Prescription drug affordability boards don't help lower the cost of medication

These boards cost money to operate, have no clear benefit and place bureaucrats between patients and their physicians, the executive director of the Chicago Hispanic Health Coalition writes.

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Two pharmacists at work behind a counter.

A pharmacy in Uptown. A bill in Illinois would create a prescription drug affordability board and aim to bring down some high drug prices. One health care advocate warns of glitches in the idea.

Pat Nabong/Sun-Times file

A recent opinion piece claimed that proposed legislation to create a state prescription drug affordability board “is the first step to making medications accessible and affordable for all.”

Not only did the essay fail to include a lot of evidence to support this statement beyond the name of the proposed policy, but it neglected to include examples of boards failing to put the patient’s voice first in other states, such as Colorado.

In reality, while several other states have created similar boards to what is being proposed in Illinois, none of those boards have lowered the price on a prescription drug. None of those other boards have saved a single patient any money at the pharmacy counter.

The boards themselves have cost quite a bit to create and maintain. For example, in Washington State the anticipated cost to operate the board will be $1.29 million in fiscal year 2025. But patients have not seen any savings yet.

Beyond the costs and lack of clear benefits, these boards place government-appointed bureaucrats between patients and their physicians. By cherry-picking medicines for price controls, a board could significantly impact the accessibility of a medicine.

The prescription drug marketplace does not just include Illinois, and it is not just made up of manufacturers. There are many intermediary entities between a drug manufacturer and a patient, and most wholesalers exist outside the state of Illinois.

There is a real possibility a price set by this board could result in Illinois providers not being able to administer those drugs. Where will Illinois patients go for their medicine if their local clinic or pharmacy cannot stock it?

Limiting access, even if unintentionally, will hurt our Hispanic and Latino neighbors the most. Consider that in 2015, Hispanic and Latino neighborhoods had more “pharmacy deserts” than white or diverse neighborhoods. Adding price controls on top of pharmacy deserts would only amplify the difficulties Hispanic and Latino Chicagoans face in accessing prescription medications.

The Illinois Legislature could address the high costs of prescription drugs in several ways that would not create more government bureaucracy. Reforming pharmacy benefit managers, middlemen who actually determine what patients pay out-of-pocket for a prescription, would be a great start. Other states, like West Virginia have seen patient savings by passing “Share the Savings” legislation requiring these middlemen to share manufacturer discounts with patients. Our elected officials can make a difference in what patients pay but there simply isn’t any evidence that prescription drug affordability boards are the way to do it.

Esther Sciammarella, executive director, Chicago Hispanic Health Coalition

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