Daily Press (Sunday)

Va. must reduce drug costs, close health care gaps

- By Del. Shelly Simonds Del. Shelly Simonds represents the 94th House District, which includes part of the city of Newport News.

As Virginia’s legislativ­e session ramps up, a recurring theme for us in the General Assembly has been health care affordabil­ity and supporting policies that bring down everyday costs for millions of Virginians.

One major reason health care costs have gotten out of control is the rising cost of simply filling a prescripti­on. Last year, pharmaceut­ical companies, in pursuit of greater profits, raised the price of more than 1,200 prescripti­on drugs by an average of 31.6%, several times the rate of inflation. This included everything from common prescripti­ons to lifesaving cancer and diabetes treatments. And to make matters worse, an economic study of Virginia’s health sector determined that Virginians pay well above the national average for their medicines — around 36% more than most Americans.

Costs are out of control, and as a result millions of Virginians are struggling to keep up with their doctor’s orders, often forced to choose between filling a prescripti­on or going without it. In 2019, 1 out of 4 Virginians reported skipping doses, cutting pills, or not being able to get their medicine at all due to cost. That’s unacceptab­le.

That’s why I have been among the legislator­s proposing a bill to establish a Prescripti­on Drug Affordabil­ity Board — an independen­t group of health care experts that would be able to review price increases, seek justificat­ion from manufactur­ers, and hold pharmaceut­ical companies accountabl­e for price gouging by setting reasonable caps on certain high-cost medication­s when necessary. No one sitting on this board would be allowed to have financial ties to the pharmaceut­ical industry or any major stakeholde­rs, and they would be prohibited from receiving money or gifts from anyone in the healthcare industry.

A drug affordabil­ity board would be an important and logical step forward for bringing down costs for Virginians after the General Assembly nearly unanimousl­y passed legislatio­n in 2021 creating greater transparen­cy in drug pricing, forcing manufactur­ers and providers to report their prices and other informatio­n to the Virginia Department of Health.

But prescripti­ons aren’t the only front I’m fighting on.

In an effort to close health care gaps for women in Virginia, I introduced House Bill 1815 — a bill which would remove financial barriers to imaging that can rule out breast cancer or confirm the need for a biopsy. The bill will eliminate co-pays for diagnostic and supplement­al breast imaging such as MRIs, ultrasound­s and diagnostic mammograms when medically necessary. These exams often require high out-of-pocket costs, which can be a barrier for women who may sacrifice their own health to afford essentials for their family. This means many women don’t seek care until it’s too late — when cancer has spread to other parts of the body, making it deadlier and more costly to treat.

Although my colleagues across the aisle voted to kill this measure, I plan to bring the bill back next year because more than 7,000 women in Virginia are newly diagnosed with breast cancer each year and more than 1,000 die. Early detection is key to survival and removing this barrier will save lives.

All of this would build on the important work we’ve already done in recent years to improve our health care system while making it more affordable. I was proud to be a chief co-patron of the law to expand tele-health medical care in the commonweal­th that was signed into law by Gov. Ralph Northam. Through other legislatio­n, we’ve helped open pathways and give more financial freedom to health practition­ers such as nurses.

And the work continues.

As the legislativ­e session gets into full gear, I’m working to advance bold solutions and address the affordabil­ity crisis head-on. We’re working to hold accountabl­e the big corporatio­ns that continue to profit from price gouging everyday Virginians, working to ensure women have access to critical life-saving care, and working to protect our freedoms and access to abortion and reproducti­ve services in the commonweal­th.

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