MichBio Joins BIO and Other Industry Partners to Oppose ACA Enhancement Act. The U.S. House of Representatives passed H.R. 1425, the Patient Protection and Affordable Care Enhancement Act, by 234-179, with 2 Republicans voting ‘yes’ and one Democrat voting ‘no’. While the underlying bill seeks to expand health insurance coverage through additional funds for reinsurance, to provide funds to states to expand Medicaid, to eliminate short-term duration plans and others, the offsets come from Title I of H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act. These provisions would allow for HHS to “negotiate” with a manufacturer a maximum price for a drug or be subject to an excise tax, and an international pricing index which would cap prices for certain drugs based on a handful of referenced foreign countries. Failure to comply with the cap would permit additional tax penalties.
The four-hour debate ran as expected with ACA related political punches. Democrats emphasized the Administration’s sabotage of the Affordable Care Act while Republicans defended their support for Americans with preexisting conditions and the need to return to bipartisanship and pass H.R. 19, Lower Costs, More Cures Act of 2019, a compilation of bipartisan policies that passed authorizing committees in early 2019.
House members were reminded of the devastating nature of H.R. 3 policies with materials recirculated by our national partner, BIO, from the debate last fall. These included the following:
Ways & Means Ranking Member Kevin Brady (R-TX) entered the three letters into the record.
The Motion to Recommit, which failed 187-223 with 9 Democrats voting in favor, would require that the Secretary of HHS, in coordination with FDA, NIH, and the NIAID, certifies that no provision of the bill will adversely affect the research and development of any drug or vaccine intended to treat or prevent infection related to COVID-19.
MichBio has spoken repeatedly with Michigan’s Congressional delegation about policy positions that would adversely impact the biopharma/biotech sector. As an industry, we realize that healthcare costs, especially drug prices, are of great concern for most Americans. However, solutions to lower costs should not be done on the backs of innovative research and development and instead, should focus on reducing patient out-of-pocket expenses.