Executive Order 13948 · 2020-09-23

Lowering Drug Prices by Putting America First

Medicare Required to Pay No More Than Lowest Foreign Drug Prices

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Signed by Donald Trump
Published 2020-09-23

What it does

Federal health agencies must test payment models to limit Medicare Part B and Part D drug payments to the most-favored-nation price.

Real-world impact

  • Tests new Medicare payment rules for expensive prescription medicines.
  • Aims to prevent Medicare and taxpayers from paying higher foreign prices.
  • Could encourage drug companies to lower U.S. prices to match foreign levels.

Topics

prescription drug pricesMedicaresenior healthcare costsdrug manufacturersgovernment spending

Summary

This executive order directs the federal government to test new payment rules so Medicare will not pay more for certain expensive Part B and Part D drugs than the lowest price those drugs sell for in comparable wealthy countries. The order defines the "most-favored-nation price" as the lowest adjusted price among OECD countries with similar per-capita income.

The Secretary of Health and Human Services must develop and test payment models to see if using those lower prices reduces poor health outcomes and spending.

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