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New Poll Shows Strong Support for Medicare Negotiation Across Key House Districts

76 Percent of Voters in Key Districts Support Giving Medicare the Power to Negotiate for Lower Drug Prices for All Americans

Washington, DC — A new PPP poll on behalf of Protect Our Care released today shows that voters in 10 key congressional districts whose representatives indicated in a recent letter that they may oppose the Lower Drug Costs Now Act (H.R. 3) overwhelmingly support giving Medicare the power to lower prescription drug prices for all Americans, and they reject the argument that Medicare negotiation would slow down innovation.

The districts surveyed were: Cardenas (CA-29), Correa (CA-46), Peters (CA-52), Murphy (FL-07), Mrvan (IN-01), Auchincloss (MA-4), Gottheimer (NJ-05), Rice (NY-4), Schrader (OR-05), and Strickland (WA-10). In response to the poll’s findings, Protect Our Care Chair Leslie Dach issued the following statement:

“This poll confirms what we already know to be true: drug prices in this country are out of control, and Americans are demanding change. Voters across the political spectrum want Medicare to have the power to negotiate for lower prices and are willing to make their elected officials pay at the ballot box if they fail to act. Voters also overwhelmingly reject Pharma’s big lie that giving Medicare the power to negotiate for lower drug prices will harm innovation.” 

See the full PPP memo and toplines. 

Key Findings:

  • Voters of all political party affiliations agree that prescription drug prices are too high in this country: 88% of Democrats, 89% of independents, and 79% of Republicans think prices are too high.
  • A majority of Republicans (54%) and almost three-quarters (73%) of independents support giving Medicare negotiating power to lower drug prices, along with nearly all (90%) of Democrats.
  • Voters reject the argument that allowing Medicare to negotiate for lower drug prices would slow down innovation. Fewer than 1 in 10 voters support this argument. By a margin of 70% (77-7%), voters would rather “allow Medicare to negotiate with drug companies” than are concerned that it will “undercut drug companies’ ability to innovate and develop new drugs.”
  • Members of Congress risk losing support from voters of all political affiliations if they oppose allowing Medicare to have the power to negotiate for lower drug prices. A third (33%) of Republicans, almost half (45%) of independents, and 60% of Democrats say they would be less likely to vote for them.
  • A large majority (71% of all voters and 72% of voters over the age of 65) strongly support making sure Americans do not pay more for the same prescription drugs than people pay in other countries.
  • A further 70% of all voters and 75% of voters older than 65 strongly support using the savings from lower drug prices to provide hearing, dental, and vision coverage to people on Medicare as well as lower health insurance premiums for millions more.

NEW ADS: Protect Our Care Launches First West Virginia Ad in Seven-Figure Campaign Featuring Patient Who Needs Action to Lower Drug Prices

“Mindy” Will Run on Digital Platforms Statewide

Watch the 30-Second Ad Here

Watch the 15-Second Ad Here

(CHARLESTON, WV)  — Protect Our Care, WV held a virtual press conference Thursday to announce its first digital ad release in West Virginia as part of a seven-figure ad campaign about prescription drug prices. The ad features Mindy, a patient  from Morgantown who is struggling to afford her insulin. In the ad, Mindy tells her personal story and relays the importance of giving Medicare the power to negotiate with drug companies for lower prices for all Americans. 

The ad is part of The Campaign to Reduce Drug Prices, a grassroots and communications campaign calling for comprehensive legislation to lower drug prices. The ad will run on digital platforms, focusing particularly on older Americans, beginning on June 29. Protect Our Care will continue to run ads and host events both nationally and in 13 key states, including West Virginia, throughout the summer.

“Mindy’s story is all too familiar in West Virginia and across the country,” said Protect Our Care Executive Director Brad Woodhouse. “While drug companies are making record profits and raising the price of hundreds of drugs during the pandemic, millions of Americans are forced to choose between paying for the medicines they need to live or paying for food or rent. Drug companies raise the price of existing drugs like insulin year after year, with no reason other than that they can. It’s time for West Virginia lawmakers to do the right thing and support giving Medicare the power to negotiate for lower drug prices. The time to act is now.”

“West Virginians are suffering and dying because of the high cost of prescription drugs,” said Mindy Salango, who is featured in the West Virginia ad. “Our elected officials work for us. We vote them in. We are their constituents. It takes less than two minutes to call your elected officials and tell them to support the American Families Plan and H.R.3. We have to let our elected officials know where we stand.”

