A bill was introduced in the House to protect patients from increased out-of-pocket prescription drug costs during the COVID-19 pandemic.
The Preserving Patient Savings on Drug Costs Act (H.R. 7647) would delay the Department of Health and Human Services’ (HHS) 2021 Notice of Benefit and Payment Parameter (NBPP) rule from going into effect until a year after the COVID-19 public health emergency has lifted. That delay, in effect, would stop insurers from instituting copay accumulator programs, which can be costly for patients.
“Members of Congress on both sides of the aisle agree: there shouldn’t be additional barriers to access lifesaving and much-needed prescription drugs, especially in the middle of a pandemic,” Rep. Donald McEachin (D-VA), one of the bill’s sponsors, said. “As households across the country continue to navigate the COVID-19 crisis, we must do more to support those who depend on copay assistance to offset soaring prices at the pharmacy counter and ensure prescriptions remain accessible to all patients who need them.”
Reps. Rodney Davis (R-IL) and Bonnie Watson Coleman (D-NJ) also sponsored the bill.
“Making prescription drugs more affordable for everyone is one of my top priorities and a bipartisan goal shared by our fellow lawmakers in Congress,” Davis said. “Patients should not face even more financial barriers to receiving the drugs they need to stay healthy, especially during this pandemic, and particularly for those with chronic conditions who are vulnerable to COVID-19. I’m proud to join Congressman McEachin and Congresswoman Watson Coleman in introducing this bipartisan legislation so we can provide financial relief and promote the health of patients while this pandemic continues.”
Historically, when a patient has utilized cost-sharing assistance at the pharmacy counter, the amount has counted towards a patient’s deductible and maximum out-of-pocket limit, thereby lowering the patient’s overall out-of-pocket spending. In June, the HHS reversed that policy, allowing health insurers to omit certain prescription drug coupons from counting toward a patient’s deductible and out-of-pocket limit. The lawmakers say the proposed changes would lead to increased financial burdens on patients across the United States.
“In a time where the cost of lifesaving and critical medications are a challenge for so many families, we can’t afford to remove one way that consumers can keep their costs down,” Coleman said. “We’re in the midst of a pandemic, with families who’ve lost work and are struggling just to make ends meet. Now is not the time to add new healthcare costs to their plates, and I’m proud to work alongside my colleagues to make sure we fix this.”