Pennsylvania House Bill HB1470

Pennsylvania 2025-2026 Regular Session

• Introduced: 5/15/25
• Refer: 5/15/25

Caption

In public assistance, providing for subscription model for GLP-1 agonists.

Impact

The potential impact of HB 1470 revolves around its effects on public health and state expenditure. By implementing a subscription model, supporters believe that more individuals suffering from obesity could get the necessary treatment without financial barriers. This could lead to improved health outcomes for the population, thereby potentially reducing the long-term costs associated with obesity-related health issues. However, the bill also necessitates approval from the Centers for Medicare and Medicaid Services, introducing a layer of federal oversight and compliance that could complicate implementation.

Summary

House Bill 1470 proposes an amendment to the Human Services Code of Pennsylvania to allow for a subscription model for GLP-1 agonists, which are medications effective in treating obesity. The bill seeks to establish value-based arrangements with drug manufacturers through supplemental rebate agreements. If successful, this would enable the Commonwealth to pay a fixed amount per treatment up to a specified limit, after which the treatments would be provided at no cost. The bill aims to improve access to these important medications within public assistance programs.

Sentiment

The sentiment around HB 1470 appears to be mixed. Proponents, including some legislators and healthcare advocates, argue that the bill is a progressive step toward more effective management of obesity and could significantly benefit public health systems. Conversely, there is concern regarding the financial implications for the state budget and whether such arrangements might lead to increased costs in the long term. Critics also argue that the reliance on pharmaceutical companies through supplemental rebates may not guarantee equitable access to medications.

Contention

Notable points of contention include the fiscal responsibility associated with the proposed subscription model and the concerns about potential over-reliance on pharmaceutical manufacturers. Some legislators worry that without stringent regulations, such arrangements could lead to inflated drug prices that burden the state's healthcare budget. Furthermore, there may be debates regarding which specific GLP-1 agonists should be included under this model and how access will be managed to ensure equity in treatment for all members of the population.