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State Activities: Impact on the U.S. Pharmaceutical Industry

Published by: Decision Resources

Published: Jun. 25, 2007 - 35 Pages


Table of Contents



Executive Summary

Strategic Considerations

Stakeholder Implications

State Legislatures Taking Action Against Serious Drug Concerns

2007 State Legislative Bills

Northern States Push for Drug Reimportation

Political Maneuverings Create “Poison Pills”

Vested Interests: Politicians, Lobbyists, and Patients

Effects of Looming Presidential and Congressional Elections

Battle Lines Drawn Over Access to Prescriber-Identifi able Prescription Data

New Hampshire’s Prescription Information Law

AMA National Prescribing Data Restriction Program

Electronic Health Records—Interoperability, Transparency, and Accountability for All

National Health Information Network

State Alliance for e-Health

State Attorneys General Not Afraid to Litigate

State Antitrust Enforcement

Average Wholesale Price Manipulations and State Litigation

Educating Physicians: Evidence-Based Medicine and Counter-Detailing

Pennsylvania’s PACE Program

The Drug Effectiveness Review Project

The Prescription Project

States Are Funding Research That Benefi ts the Pharma Industry

Economic Development Through State Life Sciences Initiatives

Stem Cell Funding Initiatives

Access to Affordable Medicines

State Children’s Health Insurance Program

State Pharmaceutical Assistance Programs

States Push for Generics

Industry’s Helping Hand

Mandatory Human Papillomavirus Vaccine Legislation

Just Another Cancer Drug or First-Ever Vaccine?

A New Challenge for Pharmaceutical Companies

State-Sponsored Universal Health Care

States Taking the Lead on Universal Health Care

Businesses Attempt Health Care Reform

Capturing the Future




Figures




1. Factors Contributing to Total Prescription Drug Spending Growth, 1988-2016

2. United States Expenditures on Prescription Drugs, 2000, 2005, and 2016

3. Prescription Drug State Legislation, 2007

4. Drug Reimportation Timeline: Politics, Patients’ Rights, and Pharmaceutical Industry Lobbying

5. Timeline of Select Stem Cell Research Activities in Different States, 2000-2007

6. SCHIP Funds: Allocation Versus Spending, 1998-2007

7. State Pharmaceutical Assistance Programs, 2006

8. Health Insurance Premiums, Percentage Increase, 1996-2006

9. Status of State Initiatives for Health Care Reform




Sidebars




New Hampshire House Bill 1346—An Act requiring certain persons to keep the contents of prescriptions confi dential [excerpt]

Human Papillomavirus, Cancer, and Sexually Transmitted Disease




Tables




1. State e-Health Initiatives—Channels for Creating Health Information Technology Networks, 2007

2. States Take Legal Action Against Pharmaceutical Companies

3. Relative Advantages of Life Sciences Clusters in Three States, 2002 Appendix—State Drug Assistance Programs, 2007

Abstract

Introduction

In 2005, 17% of the nation's $2 trillion in health care costs was paid by state and local governments, including more than $21.7 billion for prescription drugs; these costs are expected to double over the next ten years. Determined to protect state budgets without cutting essential health care services, state legislatures are enacting laws intended to lower drug costs by regulating the health care and prescription drug industries.

Get the Answers You Need to Shape Your Strategy

As drug costs continue to rise, state legislatures become increasingly proactive, enacting legislation intended to contain costs and to create new kinds of local health care initiatives-and taking legal action against pharmaceutical companies over issues of drug pricing and safety. Can pharmaceutical companies turn this situation around? How can companies adjust their marketing strategies to the requirements of increasingly vigilant national and state governments? In the current environment of distrust, are there opportunities for companies to build mutually benefi cially relationships with the states? In the proliferation of state initiatives in many areas of health care, are there any that may benefit pharmaceutical companies?

Scope
  • Issues addressed by state legislatures: . drug pricing, drug reimportation, patient/prescriber privacy, electronic medical records, stem cell funding, life sciences research, HPV vaccination, universal health care.
  • 2007 state legislation: . most active states, bills fi led, most frequently targeted pharmaceutical-related issues.
  • Programs initiated by states: . evidence-based medicine initiatives, Pennsylvania PACE Program, Oregonbased Drug Effectiveness Review Project, the Prescription Project, child health insurance programs, drug purchase assistance, state-funded life sciences research initiatives.
  • Prescription data protection: . New Hampshire prescription information law, AMA prescribing data restriction program.
  • Electronic health records: . State Alliance for e-health, individual state initiatives, National Health Information Network.
  • State legal actions against pharmaceutical companies: . companies targeted, plaintiff states, nature of complaints, settlements awarded.
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