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FEDERALhearing transcript
High Impact

Senate Hearing on 'American Patients First' Drug Pricing Blueprint

Original title: THE COST OF PRESCRIPTION DRUGS: EXAMINING THE PRESIDENT'S BLUEPRINT `AMERICAN PATIENTS FIRST' TO LOWER DRUG PRICES

January 1, 2020

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The Frame

What this does

This hearing initiated the formal legislative review of the federal government's strategy to address rising prescription drug costs, which were projected to grow at an average of 6.3% annually through 2026.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Patients

Patients are the primary focus of the proposed blueprint, which aims to change the costs they pay for prescription medications.

Pharmacy Benefit Managers

The blueprint examines the role of PBMs in negotiating rebates, which impacts their current business model.

Pharmaceutical Manufacturers

Manufacturers are subject to potential policy changes regarding drug pricing and rebate structures.

What changed

Last recorded activity January 1, 2020.

What's next

Next step not available in the current record.

Summary

The Senate Committee on Health, Education, Labor, and Pensions held a hearing on June 12, 2018, to review the Trump Administration's 'American Patients First' for reducing prescription drug costs. Health and Human Services Secretary Alex Azar testified as the sole witness to explain the administration's proposed strategies and identify potential legislative needs.

Key Facts

  • The hearing took place on June 12, 2018, in the Dirksen Senate Office Building.
  • The subject was the 'American Patients First' blueprint, announced by President Trump on May 11, 2018.
  • Total U.S. spending on prescription drugs in 2015 was $457 billion.
  • Prescription drug spending accounted for 6.7% of total U.S. healthcare spending in 2015.
  • Prescription drug spending growth rates fluctuated between 1.3% in 2016 and 12.4% in 2014.
  • Prescription drug spending is projected to grow at an average of 6.3% annually from 2017 to 2026.
  • Pharmacy benefit managers (PBMs) negotiate rebates with manufacturers to reduce list prices, complicating the tracking of drug spending.
  • The hearing was the fourth held by the committee on the topic of drug pricing during the 115th Congress.

Frequently Asked Questions

What is the 'American Patients First' blueprint?
It is a comprehensive plan announced by the Trump Administration in May 2018 aimed at reducing the costs Americans pay for prescription drugs.
Why is it difficult to track how much is spent on drugs?
According to the committee, the use of s negotiated between pharmacy benefit managers and drug manufacturers makes it difficult to track the actual flow of money.

Why It Matters

This hearing initiated the formal legislative review of the federal government's strategy to address rising prescription drug costs, which were projected to grow at an average of 6.3% annually through 2026.

News Coverage

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Sponsors

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Focus on PBM Rebates

The hearing highlights a specific shift in policy focus toward the role of pharmacy benefit managers and rebates as a primary driver of drug pricing complexity.

Connected Entities

organizationDepartment of Health and Human ServicesFederal department overseeing healthcare policyMap →
personAlex M. Azar IISecretary of the Department of Health and Human ServicesMap →
personLamar AlexanderChairman of the Senate Committee on Health, Education, Labor, and PensionsMap →
personDonald TrumpPresident of the United StatesMap →
personPatty MurrayRanking Member of the CommitteeMap →
organizationCenters for Medicare and Medicaid ServicesSource of healthcare spending dataMap →

Sources

Open source document

www.govinfo.gov

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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