“Over 430-Thousand West Virginians have foregone medications to pay for household bills and essential items – with recent polling showing that 74 percent of West Virginia residents say they are concerned about the cost of their medications,” said Dr. Jessica Ice, Executive Director of West Virginians for Affordable Health Care. “Millions of seniors, people living with disabilities, and families are struggling and in desperate need of federal legislation to negotiate drug prices. It’s disingenuous to suggest that pharmaceutical companies cannot conduct research and development with lower prescription drug costs. Taxpayers pay a large proportion of the research that is necessary to produce the drugs that help them live their healthiest life, so to deny a public good, funded by our government, without cost controls is unconscionable.”

Script for “Mindy” (:15): 

I pay about $350 a month for all my supplies in order to keep my blood glucose under control.

The thought of not being able to afford my medication is terrifying.

It’s time for our leaders to act.

Script for “Mindy” (:30): 

I didn’t even know diabetes ran in my family.

When I was first starting out as a diabetic, insulin generally would cost about $25 a month.

Now, I pay about $350 a month for all my supplies in order to keep my blood glucose under control.

The thought of not being able to afford my medication is terrifying.

West Virginians are suffering and dying because of high prescription drug costs.

It’s time for our leaders to act.

You can watch the press conference here, and learn more about how the Lower Drug Costs Now Act (H.R. 3) will make prescription drugs more affordable here.

NEW ADS: Protect Our Care Launches First New Jersey Ad in Seven-Figure Campaign Featuring Doctor Who Wants Action to Lower Drug Prices

“Dr. Shah” Will Run on Digital Platforms Statewide

Watch the 30-Second Ad Here

Watch the 15-Second Ad Here

New Jersey — Protect Our Care New Jersey and health care advocates held a virtual press conference to announce Protect Our Care’s first digital ad in New Jersey as part of a seven-figure ad campaign about prescription drug prices. The ad features Dr. Shah, a provider from New Jersey whose patients are struggling to afford their prescriptions. In the ad, Dr. Shah tells his personal story and relays the importance of giving Medicare the power to negotiate with drug companies for lower prices for all Americans.

The ad is part of The Campaign to Reduce Drug Prices, a grassroots and communications campaign calling for comprehensive legislation to lower drug prices. The ad will run on digital platforms, focusing particularly on older Americans. Protect Our Care will continue to run ads and host events both nationally and in 13 key states, including New Jersey, throughout the summer.

“Dr. Shah’s story about patients forgoing essential medications is all too familiar in New Jersey and across the country,” said Protect Our Care Executive Director Brad Woodhouse. “While drug companies are making record profits and raising the price of hundreds of drugs during the pandemic, millions of Americans are forced to choose between paying for the medicines they need to live or paying for food or rent. Americans should not have to pay two or three times more for their medicines than people in other countries. It’s time for New Jersey lawmakers to do the right thing and support giving Medicare the power to negotiate for lower drug prices. The time to act is now.”

“As an emergency room doctor who specializes in addiction medicine, I meet patients on a regular basis who are experiencing difficulty paying for lifesaving medication,” said Dr. Shah. “One in four New Jerseyans report having to forgo filling a prescription because of skyrocketing costs. Patients shouldn’t be forced to ration medication or delay care because costs are too high. Prescription drug reform is long overdue, and I hope that our members of Congress will help New Jerseyans get the care they need and deserve.” 

Script for “Dr. Shah” (:30):

I’ll never forget the time I was treating a patient in the emergency room.

He said, “Doc, I’ve got heart disease and diabetes.

I’ve got to take medications for them both.

But I’ve only got enough money to take one of them.”

To me it was as clear an illustration of how broken prescription drug pricing in this country has become.

This is a problem that affects us all.

It doesn’t make sense for us to prioritize profits over people and most importantly my patients.

We really need Congress to act.

It’s time to let Medicare negotiate drug prices for all of us.

 Script for “Dr. Shah” (:15):

I was treating a patient in the emergency room.

He said, “Doc, I’ve got heart disease and diabetes.

I’ve got to take medication, but I’ve only got enough money to take one of them.”

We really need Congress to act.

It’s time to let Medicare negotiate drug prices for all of us. 

