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                                                                                                 U.S. NEWS Saturday 21 November 2020

            Trump makes late-term bid to lower prescription drug costs


            By    RICARDO     ALONSO-                                                                                           while corporate insiders en-
            ZALDIVAR                                                                                                            rich themselves.
            Associated Press                                                                                                    Addressing  the  prospect
            WASHINGTON  (AP)  —  Try-                                                                                           of  legal  battles,  Azar  said
            ing  to  close  out  major  un-                                                                                     "we  feel  that  both  regula-
            finished business, the Trump                                                                                        tions  are  extremely  strong
            administration  issued  regu-                                                                                       and any industry challeng-
            lations  Friday  that  could                                                                                        ing them is declaring them-
            lower the prices Americans                                                                                          selves  at  odds  with  Ameri-
            pay  for  many  prescription                                                                                        can patients and President
            drugs.                                                                                                              Trump's  commitment  to
            But in a time of political un-                                                                                      lowering     out-of-pocket
            certainty,  it's  hard  to  say                                                                                     costs."
            whether  the  rules  will  with-                                                                                    The  international  pricing
            stand expected legal chal-                                                                                          rule  would  cover  many
            lenges  from  the  pharma-                                                                                          cancer  drugs  and  other
            ceutical industry or wheth-                                                                                         medications  delivered  by
            er  the  incoming  Biden                                                                                            infusion  or  injection  in  a
            administration  will  accept,                                                                                       doctor's office.
            amend  or  try  to  roll  them                                                                                      It would apply to 50 medi-
            back entirely.                                                                                                      cations  that  account  for
            "The drug companies don't                                                                                           the highest spending under
            like  me  too  much.  But  we                                                                                       Medicare's  "Part  B"  benefit
            had  to  do  it,"  President   President Donald Trump speaks during a news conference in the briefing room at the White House   for  outpatient  care.  Ironi-
            Donald  Trump  said  in  an-  in Washington, Friday, Nov. 20, 2020.                                Associated Press  cally,  the  legal  authority
            nouncing  the  new  policy                                                                                          for  Trump's  action  comes
            at  the  White  House.  "I  just  for  Medicare  recipients  2022.                     idea, objected to by most  from  the  Affordable  Care
            hope  they  keep  it.  I  hope  through  lower  copays.  It  The  industry  is  considering  Republicans. Instead Trump  Act, the Obama-era health
            they  have  the  courage  to  would take effect Jan. 1.   "all options to stop this reck-  began  pursuing  changes  care  overhaul  he's  still  try-
            keep it," he added, noting  —  require  drugmakers,  for  less attack on the compa-    through regulations.         ing to repeal.
            pressure from drug compa-    brand  name  pharmacy  nies  working  around  the  He  also  backed  a  biparti-       The rule also changes how
            ny lobbyists.                medications, to give Medi-   clock  to  beat  COVID-19,"  san  Senate  bill  that  would  hospitals  and  doctors  are
            The two finalized rules, long  care enrollees rebates that  the  Pharmaceutical  Re-   have  capped  what  Medi-    paid  for  administering  the
            in the making, would:        now  go  to  insurers  and  search  and  Manufacturers  care  recipients  with  high  drugs, in an effort to try to
            — tie what Medicare pays  middlemen  called  phar-        of America said in a state-  bills  pay  for  medications,  remove incentives for using
            for  medications  adminis-   macy  benefit  managers.  ment.                           while   generally   limiting  higher cost medications.
            tered  in  a  doctor's  office  Insurers  that  deliver  Medi-  Trump  came  into  office  price  increases.  Ambitious  Relying  on  international
            to  the  lowest  price  paid  care's  "Part  D"  prescription  accusing   pharmaceuti-  in  scope,  the  legislation  prices to lower U.S. costs is
            among  a  group  of  other  benefit say that would raise  cal  companies  of  "getting  from Sens. Chuck Grassley,  an approach also favored
            economically    advanced  premiums. The nonpartisan  away  with  murder"  and  R-Iowa, and Ron Wyden, D-            by  Democrats,  including
            countries. That's called the  Congressional  Budget  Of-  complaining    that   other  Ore., did not get a full Sen-  President-elect  Joe  Biden.
            "most favored nations" ap-   fice  estimates  it  would  in-  countries  whose  govern-  ate vote.                  But  Democrats  would  go
            proach.  It  is  adamantly  crease  taxpayer  costs  by  ments set drug prices were  Health  and  Human  Servic-    much  further,  authorizing
            opposed by critics aligned  $177  billion  over  10  years.  taking advantage of Amer-  es  Secretary  Alex  Azar,  a  Medicare to use lower pric-
            with  the  pharmaceutical  The  Trump  administration  icans.                          former  drug  company  ex-   es  from  overseas  to  wrest
            industry, who liken it to so-  disputes  that  and  says  its  As  a  candidate  in  2016,  ecutive,  said  the  rules  will  industry  concessions  for  all
            cialism.  The  administration  rule could potentially result  Trump advocated for Medi-  "break  this  model  where  expensive medications, not
            estimates it could save $28  in 30% savings for patients.  care to negotiate prices. As  patients suffer, where pric-  just  those  administered  in
            billion  over  seven  years  It would take effect Jan. 1,  president, he dropped that  es  increase  every  year,"  clinical settings.q

            Lieutenant gov’s flags fly in the face of some PA lawmakers



            By MARC LEVY                 In  an  interview,  the  irrev-  flying  them."  The  Republi-
            Associated Press             erent  Fetterman  said  he  can-controlled  Legislature
            HARRISBURG,  Pa.  (AP)  —  hadn't  known  about  the  has  blocked  legislation  on
            Pennsylvania's   lieutenant  provision until told by a re-  both  fronts.  Fetterman's
            governor,  Democrat  John  porter Friday.                 marijuana  flag  flies  year-
            Fetterman,  may  have  got-  But,  he  said,  he  had  no  round, while he flies LGBTQ-
            ten under somebody's skin.   intention  of  taking  them  and      transgender-rights
            A  provision  slipped  into  down  —  unless  lawmakers  flags during Pride Month in
            lame-duck  budget  legisla-  pass  legislation  to  legalize  June.
            tion Friday would ban flags  marijuana  for  recreational  "Are they going to send the
            not  approved  by  lawmak-   use  and  make  it  illegal  for  gay  pride  police  to  come
            ers from flying at the state  employers  and  others  to  and  seize  them?  I  didn't
            Capitol — such as the pro-   discriminate against some-   know we had that division
            marijuana legalization and  one because of the sexual  in the state police," Fetter-
            LGBTQ-  and  transgender-    orientation or gender iden-  man  said.  A  spokesperson   In this Thursday, Jan. 24, 2019 file photo, Pennsylvania Lt. Gov.
            rights  flags  that  Fetterman  tity.                     for  House  Majority  Leader   John Fetterman speaks at a news conference in the governor's
            hangs from his second-floor  "I  would  be  delighted  to  Kerry  Benninghoff,  R-Cen-  Capitol reception room in Harrisburg, Pa.
            outdoor balcony that over-   take  them  down  if  they  tre, would not say whether                                             Associated Press
            looks  the  building's  broad  give  us  that,"  Fetterman  it had anything to do with  "it has to do with providing  for what is displayed on the
            front steps.                 said.  "That's  the  reason  I'm  Fetterman's flags, only that  for uniformity and decorum  outside of the Capitol." q
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