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Biden Said Medicare Drug Price Negotiations Cut the Deficit by $160B. That鈥檚 Years Away.

We cut the federal deficit by $160 billion because Medicare will no longer have to pay those exorbitant prices to Big Pharma.

President Joe Biden in his State of the Union address, March 7, 2024

President Joe Biden has been making his case for reelection to voters by telling them he is good for their pocketbooks, including at the pharmacy counter.

During his聽, Biden said legislation he signed gave Medicare the power to negotiate lower prescription drug prices.

鈥淭hat鈥檚 not just saving seniors money and taxpayers money,鈥澛, a reference to the Inflation Reduction Act, which passed in 2022. 鈥淲e cut the federal deficit by $160 billion because Medicare will no longer have to pay those exorbitant prices to Big Pharma.鈥澛

Biden added, 鈥淭his year, Medicare is negotiating lower prices for some of the costliest drugs.鈥 He called for giving Medicare the power to negotiate prices for 500 drugs over the next decade.

, the federal government announced the first 10 drugs that it will negotiate for lower prices as part of the Inflation Reduction Act. A respected source of legislation analysis projects the change will save the government a lot of money, but those dollars haven鈥檛 been realized.

There is a reason Biden touted this legislation during his address:聽聽shows that people, regardless of their political leanings, overwhelmingly support the idea of allowing Medicare to negotiate drug prices. But most people don鈥檛 know that such negotiations are underway.

Impact of Inflation Reduction Act Will Take Many Years

In August 2022, Biden signed the Inflation Reduction Act, which will allow the federal government to negotiate prices with drugmakers for Medicare. Biden聽聽to repeal the law that barred Medicare from negotiating prices.聽

罢丑别听聽a 10-year cumulative savings of $161.7 billion from two provisions of the Iaw: a phased-in effort to negotiate with drugmakers for lower prices and a rebate for price increases above the overall inflation rate. (罢丑别听聽has previously pointed to this analysis.)

However, not all the savings will be permanent. About $44.3 billion over 10 years will be funneled into related provisions that expand access and lower out-of-pocket costs for Medicare beneficiaries.

鈥淣egotiations are still ramping up, so the savings generated by the Inflation Reduction Act negotiation provisions are still in the future,鈥 said Matthew Fiedler, a Brookings Institution expert on the economy and health studies. 鈥淭he Congressional Budget Office did expect the inflation rebate provisions of the IRA (which are encompassed in the $160 billion) to begin generating modest savings during 2023 and 2024, but there, too, most of the savings are in the future.鈥

The legislation involves price negotiations for聽聽that lack generic equivalents. Those 聽the blood thinners Eliquis and Xarelto; the diabetes drugs Januvia, Jardiance, and NovoLog; Enbrel, for rheumatoid arthritis; the blood-cancer drug Imbruvica; Entresto, for heart failure; Stelara, for psoriasis and Crohn鈥檚 disease; and Farxiga, a drug for diabetes, heart failure, and chronic kidney disease.

罢丑别听聽that the negotiated prices will translate to nearly $100 billion in federal savings from 2026 to 2031.

鈥淏iden is jumping the gun on claiming savings for seniors,鈥 said Joe Antos, an expert on health care at the conservative American Enterprise Institute. 鈥淧rice negotiations haven鈥檛 been completed; the new prices for selected drugs aren鈥檛 in place until 2026.鈥

Biden said the legislation is 鈥渟aving seniors money and taxpayers money,鈥 which could be interpreted to mean it is saving them money now on prescription drugs. But the negotiations for these drugs would define the prices to be paid for prescriptions starting in 2026. For 2027 and 2028, 15 more drugs per year will be chosen for price negotiations. Starting in 2029, 20 more will be chosen a year.聽

That said, other provisions in the legislation have already led to savings for seniors, said Tricia Neuman, a senior vice president at 麻豆女优:

When we pressed the White House to provide examples of savings that have already occurred, a spokesperson pointed to the insulin cap.

Meanwhile, Antos said that although the Part D rebate has kicked in, the savings come from a small subset of Part D drugs taken by older Americans and that the government reaps the savings, not older Americans.聽聽

鈥淭here is no reason to expect that seniors will see significant savings since there鈥檚 no obligation for the feds to distribute savings to Part D enrollees,鈥 Antos said.

Our Ruling

Biden said, 鈥淲e cut the federal deficit by $160 billion because Medicare will no longer have to pay those exorbitant prices to Big Pharma.鈥

Biden鈥檚 statement omits the time frame; the savings have not been realized. The CBO projected 10-year cumulative savings of $161.7 billion from two provisions of the legislation. And as for saving older Americans聽money on their prescriptions, that hasn鈥檛 happened yet. The federal government is negotiating the first 10 drugs with the new prices set to take effect in 2026.

We rate this statement Half True.

Sources

碍贵贵,听鈥,鈥 Jan. 31, 2024

White House,聽鈥Budget Cuts Wasteful Spending on Big Pharma, Big Oil, and Other Special Interests, Cracks Down on Systemic Fraud, and Makes Programs More Cost Effective,鈥 March 9, 2023

Email interview, Matthew Fiedler, senior fellow in economic studies, Center on Health Policy at The Brookings Institution, March 8, 2024

Email interview, Tricia Neuman,聽a senior vice president of 麻豆女优 and the executive director of its Program on Medicare Policy, March 8, 2024

Email interview, Joe Antos, a senior fellow at the American Enterprise Institute, March 8, 2024

White House, statement to PolitiFact, March 8, 2024

President Joe Biden,聽, Aug. 29, 2023

Congressional Budget Office, 鈥,鈥 Sept. 7, 2022

Congressional Budget Office, 鈥,鈥 February 2023

麻豆女优, 鈥,鈥 Jan. 24, 2023

NBC News, 鈥,鈥 Aug. 29, 2023

PolitiFact, 鈥,鈥 Aug. 10, 2022

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