With the end of the year approaching, please take a moment to remind your legislators that passing pro-patient, pro-taxpayer, and pro-pharmacy PBM reforms must be a top legislative priority. Bipartisan, bicameral reforms have been stalled in the legislative process and Congressional action is long past due!  

Tell Congress to finalize the PBM reforms that were agreed to last December, and reintroduced  this year with broad bipartisan support in both the House and Senate. Rep. Buddy Carter introduced H.R. 4317, the PBM Reform Act, along with Reps. Debbie Dingell (D-Mich.), Greg Murphy (R-N.C.), Deborah Ross (D-N.C.), Jodey Arrington (R-Texas), Diana Harshbarger (R-Tenn.), Vicente Gonzalez (D-Texas), Rick Allen (R-Ga.), Raja Krishnamoorthi (D-Ill.), John Rose (R-Tenn.), Derek Tran (D-Calif.),  and Nicole Malliotakis (R-N.Y.) and is cosponsored by Reps. Luis Correa (D-Calif.), Charles Fleischmann (R-Tenn.), Ro Khanna (D-Calif.) and Greg Landsman (D-Ohio). And, Senate Finance Committee Chairman Mike Crapo (R-Idaho) and Ron Wyden (D-Ore.) introduced the PBM Price Transparency and Accountability Act, cosponsored by Senate Majority Leader John Thune (R-S.D.), Majority Whip John Barrasso (R-Wyo.) and Sens. Michael Bennet (D-Colo.), Marsha Blackburn (R-Tenn.), Catherine Cortez Masto (D-Nev.), Bill Cassidy (R-La.), Maggie Hassan (D-N.H.), John Cornyn (R-Texas), Ben Ray Luján (D-N.M.), Steve Daines (R-Mont.), Tina Smith (D-Minn.), Chuck Grassley (R-Iowa), Mark Warner (D-Va.), James Lankford (R-Okla.), Raphael Warnock (D-Ga.), Roger Marshall (R-Kan.), Peter Welch (D-Vt.), Sheldon Whitehouse (D-R.I.) and Thom Tillis (R-N.C.).  any legislation that moves. 

Both bills include our top priorities:

• Medicaid managed care payment reform through enhanced transparency and a ban on spread pricing by reimbursing pharmacies at a rate equal to the national average drug acquisition cost (NADAC) plus the state’s fee-for-service dispensing fee. This would also save taxpayers nearly $3 billion
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• Medicare Part D contract reforms that require CMS to define and enforce reasonable and relevant contract terms in Part D, including terms related to reimbursements, and establishes a mechanism for pharmacies to report violations.

 

Tell your legislators to finalize these PBM reforms because:

• They save taxpayers billions of dollars
• They continue to garner overwhelming bipartisan/bicameral support;
• The language was already agreed to in December; and
• Community pharmacies continue to close at an alarming rate and PBM reform cannot wait!

 

Tell Congress to finish the job and pass PBM reform NOW!

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