Sens. Bob Menendez (D-NJ) and Bill Cassidy, M.D. (R-LA) reintroduced legislation this week that would establish an out-of-pocket cap for Medicare Part D beneficiaries—something BIO has long supported.
The Seniors Prescription Drug Relief Act would do two things:
- Establish a $3,100 annual out-of-pocket cap for Medicare Part D beneficiaries once they hit catastrophic coverage.
- Smooth patients’ spending on medications so they pay less out of pocket each month in the catastrophic phase.
Read more details in their joint statement.
This isn’t a new idea. Sens. Menendez and Cassidy have been working together on this for quite some time and introduced a similar bill in 2019.
BIO’s been advocating for an out-of-pocket cap for Medicare Part D beneficiaries for a long time—check out our infographic explaining why.
What Sen. Menendez is saying: “Setting a cap on out-of-pocket expenses allows seniors to prorate their share over the year into set monthly payments, giving them more flexibility to cover their health care expenses."
What Sen. Cassidy is saying: “If someone on Medicare cannot afford their medication, they are going to get sicker or not get better. This bill takes on the root causes of high drug prices because we want to make it easier for seniors to pay for their prescriptions.”
Mike Drop: We applaud the Senate for addressing these issues in a bi-partisan manner and striving to make meaningful reforms that put patients first. – Mike Mattoon, BIO’s VP of Federal Government Relations
Listen: BIO’s Deputy General Counsel John Murphy and Alliance for Aging Research President and CEO Sue Peschin joined the I am BIO Podcast to discuss how we can lower patients’ out-of-pocket costs. Listen at www.bio.org/podcast or wherever you get your podcast fix, including Apple, Google, or Spotify.
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