On December 11th, 2018, the Chairman of the Senate Health, Education, Labor, & Pensions (HELP) Committee Sen. Lamar Alexander [R-TN] issued a letter asking for recommendations to reduce the cost of health care in the United States. Today, we responded to Sen. Alexander’s request with numerous recommendations for reducing the cost of health care in the US. Our recommendations included asking Congress to do the following: to amend ERISA to prohibit copay accumulator programs in employer-sponsored insurance plans, to amend ERISA to impose a fiduciary duty on pharmacy benefit managers (PBMs), to modify the Anti-Kickback Statute’s safe harbors to require pharmaceutical rebates to be passed on to consumers, to restore the Affordable Care Act’s (ACA) individual mandate, to allocate money for cost-sharing reduction payments to insurers, and more. You can read our full letter here.

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