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  • 365 National and State-Based Groups Sign on to Preserve the Medicare Part D Program

    This week, a growing list of national and state-based organizations sent a letter to Congress asking them to preserve the Medicare Part D program. The Patriots’ Project adds its support to this initiative because we must continue to support free markets and competition in the healthcare sector:

    Dear Congressman/Senator:

    Legitimate concerns over an exploding federal budget deficit and looming “fiscal cliff” have prompted some Members of Congress and the Obama Administration to propose Medicaid style rebates for the dual eligible and Medicare low income subsidy (LIS) populations, which together account for 56 percent of Medicare prescription drug spending. This proposal would require manufacturers of brand name drugs to pay the federal government a rebate on drugs purchased by enrollees in the LIS program. On behalf of the undersigned organizations, we are writing to register our strong opposition to mandatory rebates on prescription drugs in Part D.

    The signatories of this letter are a broad based coalition representing providers, consumers, patients, insurers, and employers. We recognize the urgent need for Congress to reduce the nation’s debt and spur economic growth. We believe, however, that achieving real savings requires reducing costs, not shifting them onto others. A Part D mandatory rebate would fail this test.

    Specifically, a Part D rebate could:

    Increase premiums. Economic studies have estimated that Part D premiums for most Medicare beneficiaries could increase by 20 to 40 percent under the rebate approach. Half of Medicare beneficiaries had household incomes below $21,183 in 2010. Half of those aged 85 and older had incomes under $18,000. Medicare populations cannot afford these rebate-driven increases in their prescription drug plans.

    Shift as much as $112 billion in costs onto employers, Medicaid, and the 79 percent of Medicare beneficiaries who do not participate in LIS. The proposal would expand Medicaid-style rebates to roughly 40 percent of Medicare Part D beneficiaries who account for more than half of Part D spending. At the same time, Medicaid populations will also grow dramatically as the result of the Affordable Care Act; 18 million is the forecast. The combination of $112 billion in estimated savings from the proposal, and the growing rebates created by an expanded Medicaid population will conspire to increase drug prices and costs. Economic studies show these costs could be passed on to employers, Medicaid and beneficiaries.

    Jeopardize savings and patient adherence to drugs. Less access to affordable prescriptions means patients may not take the drugs they need as prescribed. Because the availability of affordable drug coverage is achieving savings of about $1,200 annually per beneficiary in reduced hospital and skilled nursing facility costs, proposals that increase drug costs may lead to higher costs in more expensive settings. In addition to the human toll, Medicare could incur tens of billions of dollars annually in avoidable complications and hospital admissions.

    Weaken the incentives that have helped dramatically reduce the cost of prescription drugs for seniors. This year the average Part D premium came in at less than half the Medicare Trustees’ 2004 projection, and total costs for the program were 43 percent lower than CBO’s forecast that same year. Earlier this year, the CMS Administrator at the time said Part D is “a competitive market and we’re seeing the effect of good competition among Part D plans take its effect”.

    In a Medicare system that is fraught with inefficiencies, Part D has set the standard for delivering better value at a lower cost. As health costs have increased elsewhere, the average Part D premium, thanks largely to competitive bidding, has held steady the past three years. An astounding 90 percent of enrollees are satisfied with their coverage. This argues for exercising caution in fundamentally changing incentives in a program that clearly has demonstrated success on so many fronts.

    We strongly urge Congress to reject any proposals that would undermine the current program’s success in holding down premiums. A Part D mandatory rebate is a poorly informed, ill-conceived policy that poses serious risks to the health and well-being of millions of seniors, veterans and persons with disabilities.

    We look forward to working with Congress to help strengthen Medicare and to ensure that the program is stable, efficient and effective, and that it continues to maintain and improve the health of beneficiaries.

