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A4   U.S. NEWS
                         Friday 24 May 2019





























                                                                      GOP, Democrats team up to


                                                                      address surprise medical bills




                                                                      By   RICARDO     ALONSO-     echoes a time when health  lawmakers  still  have  to
                                                                      ZALDIVAR                     care  issues  often  led  to  figure  out  how  hospitals,
                                                                      WASHINGTON       (AP)    —  dialogue  and  coopera-       doctors and insurers would
                                                                      Plunging  ahead  despite  tion between political par-     settle  the  costs  among
                                                                      paralyzing  partisanship  in  ties.  Alexander  chairs  the  themselves.  Insurers  and
                                                                      the  nation's  capital,  senior  Health,  Education,  Labor  employers  who  sponsor
                                                                      lawmakers  of  both  parties  and  Pensions  committee,  workplace coverage favor
                                                                      Thursday  proposed  leg-     while Murray is the ranking  a  set  formula  for  calculat-
                                                                      islation  to  tackle  surprise  Democrat.                 ing  fees,  while  hospitals
                                                                      medical  bills  and  other  "We  can  make  progress  and doctors are calling for
                                                                      concerns, from prescription  when both sides are at the  arbitration.
            Two people ask to take a photo with House Judiciary Commit-  drug costs to uneven vac-  table ready to put patients  Alexander   and   Murray
            tee Chairman Jerrold Nadler, D-N.Y., center, as the Senate and   cination rates.       and  families  first,"  Murray  have  plenty  of  company
            the House of Representatives shut down for the week-long Me-  The draft bill from Sens. La-  said  in  a  statement.  Alex-  on  surprise  medical  bills,
            morial Day recess, at the Capitol in Washington, Thursday, May
            23, 2019.                                                 mar  Alexander,  R-Tenn.,  ander  said  he  wants  to  since  lawmakers  in  both
                                                     Associated Press   and Patty Murray, D-Wash.,  bring the bill to the Senate  chambers   of   Congress
                                                                                                   floor  in  July  and  get  legis-  have  advanced  various
                                                                                                   lation on President Donald  proposals.  A  lobbying  war
                                                                                                   Trump's desk.                has  broken  out  between
                                                                                                   But with Trump threatening  insurers  and  employers  on
                                                                                                   to halt all cooperation with  one side, and hospitals and
                                                                                                   Democrats  unless  House  doctors on the other, over
                                                                                                   Democrats stop investigat-   how  to  determine  pay-
                                                                                                   ing  him,  the  outlook  is  un-  ments  once  patients  are
                                                                                                   clear. Alexander says his bill  no  longer  liable  for  out-of-
                                                                                                   represents "common sense  network care.
                                                                                                   steps" — more than 30 spe-   On  prescription  drugs,  the
                                                                                                   cific ideas — that are read-  bill includes a smorgasbord
                                                                                                   ily achievable.              of measures aimed at indi-
                                                                                                   "Surprise  medical  bills"  are  rectly lowering drug prices.
                                                                                                   the shockingly high charg-   But  none  of  the  proposals
                                                                                                   es insured patients can get  would  require  drugmakers
                                                                                                   hit with when a hospital or  to lower their prices or au-
                                                                                                   doctor is not in their insurers'  thorize  the  government  to
                                                                                                   network. Earlier this month,  negotiate better deals.
                                                                                                   Trump held a White House  Instead,  several  sections
                                                                                                   event to declare his eager-  of  the  bill  would  discour-
                                                                                                   ness to sign a fix into law.  age  industry  tactics  long
                                                                                                   The  Alexander-Murray  leg-  used  to  delay  the  launch
                                                                                                   islation  would  protect  pa-  of  lower-priced  generic
                                                                                                   tients by limiting their finan-  medications.  For  instance,
                                                                                                   cial  responsibility  to  their  branded  drug  manufac-
                                                                                                   own plan's in-network rates,  turers routinely file frivolous
                                                                                                   when  they  receive  emer-   petitions  with  the  Food
                                                                                                   gency  care  at  an  out-of-  and  Drug  Administration
                                                                                                   network  hospital,  or  when  against  potential  generic
                                                                                                   an out-of-network clinician  competitors,  often  delay-
                                                                                                   provides  services  at  an  in-  ing their entry to the market
                                                                                                   network facility.            for  months.  The  bill  would
                                                                                                   But  the  legislation  remains  empower  the  FDA  to  ig-
                                                                                                   a  work  in  progress,  since  nore such petitions.q
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