Democrats race for drug pricing deal

From: POLITICO Pulse - Monday Nov 01,2021 02:06 pm
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Quick Fix

— Democratic leaders worked through the weekend to secure a new drug pricing agreement that could squeeze into the social spending bill.

— Moderna isn’t filing for kid Covid shots yet as regulators work through data suggesting some myocarditis risk.

— Voters aren’t thinking about the pandemic as much these days, leading campaign strategists to shift back toward key social, economic and education issues.

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A message from PhRMA:

From out-of-pocket costs, to deductibles, to hospital bills – the most vulnerable patients face challenges. 3 in 10 Americans who have insurance still face a financial barrier to care. We need to make the cost of medicine more predictable and affordable. Learn more.

 
Driving the Day

DEMOCRATS RACE FOR DRUG PRICING DEAL — Democrats are zeroing in on a deal to lower prescription drug prices that the party hopes it could add to President Joe Biden’s $1.75 trillion social spending bill as soon as today.

The conversations involve a group of Senate Democrats, including Kyrsten Sinema of Arizona, along with House leadership and rank-and-file and the White House, sources familiar with the effort told Burgess Everett, Alice Miranda Ollstein and Heather Caygle.

Party leaders have redoubled their efforts after drug pricing reform was dropped from last week’s draft spending proposal, dealing a blow to many Democrats who have pledged action to lower drug costs, a broad priority for voters. Lawmakers including Rep. Frank Pallone and Sens. Chris Murphy (D-Conn.), Elizabeth Warren (D-Mass.), Bernie Sanders (I-Vt.), Amy Klobuchar (D-Minn.) and Mark Kelly (D-Ariz.) have discussed the matter all weekend and “much progress” has been made, said one source familiar, who added there is “optimism that something can be added before House votes.”

What’s in play: The latest draft effort includes a redesign of Medicare Part D, drug negotiation and rebates, said a source with direct knowledge of the effort. It’s not as expansive as the House’s landmark HR 3 drug bill, but based on the same parameters.

What’s next: No deal was final as of Sunday, but there was some hope in the party of clinching one within the next 24 to 48 hours, Burgess, Alice and Heather write.

But the same problems exist. Biden previously cut a limited deal with Sinema and Rep. Scott Peters (D-Calif.) that progressives have resisted, saying they would rather leave drug pricing out of the package altogether than pass what they see as a weak version that will sap motivation for future action. At the same time, Democrats could miss their one viable opportunity to pass drug pricing action — through reconciliation.

MODERNA DELAYING BID FOR KIDS’ COVID SHOT — Moderna will delay seeking Food and Drug Administration authorization of its Covid-19 vaccine for kids ages 6-11 until the agency completes a review of the shot's myocarditis risk in teens, the company announced Sunday.

The expected delay means the Pfizer-BioNTech Covid vaccine is likely to be the only option for young children in the near term, Lauren Gardner writes. FDA granted emergency use authorization to that vaccine on Friday, and the CDC is expected to sign off on guidelines for its use this week.

Some international data shows a heightened risk of myocarditis in younger people who receive messenger RNA vaccines, though incidence is still rare. Moderna maintains that its vaccine is safe in teens, and that the observed rate of myocarditis reported in people under 18 in the company's global safety database "does not suggest an increased risk of myocarditis in this population."

COVID FADING IN VOTERS’ MINDS Polls say that the pandemic isn’t top of mind for voters anymore. As a result: Covid-related political advertising has fallen off sharply and strategists are advising political candidates to shift their focus.

It’s evident from recent polls in the off-year New Jersey and Virginia elections, where pre-pandemic concerns like taxes, the economy and schools now rank as the top voter priorities, David Siders writes. Strategists of both parties are advising candidates to shift their focus ahead of the midterm elections in 2022.

In the closing days of a bitterly contested gubernatorial race in Virginia, 23 percent of voters ranked Covid as one of their top two voting issues, according to a recent Monmouth University poll. That’s down nearly 10 percentage points from the previous month.

“Everybody’s just ready to move on,” said Julie Roginsky, a former top adviser to Gov. Phil Murphy, the New Jersey Democrat who is favored to win reelection on Tuesday. “It’s been 18 months, and whether the science merits it or not, the public’s ready to move on. … They’ve reverted back to the issues they’ve always cared about, which had been put on pause for the past 18 months.”

Read more: Meanwhile, most House Republicans aren’t feeling compelled to help Democrats out of their infrastructure jam, believing the stall helps their midterm prospects — particularly because other legislative priorities opposed by the GOP are languishing, Olivia Beavers writes.

 

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PSAKI TESTS POSITIVE FOR COVID — White House press secretary Jen Psaki tested positive for Covid-19 on Sunday. Psaki is not traveling with Biden on his international trip and hasn’t seen him since an outdoor meeting last Tuesday, she said.

Biden, who received a Covid booster shot last month, departed Washington on Thursday for the G-20 summit in Italy. Psaki would have been on the trip but last week pulled out, citing a family emergency — on Sunday she said it was a member of her household testing positive, though she had not at the time.