    National Organizations

    AIDS Institute
    Allergy & Asthma Network
    American Autoimmune Related Diseases Association
    Asian & Pacific Islander American Health Forum
    Association of Black Cardiologists
    Blue Ribbon Advocacy Alliance
    COPD Foundation
    Council for Affordable Health Coverage
    Ehlers-Danlos Syndrome Network C.A.R.E.S. Inc.
    Genetic Alliance
    Global Healthy Living Foundation
    Healthcare Leadership Council
    Healthy African American Families Phase II
    Interamerican College of Physicians and Surgeons
    International Institute For Human Empowerment, Inc.
    Kidney Cancer Association
    Latino Commission on AIDS
    Licensed Professional Counselors Association
    Men’s Health Network
    National Alliance on Mental Illness
    National Asian Pacific American Center on Aging
    National Association for Continence (NAFC)
    National Association for Medical Direction of Respiratory Care
    National Association of Health Underwriters
    National Association of Manufacturers
    National Association of Nutrition and Aging Services Programs
    National Association of People with AIDS
    National Black Nurses Association
    National Council for Community Behavioral Healthcare
    National Council on Asian Pacific Islander Physicians
    National Hispanic Medical Association
    National Medical Association
    National Minority Quality Forum
    National Taxpayers Union
    Newborn Coalition
    Pharmaceutical Industry Labor Management Association (PILMA)
    Small Business & Entrepreneurship Council
    The International Autoimmune Arthritis Movement
    The Latino Coalition
    The National Grange
    U.S. Chamber of Commerce
    US Pain Foundation
    Veterans Health Council
    Women Against Prostate Cancer
    ZERO – The End of Prostate Cancer

