Chuck Grassley

Senate considering big changes to how Medicare pays for drugs

Sens. Ron Wyden and Chuck Grassley
Sens. Ron Wyden and Chuck Grassley. Photo: Bill Clark/CQ Roll Call

A group of senators is considering a plan to limit how much drug companies can raise their prices in Medicare's prescription drug benefit, among other changes.

The big picture: Some of the proposals would majorly restructure the way Medicare pays for drugs and are sure to draw massive industry pushback — if lawmakers can even agree to them.

The drug pricing debate steps into the future

Sen. Chuck Grassley
Sen. Chuck Grassley. Photo: Win McNamee/Getty Images

The Senate is working on a proposal that would allow state Medicaid programs to pay for new gene therapies over time, and tie those payments to patients' outcomes.

Why it matters: Tying payments to how well drugs work, on this scale, would be an enormous policy change. But some experts are skeptical, saying such a model would perpetuate high prices.