You can watch the press conference here, and learn more about how the Lower Drug Costs Now Act (H.R. 3) will make prescription drugs more affordable here.

TODAY: Thanks to the American Rescue Plan, Americans Who May Have Lost Their Job During the Pandemic Have More Pathways to Obtain Affordable Health Care

Washington, DC — Starting today, as part of the American Rescue Plan, the Biden administration is providing more options for Americans to obtain affordable health care. Americans who may have lost their job during the pandemic, and are approved to receive unemployment compensation for any week beginning in 2021, may be able to find even lower cost plans and additional savings on out-of-pocket expenses. In response, Protect Our Care Executive Director Brad Woodhouse issued the following statement: 

“This provision of the American Rescue Plan is just the latest example of President Biden steering our country onto the right path. Now Americans who have been impacted from job losses or underemployment during the pandemic will have an easier time getting the health care they need. President Biden has delivered on his promises in his short time in office. In addition to passing the American Rescue Plan, which lowers premiums and expands coverage to millions of Americans, the Biden administration rolled back the Trump administration’s sabotage of the ACA and opened a special enrollment period that has helped nearly one million Americans get covered. These critical policies are only the first steps in President Biden’s plan to ensure that all Americans have access to affordable health care, rein in the skyrocketing prices of prescription drugs, and address racial disparities in our health care system.”

NEW VIDEO: Female Storytellers Reflect on the Impacts of High Drug Prices for Women, Highlight Urgent Need for Reform

Watch the Video Here

Washington, DC – Today, Protect Our Care is releasing a new video as part of Week 4 of the Lower Rx Summer Campaign that highlights how high drug prices impact women disproportionately. Throughout the week, Protect Our Care will host events and release additional research to demonstrate the urgency for reform to bring down drug prices for women, including allowing Medicare to negotiate drug prices for everyone. 

Earlier this week, Protect Our Care released a report showing that women are more likely than their male counterparts to use prescription drugs. Economic and social inequality leave women with lower pay and less wealth, making it harder to afford health care. Women are also more likely to be caregivers, leaving them responsible for purchasing medications for family members. As a result, women are more likely than men to skip needed prescriptions because of cost. This problem is only getting worse: A 2019 Gallup poll found that the gender gap for prescription drug affordability is growing, with 28 percent of women unable to afford a prescribed medication in the previous year, compared to 18 percent of men. 

Remaining Theme Weeks for Lower Rx Summer
Week 4 (June 28): How High Drug Prices Hurt Women
Week 5 (July 5): How High Drug Prices Hurt People with Disabilities
Week 6 (July 12): How High Drug Prices Hurt People of Color
Week 7 (July 19): How High Drug Prices Hurt Small Businesses
Week 8 (July 26): How High Drug Prices Hurt Children

“This video shows the impacts of Big Pharma’s greed, particularly for women who carry more of the burden from the high prices of prescription drugs,” said Protect Our Care Communications Director Anne Shoup. “Americans should not have to pay three times more for the same medicines as people in other countries, and unfortunately more women are finding themselves in the impossible position of choosing between paying for lifesaving drugs and paying for housing or food. As the nation recovers from the coronavirus pandemic, ensuring access to affordable health care and lowering the cost of prescription drugs has never been more critical for American women.”

NEW REPORT: How High Drug Costs Hurt Women

Protect Our Care Releases New Report As Part of Lower Rx Summer

Washington, DC — Today, Protect Our Care is kicking off Week 4 of Lower Rx Summer with a report underscoring how high drug costs hurt women. Throughout the week, Protect Our Care will host events and release additional research to demonstrate the urgency for reform to bring down drug prices for women.

Remaining Theme Weeks for Lower Rx Summer

Week 4 (June 28): How High Drug Prices Hurt Women

Week 5 (July 5): How High Drug Prices Hurt People with Disabilities

Week 6 (July 12): How High Drug Prices Hurt People of Color

Week 7 (July 19): How High Drug Prices Hurt Small Businesses

Week 8 (July 26): How High Drug Prices Hurt Children

Women are more likely than their male counterparts to use prescription drugs. Economic and social inequality leave women with lower pay and less wealth, making it harder to afford health care. Women are also more likely to be caregivers, leaving them responsible for purchasing medications for family members. As a result, women are more likely than men to skip needed prescriptions because of cost. This problem is only getting worse: A 2019 Gallup poll found that the gender gap for prescription drug affordability is growing, with 28 percent of women unable to afford a prescribed medication in the previous year, compared to 18 percent of men. 

