Arthritis Foundation Arthritis Ambassador Briefing Dial In: 1 -866 -487 -9460 Participant Code: 931 709 2991# Materials available for download at http: //www. arthritis. org/ambassador_assignment. php September 11, 2013 3 PM Eastern
Agenda • Welcome & August Recap – Laurie Markle, Manager Grassroots Advocacy • Ambassador Experience– Hanna Gruen (PA-14) • How Limiting Cost Sharing for Specialty Drugs would Impact Insurance Premiums- Maria Spencer, Director Federal Affairs • September Ambassador Assignment– Laurie Markle • Reporting Your Activity– Laurie Markle • Housekeeping– Laurie Markle • Q&A 1
August Recess Recap Cosponsors Awareness 2 Pass HR 1827
August Recess Recap 33 Congressional Meetings & Town Halls Results pending. Email to follow. 3
Ambassador Experience On the phone: Hanna Gruen, PA-14 Ambassador 4
HR 460 Impact on Premiums The Problem: Health insurance companies are placing vital, lifechanging and life-saving medications including biologics on specialty tiers and charging a co-insurance or percentage of the cost of the drug, instead of a copay. This practice is placing a substantial financial burden on patients. Some patients may pay hundreds or thousands of dollars per month for a medication that was traditionally on a fixed co-pay. 5
HR 460 Impact on Premiums The Solution: The Patients’ Access to Treatments Act (H. R. 460): Requires plans to limit cost sharing requirements for specialty drug tiers to the level of cost sharing required for non-preferred brand drug tiers; there can be no more than a 10% difference in total dollar cost sharing for any drugs on a tier. Drug Type Example Patient Out-of-Pocket Expense Tier 1: Generic $10 Tier 2: Preferred Brand Name $30 Tier 3: Nonpreferred Brand Name $50 (limits range to 10%: $50 -55) Tier 4: Specialty Tier Drug Cost sharing can be no greater than Tier 3 out of pocket expense. 6
HR 460 Impact on Premiums Arthritis Foundation and 22 other organizations formed the Coalition for Accessible Treatments (CAT) in support of the Patients’ Access to Treatments Act (H. R. 460) CAT commissioned a study to address Congressional concerns about PATA’s impact on premiums. Study Conclusion: Limiting Specialty Drug Coinsurance does not have a large impact on premiums. The bill would increase premium costs by $3 per year, absent any other changes to the average benefit design. 7
HR 460 Impact on Premiums What are we doing? • CAT hosted a press conference to release study results Sept. 10 th • CAT will host a Senate briefing Sept. 19 th • Goal: gain additional co-sponsors in the House; Senate bill introduced 8
September Ambassador Assignment We need Senate Health Legislative Assistants at the Briefing on September 19 th! SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY 1 2 3 4 5 6 7 8 9 10 13 14 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 15 CALLS & EMAILS CALLS & EMALS PRESS EVENT CALLS & EMAILS 11 AMBASSADOR BRIEFING CALLS & EMAILS 9 12 CALLS & EMAILS SENATE BRIEFING CALLS & EMALS CALLS & EMAILS
September Ambassador Assignment Call your Senate Health Legislative Assistants and request their attendance at the September 19 th Briefing If you leave a message and don’t hear back within 3 days, email them. Report POSITIVE RSVPs to Geoff Steber at gsteber@arthritis. org Report your activity to arthritis. org/report 10
September Assignment: First Steps Identify your 2 Senators @ Senate. gov Visit your Senator’s website and identify their DC phone number @ bottom of page Call and ask to speak with the Health Legislative Assistant. Share prepared voicemail. Follow up with an email. If you don’t know the email address, email lkeivel@arthritis. org or lmarkle@arthritis. org 11
September Ambassador Assignment Accessing the resources you need www. arthritis. org/ambassador_assignment. php 12
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Reporting Your Activity POSTIVE RSVPs should be reported to Geoff Steber at gsteber@arthritis. org Report your activity & receive credit at www. arthritis. org/report • Username: Your email address • Password: Last Name 16
Housekeeping Remaining Ambassador Briefings: October 2, 2013 @ 3 PM Eastern November 6, 2013 @ 3 PM Eastern Ambassador Awards are awarded annually based on activity reported October-October. 2013 Award recipients will be announced at the November 6 th briefing. 17
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