Health: pharmaceuticals; prescription drug cost and affordability review act; create. Creates new act.
Impact
If enacted, this bill is expected to initiate substantial changes to the pricing landscape of prescription drugs. The board will not only review prices but will have the authority to impose upper payment limits which health insurers, pharmacies, and manufacturers must abide by. This could prevent overcharging and improve access to necessary medications for patients. The bill also establishes a fund to support the activities of the board, ensuring that financial resources are allocated toward its operation and that it can fulfill its role in monitoring and enforcing drug pricing regulations. Such oversight can contribute to lower costs for consumers while also managing the out-of-pocket expenses associated with prescription medications.
Summary
House Bill 4544, also known as the Prescription Drug Cost and Affordability Review Act, introduces measures aimed at enhancing the affordability of prescription drugs in Michigan. The bill establishes a Prescription Drug Affordability Board, which is responsible for reviewing the costs of certain prescription drugs and creating upper payment limits for those that are deemed unaffordable. The board is composed of a diverse group of members, including experts in health care economics and health equity, all appointed by the governor with legislative oversight to ensure transparency and integrity in its operations. This legislative move seeks to address escalating drug prices that can lead to significant financial burdens for consumers and the healthcare system at large.
Contention
Despite the positive outlook of the bill towards drug affordability, there may be considerable pushback from pharmaceutical companies and lobbying groups who could argue that price restrictions may lead to reduced innovation and investment in new drug development. Additionally, the establishment of a state board that mandates price regulation may raise concerns about government overreach into the pharmaceutical industry. Critics may voice worries about how these regulations could affect the availability of specific medications or create a disincentive for companies to launch new products in the state due to financial constraints imposed by the pricing limits.
Final_thoughts
Ultimately, the passage of HB4544 could represent a significant shift in how prescription drugs are priced and regulated in Michigan. Proponents argue that the act will provide much-needed relief to consumers facing high drug costs and contribute to a more equitable healthcare system, while opponents may voice concerns over the implications of such regulations on the pharmaceutical market and drug innovation.
Health: pharmaceuticals; reports on certain costs and other information associated with prescription drugs; require manufacturers of prescription drugs to file with the department. Creates new act.
Health: pharmaceuticals; drug manufacturers from engaging in certain conduct with pharmacies participating with a 340B program; prohibit. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding sec. 17757c. TIE BAR WITH: SB 0952'24
Insurance: other; an enrollee's defined cost sharing for prescription drugs; provide for. Amends secs. 5, 7 & 9 of 2022 PA 11 (MCL 550.815 et seq.) & adds sec. 10.
Insurance: health insurers; compliance with the prescription drug cost and affordability review act; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406z. TIE BAR WITH: SB 0483'23
Enacting the prescription drug cost and affordability review act to establish the prescription drug pricing board and prescription drug affordability stakeholder council to review the cost of prescription medications and establish upper payment limits for certain prescription drugs.