HR1142119th CongressWALLET

To amend the Public Health Service Act to direct the Secretary of Health and Human Services to establish drug adherence guidelines, and for other purposes.

Sponsored By: Representative Schweikert

Introduced

Summary

90% medication adherence target for Medicare drugs. This bill would require the Centers for Medicare & Medicaid Services to create drug adherence guidelines aimed at achieving a 90% adherence rate for Medicare Part B and Part D drugs, incorporate artificial intelligence and machine learning, and promote the use of generic and biosimilar drugs.

Show full summary
  • Medicare beneficiaries: Guidance targets a 90% adherence rate for Part B and Part D drugs, putting new focus on how patients are supported to take prescribed medicines.
  • Health systems, plans, and providers: CMS would be required to include artificial intelligence and machine learning in the guidance, which could lead stakeholders to adopt new monitoring and outreach tools.
  • Drug makers and pharmacies: The guidance must promote generics and biosimilars to the maximum extent practicable, encouraging broader use of those products.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Drug adherence guidelines for Medicare

If enacted, HHS would set drug adherence guidelines for Medicare drugs. The goal would be 90% adherence for Part B and Part D drugs. The guidelines would use artificial intelligence and machine learning. They would promote generics and biosimilars when practical. People on Medicare could see better support taking medicines and possibly lower costs, depending on how plans apply the guidance.

Sponsors & CoSponsors

Sponsor

Schweikert

AZ • R

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

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