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Morning Briefing

Summaries of health policy coverage from major news organizations

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Friday, Mar 10 2023

Full Issue

Biden's Budget Proposal Focuses On Health Care

President Biden's budget proposal sent to Congress attempts to lower drug prices, particularly insulin, and increase the number of drugs for which government will negotiate the price.

President Biden made lowering drug prices a key part of his budget with proposals to expand Medicare drug price negotiation, squeeze more rebates out of drug companies, and lower the cost of insulin for everyone with insurance. (Wilkerson, 3/9)

President Biden鈥檚 budget proposal focuses heavily on expanding access to health care and lowering the cost of prescription drugs. In an effort to extend the life of Medicare鈥檚 hospital trust fund, the budget proposal would increase the number of drugs that can be negotiated, and allow those negotiations to begin sooner.聽 (Weixel, 3/9)

President Biden on Thursday proposed a $6.8 trillion budget that sought to increase spending on the military and a wide range of new social programs while also reducing future budget deficits, defying Republican calls to scale back government and reasserting his economic vision before an expected re-election campaign. The budget contains some $5 trillion in proposed tax increases on high earners and corporations over a decade, much of which would offset new spending programs aimed at the middle class and the poor. It seeks to reduce budget deficits by nearly $3 trillion over that time, compared with the country鈥檚 current path. (Tankersley, 3/9)

The Biden administration released details Thursday of the president's plans, which touch on Medicare, Medicaid, the Children's Health Insurance Program, the health insurance exchanges, the Indian Health Service, prescription drug prices, mental healthcare, rural health, HIV/AIDS, cancer and other issues. (Turner, 3/9)

Biden also teased a pitch to 鈥渟trengthen鈥 Social Security, which is projected to reach insolvency by 2032, but aside from opposing attempts to 鈥渃ut Social Security benefits鈥 in the request, the administration鈥檚 proposal appears to fall short of providing a plan to shore up solvency for the program. The plan instead included a 10 percent spending boost for the Social Security Administration, or $1.4 billion, while pushing for investments in 鈥渟ervice delivery to speed up claims processing鈥 and ensure recipients receive promised benefits. (Folley and Gangitano, 3/9)

More on the cost of Medicare 鈥

When President Biden accused some Republicans during his State of the Union address last month of wanting to sunset the country鈥檚 two big elderly entitlement programs, GOP legislators booed. Mr. Biden responded: 鈥淪ocial Security and Medicare is off the books now, right? They鈥檙e not to be touched? All right. We鈥檝e got unanimity.鈥 The price of that unanimity becomes starkly clear in Mr. Biden鈥檚 budget, released Thursday. As promised, it doesn鈥檛 cut either program鈥檚 benefits. As a result, their cost continues to ratchet steadily higher. By 2033, they consume 10.5% of gross domestic product, up 2.7 percentage points from last year. (Ip, 3/9)

While presidential budgets don鈥檛 always get enacted word for word鈥攅specially amid a divided Congress鈥攊t does give an illustration of the administration鈥檚 priorities for the Medicare Advantage program.聽Here are some of the proposals that could affect MA plans. (King, 3/9)

Biden's budget plan may indicate that he's running for reelection 鈥

While Biden hasn鈥檛 announced that he鈥檚 running again yet, his budget proposal stakes out what might as well be campaign positions on how to counter Chinese aggression, save Medicare from insolvency, tackle tax loopholes for the wealthy and more. The proposal touts trillions of dollars in spending and policies enacted on Biden鈥檚 watch, building on passage of the $1.9 trillion coronavirus aid package and bipartisan infrastructure bill, plus Democrats鈥 signature tax, climate and health law. Here are 15 ways the president鈥檚 fiscal 2024 budget request frames his electoral pitch. (Scholtes and Emma, 3/9)

President Biden's fiscal 2024 health budget contains few bombshells. But it's a useful guide to what he sees as accomplishments to build on 鈥 and likely previews key parts of a prospective 2024 campaign platform. With a divided Congress and little chance of major legislation, Biden's best bet may be drawing contrasts with Republicans on pocketbook issues like drug costs and to portray the GOP as intent on cutting voters' health care and retirement benefits. (Bettelheim, 3/10)

More on the cost of insulin and other drugs 鈥

Now that Eli Lilly is cutting prices on some of its insulin products, Sen. Bernie Sanders (I-Vt.) is seeking to build on that momentum. This week, he introduced a bill that would place a $20 cap on all insulin, a move designed to drastically lower costs for millions of Americans. (Silverman, 3/9)

By law, Medicare will have to take a medication鈥檚 efficacy and its research and development costs into account when it starts to negotiate drug prices 鈥 but recent research shows pharma companies ignore those factors when they pick prices for their products. (Silberner, 3/10)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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