“Thanks to the vaccine, I have only experienced mild symptoms which has enabled me to continue working from home,” Psaki said in her statement. She said she would resume in-person work after a 10-day quarantine period following a negative rapid test.

SURPRISE BILLING LITIGATION BEGINS — The Texas Medical Association late last week filed a lawsuit seeking to invalidate the Biden administration’s interim final rule on surprise medical billing, arguing it will ultimately harm patients.

It’s the first major challenge to the administration’s rule, released in September following the passage of the No Surprises Act. It is slated to go into effect in January.

But the TMA argues in its complaint — filed in the U.S. District Court for the Eastern District of Texas — that the rule as written would skew too heavily in payers’ favor and isn’t what the new law intended. “At the same time, they will undermine providers’ ability to obtain adequate reimbursement for their services, to the detriment of both providers and the patients they serve,” the association said.

Blowback: The Coalition Against Surprise Medical Billing — backed by many major payers — said the Texas lawsuit “is not about patients – it’s about money.” The group argued that the existing rule “is clearly and effectively designed to protect patients and all Americans from out-of-control health care costs over which they had no control or choice.”

 

STEP INSIDE THE WEST WING: What's really happening in West Wing offices? Find out who's up, who's down, and who really has the president’s ear in our West Wing Playbook newsletter, the insider's guide to the Biden White House and Cabinet. For buzzy nuggets and details that you won't find anywhere else, subscribe today.

 
 

CONTRACTORS MULL SEVERING GOVT DEALS OVER VACCINE MANDATE — Some trucking companies are mulling whether to end their work with the federal government as the deadline for workforce vaccination approaches, Hailey Fuchs and Natasha Korecki write.

The American Trucking Associations’ executive vice president for advocacy Bill Sullivan told POLITICO that some companies may simply decide that the cost of the mandate is not worth the government’s checks. That could mean delays in holiday shipping, transport for military vehicles and even deployment of the National Guard, he said, adding that he’s raised these concerns with the White House.

“It has the potential to seriously impact military readiness,” he said.

The broader issue: Vaccination rates have ticked upwards notably across industry as mandates go into effect. But interviews with more than a dozen industry advocates across the aerospace, distribution, defense and trucking sectors reveal they either have little confidence they will be able to meet the Dec. 8 deadline for workers to receive their first shot or expressed concerns about difficulties the mandate would pose for their employees, Hailey and Natasha write.

Case in point: Defense and industry officials are sounding warning bells that weapons programs crucial to America's defense could face delays if enough skilled workers walk off the job because of the mandate, Paul McLeary and Lee Hudson also reported this weekend.

SCOTUS ALLOWS MAINE VACCINE MANDATE TO REMAIN IN EFFECT — The Supreme Court on Friday night rejected an emergency appeal from health care workers in Maine to block a vaccine mandate. The high court has turned away other challenges to vaccine mandates including one from students at Indiana University, but, unlike Maine, those mandates offered religious exemptions.

Dozens of health care workers have opted to quit, and a hospital in Maine’s second-largest city already curtailed some admissions because of an “acute shortage” of nurses, Dan Goldberg writes.

Republicans have accused Maine Gov. Janet Mills of a mandate so rigid she is endangering residents’ health care. But most health workers have complied, and Maine residents in general have been supportive of the vaccine. The Maine Hospital Association and other health care groups support the requirement.

SENATOR URGES TESTING INFLUXNew Hampshire Democrat Jeanne Shaheen is urging the administration to boost Covid testing supplies amid a surge of cases in her states.

The senator in a letter to HHS on Sunday wrote “Due to the recent surge of COVID-19 cases this summer, increased demand for rapid tests has greatly diminished the supply of these critical tools. … I urge you to continue efforts to ensure that the federal government can procure and distribute the rapid tests required to safely reopen our communities.”

 

BECOME A GLOBAL INSIDER: The world is more connected than ever. It has never been more essential to identify, unpack and analyze important news, trends and decisions shaping our future — and we’ve got you covered! Every Monday, Wednesday and Friday, Global Insider author Ryan Heath navigates the global news maze and connects you to power players and events changing our world. Don’t miss out on this influential global community. Subscribe now.

 
 
What We're Reading

Cervical cancer screening has vastly improved — but mortality rates haven’t followed. Heidi Splete explores why in Medscape.

Democratic women in Congress are pressing moderates like Sen. Joe Manchin (D-W.Va.) to salvage paid family and medical leave gutted in the recent reconciliation language, The Washington Post’s Tony Room reports.

Tonga this weekend reported its first-ever case of Covid-19 after a citizen returned from a trip to New Zealand, The Associated Press’ Nick Perry reported.

 

A message from PhRMA:

The most vulnerable patients face challenges.

3 in 10 Americans who have insurance still face a financial barrier to care.

We need to make the cost of medicine more predictable and affordable. That means covering more medicines from day one, making out-of-pocket costs more predictable, and sharing negotiated savings with patients at the pharmacy counter.

Learn more.

 
 

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