IN THE SENATE OF THE UNITED STATES
March 7, 2019
Mr. Casey (for himself and Ms. Collins) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions
To establish an interactive dashboard to allow the public to review information on the price and utilization of prescription drugs purchased by Federal programs.
This Act may be cited as the
Prescription Drug Pricing Dashboard Act.
Prescription drug pricing dashboard
The Secretary of Health and Human Services (referred to in this section as the
Secretary) shall establish, and annually update, an interactive internet website-based dashboard, through which patients, clinicians, researchers, and the public can review information on the price and utilization of prescription drugs purchased by Federal programs, and view pricing trends over time.
The internet website established under subsection (a) shall provide at least the following information with respect to a drug:
The brand and generic name.
Consumer-friendly information of the drug’s uses and other relevant clinical information.
For each Federal program (which shall include the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.), the Medicaid program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.), the Federal Employees Health Benefits Program established under chapter 89 of title 5, United States Code, and any other Federal program, as determined by the Secretary), the following information regarding program spending for each drug:
The average Federal and, as applicable State, spending per dosage unit in the preceding 2 fiscal years.
The percentage change in spending on the drug per dosage unit from the preceding year, and to the extent feasible, from the preceding 5 to 10 fiscal years.
The change in average spending per dosage unit in the preceding 2 fiscal years.
The annual growth rate in average spending per dosage unit in the preceding 5 fiscal years.
Total spending for the preceding fiscal year.
The number of individuals receiving such drug under the program in the preceding fiscal year.
Average spending on the drug per beneficiary for the preceding fiscal year.
With respect to a drug covered under part B of such title XVIII the average sales price as determined under section 1847A of the Social Security Act (42 U.S.C. 1395w–3a) for the preceding fiscal year.
Consumer-friendly information about the average, highest, and lowest out-of-pocket cost for the drug (such as copayment or coinsurance amounts) for an individual enrolled in a State plan under such title XIX or the Medicare program under such title XVIII (including parts B and D of such title) in the preceding fiscal year or in the preceding plan year in the case of part D of such title, including such costs under such part before, during, and after the coverage gap described in subparagraphs (C) and (D) section 1860D–2(b)(2) of the Social Security Act (42 U.S.C. 1395w–102(b)(2)).
Such additional information pertaining to Federal expenditures on, or consumer out-of-pocket costs for, drugs, as the Secretary determines appropriate.
The Secretary shall identify, in a separate element of the dashboard—
for each Federal program described in paragraph (1)(D), the 15 drugs with the highest total program spending, including, for drugs covered under the Medicaid program, the median State spending per dosage unit;
the 15 drugs with the highest total Federal spending across all such Federal programs;
any drugs with annual per-user spending under any such program, based on claims data analysis, that, for the first reporting year is $10,000 or more per user, and, in subsequent reporting years, is priced at or above the rate, as determined by the Secretary, that is $10,000, increased by the medical care consumer price index; and
the drugs ranked among the top 10 highest unit costs increases (if not already identified) for any such Federal program.
The interactive internet website-based dashboard described in this subsection shall include machine-readable data files.
The Secretary may include such additional information (not otherwise prohibited in law from being disclosed) on the website-based dashboard that would provide patients, clinicians, researchers, and the public with information about prescription drugs and their prices as the Secretary determines appropriate.
Plan To incorporate data from other programs
Expansion of dashboard
Within 2 years of the date of enactment of the Prescription Drug Pricing Dashboard Act, the Secretary shall submit to the Committee on Finance, the Committee on Health, Education, Labor, and Pensions, the Committee on Armed Services, the Committee on Veterans' Affairs, and the Special Committee on Aging of the Senate and the Committee on Ways and Means, the Committee on Energy and Commerce, the Committee on Armed Services, and the Committee on Veterans' Affairs of the House of Representatives, a report that includes a plan to expand the dashboard under this section to include data on Federal expenditures on, and patient out-of-pocket costs for, drugs under the TRICARE program, the health program of the Department of Veterans Affairs, and qualified health plans purchased through an American Health Benefits Exchange or other private health insurance coverage.
In preparing the report in paragraph (1), the Secretary shall consult with the Secretary of Defense and the Secretary of Veterans Affairs.