CNN
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President Donald Trump announced a multi -stage administrative order on Tuesday with the goal of reducing the price of medicines and reducing medical costs on Tuesdays in the first major measures of health care costs for this semester. His executives try to impose tariffs on pharmaceutical imports that many experts say that they can lead to lack of drugs and prices.
A wide range of orders will not immediately affect the high health care costs of the United States. The White House admitted that it would have to cooperate with Congress to achieve several provisions.
In particular, one of the guidelines is to change the historic BIDEN era initiative where Medicare can negotiate the price of pharmaceuticals for the first time.
This command also requires Robert F. Kennedy Jr. to seek ways to pay the medical care for drug management, such as cancer treatment, regardless of where the patient is treated. Efforts to pass such bills were in effect last semester.
Some of the regulations require a federal -qualified health center to resurrect some of Trump’s goals in the first administration, such as making it easier for the state to import medicines in Canada and requiring a federal qualification health center, to deliver discounts on insulin and epipence to patients. (Biden Administration cited excessive administrative costs and burdens that would have been imposed on the center by organizing the latter rules.)
Lowering pharmaceutical prices was not a key promise of his recent presidential campaign, but Trump announced several administrative orders and guidelines to reduce costs during the first term. But they did not make the medicine more cheaper.
One of the orders is to “improve” the Medicare Drug Price negotiation program created by the Democratic Party’s inflation reduction in 2022.
The BIDEN administration, which predicted this provision of this provision, said that the new power of Medicare would reduce the $ 10 billion in low prices with a low price of $ 10 billion and $ 10 billion in low prices of $ 6 billion and $ 1.5 billion. Drugs are often used to lose weight -a few days before leaving the office in January.
According to a fact sheet distributed by the White House, Trump wants better than 22%achieved in the first round.
Trump’s administrative order instructs Kennedy to propose and pursue guidelines for the improvement of the program’s transparency and the selection of high -cost drugs and to minimize the harmful effects of drug innovation.
Kennedy also needs to work with Congress to make the period of equal period for various types of drugs to negotiate. The Trump administration provides incentives that can invest in large molecular drugs known as biological agents that have not been negotiated for 13 years after the pharmaceutical company is approved by a food pharmacy. In contrast, in general, small molecular drugs, which are usually cheaper and treat more people, are qualified in nine years.
Trump also aimed at IRA provisions that threatened to raise part D premiums, and the BIDEN administration urged the insurance company to provide billions of dollars of subsidies. The president instructs Kennedy to provide recommendations on how to stabilize and reduce part D insurance premiums.
This command also instructs the FDA to simplify the guidelines and approval of biosimilars or complex biological medicines, encourage more doctors to prescribe low -cost competitors.
This command also instructs the FDA to cooperate with the Lord to make it easier to import medicines from other countries. Biden Administration gave Florida to import certain drugs in Canada last year.
Under this command, HHS is instructed to make a plan to standardize the medicare payment for prescription drugs, so it costs the same cost between the doctor’s office and the hospital. According to the White House statement, policy makers have long been called “site neutrality”, and the narrow version of the approach of “site neutrality” can reduce the price to 60%.
Members of the National Assembly have been trying to have a much broader version of this plan, and have attempted a much broader version of the plan to equally pay the medicare payment for drugs and similar services of US hospitals. Last year, however, some Republican members in most rural countries said that if the federal payment was lowered, it could devast local hospitals that depended on higher repayment because of less patients than other patients.
RFK JR. publishes a “large -scale” study of “autism infectious disease.”
Louisiana Republican Bill Cassidy and the New Hampshire Democratic Party Maggie Hassan, who led the site neutral bill, announced their plans to solve the dilemma last year. Reinvest savings From the program to a rural hospital.
Land neutrality reforms can provide some savings from the Republican bidding to cut federal spending in next year’s budget. However, using the site neutral as a cost cutter also means giving up a plan to save savings to rural providers.
Trump also instructed the regulatory authorities to change federal programs that offer steep discounted drugs to hospitals that provide services to low -income and non -insurance patients.
Administrative orders also indicate that there may be greater changes in the program. Pharmaceuticals and Republican lawmakers claim that too many hospitals receive a lot of discounts on pharmaceuticals and do not transparently save them to patients. The hospital group said that these savings are integrated into services for the community.
According to the White House official, Trump also instructed Medicare to conduct a survey of various providers’ costs and discounts. This told reporters to reporters during the media briefing to “considering the rules decisions.”
This command also wants to evaluate the role of a pharmacy beneficiary who acts as a broker between pharmaceutical manufacturers and insurers and pharmacies. These players, known as the PBM, have been accused of long -standing practices and have been accused of rising pharmaceutical prices.
TRUMP is trying to improve the disclosure of the fee paid by the broker to force PBMS to use the employment state. This command also needs to improve the transparency as a direct and indirect reward that PBM receives.
Congress was on the verge of taking a lot of measures to increase transparency and change some practices in December, but was out of the large -scale double -party government funding package, which was then torpedo by Trump and the billionaire Elon Musk.
