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Citing concerns about growing consolidation, reduced competition, and increasing prices, President Biden issued on July 9, 2021 a sweeping Executive Order containing 72 initiatives to address competition concerns in a number of industries, including pharmaceuticals, biotech, and healthcare.
In his remarks at the signing of the July 9, 2021 Executive Order, President Biden focused on three specific initiatives, the first of which relates to lowering prescription drug prices. Americans are paying too much for prescription drugs and healthcare services far more than the prices paid in other countries, the Executive Order declares.
The Executive Order simultaneously backs legislative proposals to address drug prices, and directs agencies to take specific action designed to facilitate pharmaceutical competition. The Executive Order thus advances a focus on competition in the pharmaceutical industry, from both the legisla
Friday, July 16, 2021
This Week s Dose
Senate Democrats reach partisan agreement on human infrastructure package. Centers for Medicare and Medicaid Services (CMS) release proposed physician payment rule that addresses coverage for telemedicine services and reduces the conversion factor by 3.75%. Biden directs agencies to consider reforms to enhance competition.
Congress
Senate Democrats Announced $3.5 Trillion Human Infrastructure Package. Senate Majority Leader Chuck Schumer announced the package late Tuesday night, which represents Biden Administration priorities that Democrats will seek to push through using a second attempt at reconciliation. While Democrats have not yet released any legislative text or itemized breakdowns of how the $3.5 trillion will be spent, initial reports indicate that the package will expand Medicare benefits to cover dental, hearing and vision services and address the Medicaid coverage gap in non-expansion states. There are also likely to
NAMI Urges Swift Action to Reimagine Crisis Response Ahead of 988 Launch Next Year
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ARLINGTON, Va., July 16, 2021 /PRNewswire/ The National Alliance on Mental Illness (NAMI) today is calling upon policymakers at all levels to ensure the necessary resources are in place before July 16, 2022, when the three-digit number, 988, must be available for suicidal and mental health crises. 988 will serve as an alternative to calling 911 in a mental health emergency. Far too often, people in a mental health crisis receive an inadequate and even harmful response, which frequently involves law enforcement, said NAMI CEO Daniel H. Gillison Jr. One year from today, 988 will be available across the nation for people experiencing a mental health or suicidal crisis. But to realize the promise of 988 to provide a mental health response not a law enforcement response to mental health crises, we need significant action by federal, state
The state simultaneously sent a request for clarification on CMS’s requirements for the enhanced FMAP funds, asking whether it’s allowed to claim the enhanced funds for only a subset of eligible services. The letter also asks for clarifications related to sustainability expectations for items in this proposal, and whether the state may discontinue the enhanced support before the end of the public health crisis. HHSC won’t claim enhanced funding until these clarifications are received from CMS.
The plan lays out three broad goals: supporting providers, supporting recipients, and enhancing and strengthening Texas’s HCBS infrastructure.
Here are some notable items in each category: