Tom knows that we need to build on these successes by increasing the number of drugs Medicare can negotiate and passing on the cost savings to people with private insurance as well.
Suozzi will build on Medicare drug-price reforms by increasing the number of drugs Medicare can negotiate and extending savings to people with private insurance.
Occurrences
Lower the Cost of Living, Repeal the SALT Cap, and Further Reduce Prescription Drug Prices
Evidence
Tom knows that we need to build on these successes by increasing the number of drugs Medicare can negotiate and passing on the cost savings to people with private insurance as well.
To expand the drug price negotiation program under title XI of the Social Security Act and repeal certain changes to the program made by Public Law 119–21, to apply prescription drug inflation rebates under the Medicare program to drugs furnished in the commercial market, and to establish out-of-pocket limits on expenditures for prescription drugs under private health insurance.
In August 2022, President Biden signed the Inflation Reduction Act of 2022 (P.L. 117-169) into law. For the first time, the law provides Medicare the ability to directly negotiate the prices of certain high expenditure, single source drugs without generic or biosimilar competition. CMS selected ten drugs covered under Medicare Part D for the first cycle of negotiations for initial price applicability year 2026.
This bill expands the Medicare Drug Price Negotiation Program to include additional drugs and drugs that are covered under private insurance. It also extends certain rebate requirements for covered drugs under Medicare to drugs that are covered under private insurance.
Assessments
The promised outcome was to expand Medicare drug negotiation beyond existing IRA reforms and extend savings to people with private insurance. Existing CMS implementation covers the prior IRA Medicare-only negotiation framework and does not deliver the private-insurance extension. Later bills matching the promise, including H.R. 4895 in the 118th Congress and H.R. 6166 in the 119th Congress, remained introduced or referred and did not become law. Available Congress.gov cosponsor records do not show Suozzi sponsoring or cosponsoring those bills, so there is not enough candidate-specific legislative effort for an effort badge.
The promised outcome required both expanding the number of drugs subject to Medicare negotiation and extending those savings to people with private insurance. The Inflation Reduction Act created and began Medicare negotiation, but that was baseline law and did not extend negotiated savings to private insurance. Later bills aimed at this broader policy were introduced but not enacted, and the provided evidence does not establish that Suozzi personally made a serious legislative or executive attempt sufficient for an effort badge. Therefore the promised outcome has not been delivered.