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Part D Cost Sharing Cap Offered In Draft US House Bill, But Not How To Pay For It

 
• By Cathy Kelly

Biopharma manufacturers might not like the cost offsets that would cover the out-of-pocket maximum for patients in Medicare's drug program; committees seek comment on range of issues.

Medication

A legislative discussion draft from the House Ways & Means and Energy & Commerce committee chairmen and ranking Republican members would create a cap on Medicare Part D beneficiary cost sharing in the catastrophic phase of the benefit, a change with bipartisan support in congress and from a broad range of stakeholders, including manufacturers.

In the Senate as well, Finance Committee chairman Chuck Grassley, R-IA, and ranking member Ron Wyden, D-OR, are in discussions about legislation to limit cost sharing in Part D as...

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