IMPROVING ACCESS TO AFFORDABLE PRESCRIPTION DRUGS ACT
(Senate - March 30, 2017)

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[Page S2146]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




         IMPROVING ACCESS TO AFFORDABLE PRESCRIPTION DRUGS ACT

  Mr. FRANKEN. Mr. President, I rise to talk about a path forward on 
healthcare.
  Last week, Republicans in the House failed to pass the American 
Health Care Act--a deeply flawed policy that amounted to little more 
than a massive tax break for the wealthy at the expense of working 
people. The failure of that bill means that, as Speaker Ryan put it, 
the ACA is the law of the land for the foreseeable future. So today I 
would like to invite my colleagues on the other side of the aisle to 
leave repeal efforts behind and instead roll up their sleeves and work 
with me and other Democrats to improve the system we already have, 
which is the law of the land for the foreseeable future. It is time to 
pass commonsense reforms that build on the successes of the ACA and 
lower healthcare costs.
  In a recent HELP Committee hearing, Chairman Alexander said that he 
wanted to work on a bipartisan basis to stabilize the individual 
market. Great. Let's do that. We should reinstate and strengthen 
programs that help insurance companies stay in the marketplace and 
continue to serve even the sickest patients. We should pass a public 
option to make sure there is competition in every market. We should 
provide more tax credits to more people.
  While we work on those things, there is something else we should do, 
something that, together with a group of my colleagues, I introduced a 
bill about yesterday. It is time to bring down healthcare costs for 
everyone by reducing the price of prescription drugs. It is time to 
pass the Improving Access to Affordable Prescription Drugs Act.
  I think all of us would agree that no one should have to choose 
between affording a lifesaving drug and putting food on the table for 
one's family, but right now that is happening. Companies are setting 
prices that are beyond the reach of consumers and that are driving up 
costs for insurers and taxpayers.
  One in five Americans says he has not filled a prescription simply 
because he could not afford it. Others are rationing care due to high 
prices. A study published just last month found that about 10 percent 
of cancer patients skipped their medication and about 13 percent 
delayed filling their prescriptions. We have all been shocked by the 
stories of EpiPen's prices shooting up nearly 500 percent. The price of 
insulin has more than doubled in the last 5 years.
  Drug companies can essentially set whatever prices they want. As a 
result, in recent years, drug companies have secured some of the 
highest profit margins of any industry.
  Drug prices are too high. That is why my colleagues and I are 
introducing comprehensive legislation to tackle prescription drug 
prices. We want to make sure companies cannot exploit the sick and 
dying to make a profit. The bill includes 17 policy changes that will 
improve transparency, promote affordability, spur innovation, and 
enhance competition. Today, I would like to highlight just three of 
those provisions.
  First, transparency. This legislation requires drug companies to 
disclose how much they spend on research, manufacturing, and marketing, 
as well as research grants from the Federal Government, to help all of 
us understand why prices for lifesaving drugs are so high. It is 
especially galling that so many drugs that are developed with taxpayer 
dollars are unaffordable for so many Americans. Getting this 
information would help all of us hold drug companies accountable, and 
that can be an important step toward bringing prices down.
  Second--something that President Trump called for on the campaign 
trail--the bill will allow Medicare to negotiate lower prices for 
prescription drugs. It is just common sense that the biggest buyer of 
pharmaceutical products in America should be able to use its 
negotiating clout to bring prices down.
  Third, the bill would end the practice of so-called pay-for-delay. 
Right now, drug companies that make the expensive brand-name drugs will 
pay other companies that make generic alternatives to keep their 
products off the market. This is called pay-for-delay. It is 
outrageous, and it is increasingly common. This bill will stop these 
agreements once and for all.
  There is a lot more that this bill does. It penalizes companies that 
price-gouge for lifesaving medicine, and I think we can all agree on 
that. It puts a cap on out-of-pocket drug costs in insurance plans. It 
speeds up generic competition. It funds new innovation and includes a 
number of other provisions.
  Tackling the high cost of prescription drugs is an issue many of my 
colleagues care deeply about. This bill reflects many of their ideas 
and proposals, and I am grateful for their work with me. Moreover, it 
is obvious that the public is ready for action on this issue. 
Overwhelming majorities of Americans in both parties support government 
action to curb out-of-control drug prices.
  I am eager to hear from colleagues on both sides of the aisle and 
from the administration about how we can work together to pass the 
reforms into law. This is an area of health policy that Democrats are 
eager to work on, and we hope the President will stand by his promise 
to stand up to drug companies and reduce costs for American families. 
It is morally wrong that some people are denied access to lifesaving 
drugs because they cannot afford them, and it is something we can fix.
  I am in the Senate so that I can fight for policies that improve 
people's lives. That is why I am here. With this bill, I am trying to 
do exactly that. I hope my colleagues on both sides of the aisle will 
join me in helping to bring down the cost of prescription drugs.
  I suggest the absence of a quorum.
  The PRESIDING OFFICER. The clerk will call the roll.
  The legislative clerk proceeded to call the roll.
  Mr. McCONNELL. Mr. President, I ask unanimous consent that the order 
for the quorum call be rescinded.
  The PRESIDING OFFICER. Without objection, it is so ordered.

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