare beneficiaries in Part D based on the current catastrophic threshold. The draft would also right-size and modernize the incentive structure for Part D plans to better manage costs by reducing the government's share of the catastrophic coverage from 80 percent to 20 percent over four years. NCPA expressed concerns that the proposal as written could lead to PBMs further squeezing pharmacies to recoup lost revenue and asked the committee to consider address pharmacy DIR fees and consider the creation of pharmacy specific quality measures.