“It’s clear the current system is unjustifiable and unsustainable for all Americans, but particularly for women who carry more of the burden from the high prices of prescription drugs,” said Protect Our Care Communications Director Anne Shoup. “Americans should not have to pay three times more for the same medicines as people in other countries, and unfortunately more women are finding themselves in the possible position of choosing between paying for lifesaving drugs and paying for housing or food. It’s time to put an end to Big Pharma’s greed and give Medicare the power to negotiate for lower drug prices.”

In 2019, the House of Representatives passed the Lower Drug Costs Now Act (H.R. 3), historic legislation that would lower drug prices for all Americans. H.R. 3 would save patients over $150 billion and reduce the price of the costliest drugs by as much as 55 percent

Not only does giving Medicare the power to negotiate help patients at the pharmacy counter, but it would save the federal government $500 billion, which could be reinvested to strengthen health care. These savings could help lower premiums, expand coverage, and strengthen Medicare benefits to include hearing, vision, and dental. As the nation recovers from the coronavirus pandemic, ensuring access to affordable health care, and specifically prescription drugs, has never been more critical. 

KEY POINTS

  • Gender disparities restrict prescription drug access. The gender pay gap leaves women with lower incomes and reduced ability to pay for needed medications. More than one in four women who take prescription drugs reported not filling a prescription due to cost. This inequity is compounded for women of color.
  • Prescription drug use is more prevalent among women. More than half of women take prescription medication, making drug costs a regular stressor for millions. With age, medication use increases, disproportionately impacting women who live an average of five years longer than their male counterparts.
  • Big Pharma’s price gouging disproportionately impacts women. Several of the highest grossing prescription drugs are used in the treatment of diseases that disproportionately impact women. 
  • Drug pricing reform would benefit women. 80 percent of Americans understand drug prices are skyrocketing because of Big Pharma’s bottom line, with 75 percent stating they do not have confidence in drug manufacturers to set fair prices. 

Read the new report on How High Drug Costs Hurt Women here.

Biden Administration Revokes Burdensome Medicaid Work Requirements in Arizona, Indiana Continuing Their Efforts to Reverse Harmful Trump-Era Policies

Washington, DC — The Biden administration announced that they are revoking permission for burdensome Medicaid work requirements in Arizona and Indiana, reversing one of the Trump administration’s most harmful policy initiatives. The D.C. Circuit Court of Appeals previously ruled that this cruel and ineffective policy is  “arbitrary and capricious” and fails to advance the purposes of Medicaid. In response, Protect Our Care Executive Director Brad Woodhouse issued the following statement: 

“These burdensome paperwork requirements approved by the Trump administration were meant to boot people off the rolls, which was particularly heartless during the dual public health and economic crises facing Americans. Rather than find ways to rip health care away from Americans during a pandemic, the Biden administration is making health care more affordable and leading the effort to fight the virus. In his short time in office, President Biden has delivered on his promises for the American people by rolling back the Trump administration’s sabotage of the ACA, opening a special enrollment period that has helped nearly one million Americans get covered, and passed the American Rescue Plan which lowers premiums and expands coverage to millions of Americans — a provision he pledged to make permanent.”

Biogen’s Greed Will Devastate Seniors, Shows Vital Need for Prescription Drug Reform

Protect Our Care Releases New Fact Sheet As Part of Lower Rx Summer

Protect Our Care is releasing a fact sheet outlining the costs and implications of Biogen’s new Alzheimer’s medication, Aducanumab, as part of Week 3 of Lower Rx Summer, which is focusing on how drug prices hurt seniors. These costs demonstrate the urgent need to empower Medicare to negotiate to bring down the cost of prescription drugs.

Americans already pay three times more for prescription drugs than our counterparts around the world. With the recent approval of Aducanumab, an exorbitantly expensive and unproven Alzheimer’s drug, intensified costs are expected to become a fixture of American health care spending for years to come. The drug’s $56,000 price tag and estimated $11,200 out-of-pocket cost will push Aducanumab out of reach for the vast majority of patients, as the total cost is nearly double the income of 50 percent of Medicare beneficiaries. While the costs of Aducanumab are extreme, they don’t stop with the medication. PET scans and MRIs, which are not covered by Medicare for Aducanumab treatment, play a crucial role in the drug’s use, creating additional out-of-pocket expenses. The treatment of millions of patients will increase premiums and cost-sharing requirements across the board, particularly for seniors on Medicare. No one should be forced to decide between treatment for a devastating disease and financial ruin. 