    State Based Organizations

    “It’s About Me” Breast Cancer Awareness Association, KS
    1 in 9: The Long Island Breast Cancer Action Coalition, NY
    4th Street Clinic, UT
    A Partnership of Diabetics (A-POD), MN
    Advanced Cancer Therapeutics, KY
    Advocacy Center, Louisiana
    Advocates for Responsible Care, GA
    AIDS Alliance of Northwest Georgia
    AIDS Outreach Montana
    AIDS Resource Center Ohio
    Alabama Council of Community Mental Health Boards
    Alabama Lifespan Respite Resource Network
    Alabama Silver Haired Legislature
    Alder Health Services, PA
    All of Life, UT
    Alliance Community Services, UT
    Alliance House of Utah
    Alzheimer’s and Dementia Alliance of Wisconsin
    Alzheimer’s Association – Montana Chapter
    Alzheimer’s Association – San Antonio & South Texas
    American Diabetes Association – El Paso
    American Liver Foundation – Western PA
    American Small Business, KY
    Amigos por la Salud, FL
    Angel Hospice, LA
    Areawide Aging Agency, Inc., OK
    Arthritis Association of Louisiana
    Arthritis Topeka, KS
    Associated Industries of Missouri
    BayBio, CA
    Bio District New Orleans, Louisiana
    Bio Nebraska Life Sciences Association
    BioForward, WI
    BioHouston, TX
    Birmingham Metro Diversity Coalition, AL
    Blue Ribbon Advocacy Alliance, FL
    Boat People SOS, AL
    Brain Injury Association of Nebraska
    Calcasieu Council on Aging, LA
    California Black Health Network
    California Healthcare Institute
    California Senior Advocates League
    Capital District African American Coalition on AIDS (CDAACA), NY
    Center for Health Care Services, TX
    Centro Civico of Amsterdam, Inc., NY
    Centro de Mi Salud, LLC – Bilingual Behavior Health
    Care Services, TX
    Chez Hope, Louisiana
    Cimarron Alliance, OK
    Coalition of Texans with Disabilities
    Colorado Gerontological Society
    Combined Health Agencies, CA
    Comfort Keepers of Greater Charleston, SC
    Community Action Association of Alabama
    Community Health Action Network
    Community Health Charities Iowa
    Community Health Charities of Florida
    Community Health Charities of Nebraska
    Community Health Charities of Wisconsin
    Community Volunteers Association, Louisiana
    Council on Aging of Greater Nashville, TN
    Crohn’s and Colitis Foundation of America – Minnesota/Dakotas Chapter
    Crohn’s & Colitis Foundation – Rocky Mountain Chapter
    Crohn’s & Colitis Foundation of America, Iowa and Nebraska
    Daughters of Charity Services of New Orleans
    Des Moines WomenHeart ,IA
    Diabetes Dayton, OH
    Disabled Rights Action Committee, UT
    Easter Seals of Massachusetts
    Easter Seals UCP North Carolina
    Elder Care Advocacy of Florida
    ElderServe, KY
    Embracing Latina Leadership Alliances (ELLAS), CA
    Epilepsy Association of the Big Bend, FL
    Epilepsy Foundation of East Tennessee
    Epilepsy Foundation of Western Wisconsin
    Family and Youth Counseling Agency, Louisiana
    Federation of Protestant Welfare Agencies, NY
    Filipino American Service Group, Inc. (FASGI), CA
    Firehouse Ministries, Louisiana
    First Step House, UT
    FirstLight Senior Care, KY
    Florida Hispanic Chamber of Commerce
    Florida Transplant Survivors Coalition, Inc.
    Friends of West End, AL
    Georgia Bio
    Georgia Commission on Women
    Georgia Institute for Women
    Georgia Osteoporosis Initiative
    Greater Louisville Association of Health Underwriters, KL
    Greater OK City Chamber of Commerce
    Guardia Care, KY
    Guiding Right, OK
    H.E.A.L.S of the South, FL
    Harlem United Community AIDS Center, NY
    Harvey Citizens for Part D, LA
    Health Access, Louisiana
    Health Care Navigators, KY
    Healthy African American Families Phase II, CA
    Healthy Heritage Movement, CA
    Hep C Connection, Colorado
    Hispanic Interest Coalition of Alabama (HICA)
    Hope House, LA
    Houston Realty Business Coalition, TX
    Illinois Biotechnology Industry Organization
    Independent Medicine, Prof. LLC, SD
    Indiana Health Industry Forum
    Instructive Visiting Nurse Association (IVNA), VA
    Interamerican College of Physicians & Surgeons, FL
    Interdenominational Ministerial Alliance of Greater Mobile, AL
    International Autoimmune Arthritis Movement (IAAM) , CA
    Iowa Biotech Association
    Iowa State Grange
    Jefferson Council on Aging, Louisiana
    Jennings, Louisiana Medicare Access
    Jobkeeper Alliance, AL
    Juvenile Diabetes Research Foundation of Utah
    Kansas Healthcare Leadership Council
    Kentucky Association of Health Underwriters
    Kentucky BioAlliance
    Kentucky BioProcessing
    Kentucky Chamber of Commerce
    Kentucky Senior Resources
    KeyVive, UT
    Lafayette Council on Aging, Louisiana
    Latin American Chamber, UT
    Latino Diabetes Association, CA
    Leukemia & Lymphoma Society – Greater Los Angeles Chapter
    Leukemia & Lymphoma Society Iowa and Nebraska
    Leukemia and Lymphoma Society of San Diego
    Life-Links Geriatric Care Management, TN
    LifeScience Alley, MN
    Louisiana Arthritis Association
    Louisiana Black Health TV
    Louisiana Blue Cross
    Louisiana Health Access Network
    Louisiana Medicare RX Access Network
    Louisiana People’s Health
    Louisiana SHIP
