Trump Signs Susan Collins’ Legislation Banning Pharmacy ‘Gag’ Rules

WASHINGTON, DC - OCTOBER 10: U.S. President Donald Trump attends a signing ceremony for the "Know the Lowest Price” Act and the “Patient's Right to Know Drug Prices" Act in the Roosevelt Room of the White House O... WASHINGTON, DC - OCTOBER 10: U.S. President Donald Trump attends a signing ceremony for the "Know the Lowest Price” Act and the “Patient's Right to Know Drug Prices" Act in the Roosevelt Room of the White House October 10, 2018 in Washington, DC. The two pieces of legislation are intended to lower the price of prescription drugs and provide more information to consumers on the price of prescription drugs. (Photo by Win McNamee/Getty Images) MORE LESS

WASHINGTON (AP) — Insurers will no longer be able to bar pharmacists from telling consumers when paying cash would be cheaper than using insurance for their prescriptions, as a result of bills signed Wednesday by President Donald Trump.

The two bills had broad bipartisan support as a consumer-friendly move to correct “gag rules” that many viewed as an egregious business practice. One bill applies to private health insurance and the other to Medicare.

The measures bar health plans or middlemen that manage pharmacy benefits from getting in between pharmacists and their customers. No longer can pharmacists be contractually prohibited from telling consumers when they would actually save money by not using their insurance plans.

Such head-scratching situations can arise because of convoluted deals between drug companies, insurers, middlemen and pharmacies.

Trump complained that drug prices are “way out of whack” and “way too high.” But a recent Associated Press analysis of brand-name prescription drug prices suggests repeated strong criticism from the president hasn’t had much impact. The analysis found it’s been business as usual for drugmakers, with far more price increases than cuts.

Health and Human Services Secretary Alex Azar said the bills give patients the right to know about ways to pay the lowest price.

Under pharmacy “gag” rules, pharmacists have been prohibited from proactively telling consumers when their prescription would cost less if they paid for it out-of-pocket rather than using their insurance plan. Pharmacists who disobeyed risked penalties that could impact their business.

47
Show Comments

Notable Replies

  1. Can anything good come from Susan Collins and Trump? I don’t know. Maybe so. The article says the bill is bipartisan. Perhaps this is Trump’s reward to Collins for voting for Kavanaugh and Collins’ attempt to rehabilitate her reputation.

  2. “way out of whack” and “way too high.”
    A subject Trump is intimately familiar with

  3. I feel like the other work around for this would be for pharmacists to utter the phrase, “I am not legally allowed to tell you whether it would be cheaper to pay for this out-of-pocket than using your insurance,” whenever it would, in fact, be cheaper to pay for it out-of-pocket. Repeat as necessary, with eye-winking, nodding, and other gestures.

  4. Avatar for pshah pshah says:

    Wow! Who needs Medicare for all after all? We’ve got pharmacists unbound now! Although they better not criticize guns. Gotta draw the line somewhere.

Continue the discussion at forums.talkingpointsmemo.com

41 more replies

Participants

Avatar for system1 Avatar for fess Avatar for jaligard Avatar for vonq Avatar for george_spiggott Avatar for impurescience Avatar for wanderer Avatar for alansnipes734 Avatar for darcy Avatar for musgrove Avatar for dave_mb Avatar for benthere Avatar for civik Avatar for tena Avatar for junebug Avatar for southerndem Avatar for lemmitellya Avatar for ljb860 Avatar for dannydorko Avatar for maximus Avatar for shackle5pin Avatar for rascal_crone Avatar for arawak Avatar for hazyjay

Continue Discussion