Biogen’s greed is appalling —profits over patients, families, and the nation’s health care system. The public understands that drug manufacturers like Biogen are exploiting a broken system that allows skyrocketing drug costs at the expense of all else. That is why the majority of Americans support giving Medicare the power to negotiate for lower drug prices. Requiring Big Pharma to play fair will save nearly $600 billion on prescription drug costs, which can be reinvested to strengthen health care for millions of Americans, including those with Alzheimer’s. These savings could establish an out-of-pocket cap for drug costs under Medicare and expand Medicare benefits to include hearing, vision, and dental.

KEY POINTS

  • Biogen’s blatant greed is financially devastating to Alzheimer’s patients. Aducanumab, can provide no benefit to those suffering from Alzheimer’s if they cannot afford to access it. The drug’s $56,000 annual price creates out-of-pocket expenses so prohibitive, many will be unable to access the care they have been desperately waiting for. While Biogen enjoys soaring share prices, patients and their families will be forced to make the impossible choice between treatment and financial ruin.
  • Medicare cannot withstand the cost of Aducanumab. The drug will have groundbreaking implications for patients, taxpayers, and the entirety of the American health care system. Even if just two of America’s six million Alzheimer’s patients began Aducanumab, it would cause Medicare spending alone to explode by $90 billion – all for a single, unproven drug. A spending increase on this scale would raise premiums across the country, with Medicare beneficiaries experiencing the greatest hardship.
  • Seniors back bold action to reign in corporate profiteering and lower prescription drug prices. Americans know drug manufacturers are taking advantage of a broken system, with 80 percent identifying the pharmaceutical industry’s prioritization of profits as the reason for skyrocketing drug costs. The majority of seniors agree and 82 percent want the federal government to negotiate with Big Pharma to lower their prescription drug prices.

Biogen’s Blatant Greed Is Financially Devastating To Alzheimer’s Patients

Aducanumab’s Out-Of-Pocket Price Highlights Access Disparities For Seniors. The vast majority of Alzheimer’s patients are over 65, many relying on Medicare for health coverage. As an infusion drug, Aducanumab would be covered under Medicare Part B, which requires patients to pay 20 percent of the $56,000 per year price tag. $11,200 in annual out-of-pocket expenses for a single drug would easily push treatment out of reach for many, stressing the extreme disparities that exist for seniors attempting to access specialty drugs, particularly those who are low-income, people of color, and in poor health.

Biogen’s Price Gouging Preys On Vulnerable Patients. While Biogen offers inconclusive evidence of Aducanumab’s effectiveness, executives continue to insist the drug’s $56,000 price tag is ‘responsible’. For the millions of Alzheimer’s patients and their families, desperate for treatment options, Aducanumab’s cost is not responsible – it’s reprehensible. Half of Medicare recipients live on less than $29,650 per year. Even the Alzheimer’s Association called the price of the drug “simply unacceptable” and stressed the need for Biogen to reduce Aducanumab’s cost.

Biogen Stands To Make Billions As Seniors Struggle. Aducanumab is priced at a rate more than six times its estimated value. The Institute for Clinical and Economic Review has assessed that Aducanumab could only be cost-effective at a price under $8,300 per year. 

Aducanumab’s Price Puts Big Pharma’s Greed On Full Display. Even Wall Street analysts did not predict a pharmaceutical corporation would set such an outrageous price for an Alzheimer’s drug. On the day the F.D.A. announced Aducanumab’s approval, Biogen’s shares skyrocketed by 38 percent.

Medicare Cannot Withstand The Cost Of Aducanumab

Health Care Spending Would Surge. If only a third of Americans with Alzheimer’s receive Aducanumab, health care spending could increase annually by $112 billion. With the annual price set at $56,000, Medicare would be spending $90 billion on Aducanumab for two million patients and out-of-pocket spending for patients would be $22 billion for the drug alone. For context, Medicare Part D spent $90 billion in 2020, covering all of the prescription drugs of 46 million Americans. 

