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Drug Price Transparency in Medicaid Act of 2023

12/15/2023, 3:55 PM

Summary of Bill HR 1613

Bill 118 HR 1613, also known as the Drug Price Transparency in Medicaid Act of 2023, aims to increase transparency in drug pricing within the Medicaid program. The bill requires drug manufacturers to provide detailed information on the pricing of their drugs to the Centers for Medicare and Medicaid Services (CMS). This information includes the production costs, research and development expenses, and any discounts or rebates offered.

The bill also requires CMS to publish this information on a publicly accessible website, allowing patients, healthcare providers, and policymakers to better understand the factors influencing drug prices. Additionally, the bill mandates that drug manufacturers notify CMS of any price increases above a certain threshold, ensuring that any sudden spikes in drug prices are closely monitored.

Furthermore, the Drug Price Transparency in Medicaid Act of 2023 includes provisions to address price gouging and anti-competitive practices in the pharmaceutical industry. It empowers CMS to take action against drug manufacturers engaging in unfair pricing practices, such as unjustified price increases or price discrimination. Overall, this bill seeks to promote transparency and accountability in drug pricing within the Medicaid program, ultimately aiming to lower drug costs for patients and improve access to affordable medications.

Congressional Summary of HR 1613

Drug Price Transparency in Medicaid Act of 2023

This bill requires pass-through pricing models, and prohibits spread-pricing, for payment arrangements with pharmacy benefit managers under Medicaid. The bill also extends funding for retail pharmacy surveys and requires additional information with respect to price concessions and survey participation to be made publicly available.

Current Status of Bill HR 1613

Bill HR 1613 is currently in the status of Bill Introduced since March 17, 2023. Bill HR 1613 was introduced during Congress 118 and was introduced to the House on March 17, 2023.  Bill HR 1613's most recent activity was Referred to the Subcommittee on Health. as of March 24, 2023

Bipartisan Support of Bill HR 1613

Total Number of Sponsors
1
Democrat Sponsors
0
Republican Sponsors
1
Unaffiliated Sponsors
0
Total Number of Cosponsors
64
Democrat Cosponsors
20
Republican Cosponsors
44
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 1613

Primary Policy Focus

Health

Potential Impact Areas

- Business records
- Congressional oversight
- Government information and archives
- Health care costs and insurance
- Home and outpatient care
- Inflation and prices
- Medicaid
- Prescription drugs
- Public contracts and procurement
- Retail and wholesale trades
- State and local government operations
- User charges and fees

Alternate Title(s) of Bill HR 1613

Drug Price Transparency in Medicaid Act of 2023
Drug Price Transparency in Medicaid Act of 2023
To amend title XIX of the Social Security Act to improve transparency and prevent the use of abusive spread pricing and related practices in the Medicaid program.

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