    Louisiana Women’s Network
    Louisiana for Part D
    LRI National Coalition, NY
    LSU Medical Center
    Lupus Alliance of America, Long Island/Queens Affiliate
    Lupus Alliance of America, Upstate NY Affiliate
    Lupus Foundation of America, Iowa Chapter
    Lupus Foundation of America, Texas Gulf Coast Chapter
    Lupus Foundation of Florida, Inc.
    Lupus Foundation of Genesee Valley NY, Inc.
    Lupus Foundation of Mid and Northern New York
    Lupus Foundation of Oregon
    Lupus Foundation of Southern California
    Lupus Foundation of Utah
    Magic Valley NAMI, ID
    Manufacture Alabama
    Massachusetts Association for Mental Health
    Massachusetts Biotechnology Council
    Massachusetts Health Council
    Medical Oncology Association of Southern California
    MEDwheels, Inc., TX
    Mended Hearts, Inc., OH
    Mental Health America of Greater Tarrant County (TX)
    Mental Health America of Middle Tennessee
    Mental Health America of the Heartland, KS/MO
    Mental Health Association in New York State, Inc.
    Mental Health Association of Nebraska
    Metacyte Labs, KY
    Missouri Chamber of Commerce and Industry
    Missouri Healthcare Leadership Council
    MO Bio
    Montana State Grange
    Mount Carmel Health System, CA
    Mountain Health and Community Services, CA
    NAACP, Ogden Branch
    NAMI – Mid-Carolina
    NAMI – Nebraska
    NAMI Florida
    NAMI Iowa
    NAMI North Carolina
    NAMI of Oklahoma
    NAMI Ohio
    NAMI, Utah
    National Association of Social Workers, NC
    National Council of Negro Women: Southern California Area, View Park Section
    National Health Foundation, CA
    National Kidney Foundation serving Ohio
    NC Action for Children
    NC Biotechnology Center
    NC Psychological Association
    NC Bio
    Neighborhood Health Association, OH
    New Orleans Council on Aging
    Norman Chamber of Commerce, OK
    North Carolina AIDS Action Network
    North Carolina Association of Health Underwriters
    North Carolina Chamber
    North Idaho AIDS Coalition
    Northeast Kidney Foundation
    Northern Utah Coalition
    Ohio AIDS Coalition
    Ohio Council for Home Care and Hospice
    OK City Area Agency on Aging
    Okie’s Pharmacy, TN
    Oklahoma Association of Optometric Physicians
    Old North State Medical Society, NC
    Oncology & Hematology Institute, Louisiana
    Oregon Bioscience Association
    Oregon Chamber of Commerce
    Other Options Food Pantry, OK
    Ovarian Cancer Coalition of Greater California
    Owensboro Medical Center, KY
    Pacific Islander Chamber of Commerce, UT
    Palmetto AIDS Life Support Services, SC
    Parkinson’s Association of San Diego
    Parkinson’s Partners, KY
    Partners in Care Foundation
    Partnership For A Drug Free NC
    Patient Services Inc., VA
    Pennsylvania Bio
    Perennial Services Network, TN
    Plaza Community Services, CA
    Prairie Healthcare Advocacy, Inc., SD
    Prescription Access Network of Stark County, Inc., OH
    Prevent Blindness Iowa
    Prevent Blindness Ohio
    Project Success, UT
    RAIN Oklahoma
    Reels for Recovery, UT
    Rio Grande Valley Diabetes Association, TX
    Rio Grande Valley Partnership, TX
    Rocky Mountain Stroke Center, CO
    Rush to Live, IL
    RxMed Pharmacy, TN
    S.L.E. Lupus Foundation, NY
    SAGE Utah
    San Clemente Collaborative, CA
    Scleroderma Foundation/Tri-State Chapter, NY
    Senior Connections, The Capital Area Agency on Aging, VA
    Sjögren’s Syndrome Foundation, NY
    South Carolina HIV-AIDS Council
    South Dakota Cares
    Southeast Georgia Communities Project
    Southhall Oubre Clinic, Louisiana
    State Chamber of Oklahoma
    Tech Council of Maryland
    Teche Action Clinics, Louisiana
    Tennessee Association of Health Underwriters
    Terrebonne Council on Aging, Louisiana
    Texas Association of Business
    Texas Association of Manufacturers
    Texas Bio Corridor Alliance
    Texas BioAlliance
    Texas Business Group on Health
    Texas Conservative Coalition Research Institute
    Texas Healthcare and Bioscience Institute
    Texas Nurse Practitioners
    Texas Oncology
    Texas Research & Technology Foundation
    Texas Senior Advocacy Coalition
    The G.R.E.E.N. Foundation, CA
    The Minority Health Institute, CA
    The Wall Las Memorias Project, CA
    TMJ Society of California
    Transition House, OK
    Twin Falls Senior Center, ID
    United Cerebral Palsy of Alabama
    Urban League of Portland, OR
    Utah Advocates
    Utah Black Chamber
    Utah Developmental Disabilities Council
    Utah Hispanic Chamber of Commerce
    Utah Public Employees’ Association
    Utah Support Advocates for Recovery Awareness
    Vietnamese Social Services of Minnesota
    Virginia Biotechnology Association
    Virginia Chamber of Commerce
    Virginia Rural Health Association
    Visiting Nurses Association
    Windows of Hope, Louisiana
    Wisconsin Women’s Health Foundation
    Wisdom of Wellness Project, GA
    Women of Faith and Hope, Inc., PA
    Women’s Health Access Project, Louisiana
    Womens3D, LA
    Wood River Valley NAMI, ID
    Wound Care Clinic, GA
    Wyoming Epilepsy Association

    Click here to add your organization to the list

    This post was tagged under: Indiana Politics

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