Cost-Sharing Requirements Would Skyrocket. Aducanumab’s astronomical price would expose the full brunt of Medicare’s cost-sharing requirements for the six million Medicare beneficiaries with no supplemental coverage. This cost sharing responsibility for Part B medications, like Aducanumab, will be particularly painful for the 90 percent of Medicare Advantage beneficiaries with plans requiring 20 percent coinsurance rates for in-network providers, with that figure surging to 50 percent for medications provided out-of-network. 

Aducanumab Will Increase Premiums For Seniors. Premiums for 56 million Medicare Part B beneficiaries will be heavily impacted by Aducanumab spending. Part B premiums are set equal to 25 percent of annual projected Part B expenditures. An escalation on the scale Aducanumab threatens would drastically alter yearly Part B spending, increasing the cost for all recipients.

Costs Extend Far Beyond The Drug Itself. While the costs of Aducanumab are extreme, the implications for Medicare don’t stop with the medication. PET scans and MRIs play a crucial role in the use of Aducanumab to both diagnose and monitor patients for potential serious side effects, such as brain swelling and bleeding. Medicare does not typically cover the costs of scans used to identify Alzheimer’s associated amyloid buildups and is being aggressively lobbied by scan manufacturers to cover imaging and at higher rates. The options are grim. Either press over-stretched patients to spend additional out-of-pocket dollars, or put pressure on an already overwhelmed Medicare budget to cover yet another Aducanumab related cost.

Aducanumab Is High Risk, High Uncertainty. Despite its high cost, there is no conclusive evidence that Aducanumab is an effective Alzheimer’s treatment, justifying the concern and confusion of FDA advisory committee members, doctors, and bio-pharma industry insiders. Not only has Biogen been unable to produce strong evidence of clinical benefit, despite its astronomical cost, Aducanumab has serious potential side effects. In two seperate clinic trials, 40 percent of patients experienced brain swelling and 17 percent experienced microhemorrhages. Only a broken system would allow the makers of an unproven drug to reap enormous profits from patients grappling with a devastating disease.

Seniors Back Bold Action To Lower Prescription Drug Prices

Seniors Support Federal Government Action To Lower Drug Costs. Nearly 70 percent of seniors want Congress to take action on drug prices by establishing an out-of-pocket limit for Medicare beneficiaries. 82 percent favor empowering the federal government to negotiate lower prescription drug prices, to protect against unconscionable launch prices like Aducanumab’s.

Americans Know Big Pharma Is Taking Advantage Of A Broken System. 75 percent of Americans don’t trust drug manufacturers to set reasonable prices for their drugs and eight in ten believe Big Pharma’s prioritization of profits is to blame for rising cost of prescription drugs.

Older Americans Want A Level Playing Field. Seniors have had enough of paying more for medications than their counterparts around the world. Legislative efforts by Democratic leaders would establish a ceiling price for all negotiated drugs by tying it to the average price in other countries and penalizing pharmaceutical corporations that don’t play by the rules. Six in ten Americans over 65 support tying what Medicare pays for prescription drugs to the amounts paid by other countries.

Wall Street Journal Editorial Board Love Letter to Big PhRMA Misses the Point: Drugs Don’t Work If People Can’t Afford Them

Washington, D.C. —  This week, the Wall Street Journal Editorial Board criticized Democrats for their “assault” on the cost of Biogen’s new Alzeheimer’s drug, Aduhelm. This comes after Biogen announced they would be charging $56,000 for a year’s worth of treatment — almost twice the median income of a Medicare beneficiary — for a drug experts say may not even work. Even the Alzheimer’s Association called the price of Aduhelm “simply unacceptable” and warned “this price will pose an insurmountable barrier to access, it complicates and jeopardizes sustainable access to this treatment, and may further deepen issues of health equity.” In response, Protect Our Care Chair Leslie Dach issued the following statement: 

“Everyone who has known someone with Alzheimer’s knows that this is a horrible, devastating disease. Biogen is feeding on the hopes of millions of Alzheimer’s patients and their families and taking advantage of a broken system that allows drugmakers to set outrageous prices without any limitations. You don’t help people with Alzheimer’s with a drug no one can afford. There is no one more committed to fighting for older Americans and no one who has fought harder to ensure Americans can afford their medications than Senate Finance Chairman Senator Ron Wyden. It’s plain and simple: the Wall Street Journal has repurposed PhRMA talking points while Democrats and Chairman Wyden are committed to ensuring Alzheimer’s patients can afford the treatments they need.” 

Majority Whip James E. Clyburn, U.S. Rep. Robin Kelly and Protect Our Care Call for Federal Action to Close the Medicaid Coverage Gap

Call Demonstrated Urgent Need for a Federal Solution to Close the Coverage Gap and Extend Coverage to Millions

Watch the Event Here

Washington, DC — Today, U.S. House Majority Whip James E. Clyburn (D-SC-06) and U.S. Rep. Robin Kelly (D-IL-02) joined Protect Our Care for a press call advocating for a federal solution for closing the Medicaid coverage gap. Republican leaders in 12 states have rejected Medicaid expansion, blocking millions of people from access to coverage. Four million uninsured adults — including at least 2.4 million people of color, 500,000 people with disabilities and almost a million older Americans — could gain Medicaid coverage if the remaining states adopted Medicaid expansion. 

The call came after leaders of the Congressional Tri-Caucus, which includes the Congressional Asian Pacific American Caucus (CAPAC), Congressional Black Caucus (CBC), and Congressional Hispanic Caucus (CHC), joined more than 60 of their colleagues on a letter advocating for closing the coverage gap through the American Families Plan.

“Even as we welcome the result of last week’s Supreme Court decision upholding the ACA, there is something amiss in the 12 states that have not expanded Medicaid, where millions of Americans are left out of this coverage,” said Majority Leader James E. Clyburn (D-SC-06). “Of those 12 states, nine of them are in the South, where there are large pockets of poverty. Medicaid expansion would be such a tremendous benefit to South Carolinians who fall into this coverage gap. We must act to close this coverage gap now.” 

“Over the past year, we have seen just how important it is that everyone has access to quality, affordable health care whenever they need it. And closing the gap is vitally important not only to people without insurance, but to all of us,” said U.S. Rep. Robin Kelly (D-IL-02). “Our public health depends on as many people having access to care as possible. Medicaid expansion has played a critical role in reducing racial disparities in access to care, and closing the coverage gap will help families get back on their feet after this pandemic and help to finally address the health disparities that persist in our country.”

“There is a stark situation in the states that have not expanded Medicaid, where income eligibility rules are incredibly stringent. In most of these states, if you’re a single mother with two children and you make $9,000 per year, you’re not eligible for Medicaid,” said Yvette Fontenot, Policy and Legislative Affairs Consultant for Protect Our Care. “These states have not been persuaded to change course in the face of generous federal financial incentives, evidence of the health benefits of Medicaid expansion, and the worst pandemic in a century. Waiting for them to act is no longer a viable option.” 

“Medicaid is a lifeline for millions of Americans, and its importance has never been more clear as it has reached record enrollment during the pandemic,” said Protect Our Care Chair Leslie Dach. “Despite the overwhelming benefits of Medicaid expansion, and even with the additional incentives included in the American Rescue Plan, Republicans have put politics over people by continuing to reject the program. Lawmakers must act quickly to provide relief to millions of people who have been locked out of coverage by adopting a federal solution to expand Medicaid in the American Families Plan.” 

BACKGROUND:

    • Six Million People Could Gain Coverage If Remaining Holdout States Expand Medicaid.  An estimated four million uninsured adults — including at least 2.4 million people of color, 640,000 frontline workers, 500,000 people with disabilities, and 926,000 older adults aged 50 to 64 — could gain coverage if the remaining holdout states adopted expansion. In total, roughly 6 million people could enroll in Medicaid if the remaining states implemented expansion.
    • Medicaid Expansion Is Widely Popular. In 2020, the country saw voters in two deeply conservative states, Oklahoma and Missouri, approve expansion. 75 percent of Americans have a favorable view toward the Medicaid program, and 61 percent of Americans in non-expansion states favor expansion. 
    • Medicaid Expansion Results In Healthier Communities. Research confirms that Medicaid expansion increases access to care, improves financial security, leads to better health outcomes, and even saves lives. Medicaid expansion has played a vital role in reducing racial disparities in health care access and has served as a critical safety net during the pandemic. According to the Kaiser Family Foundation, more than 600 studies confirm the broad benefits of Medicaid expansion.