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Senators Graham, Smith Announce Agreement on Bipartisan Prescription Drug Plan


July 26, 2002

WASHINGTON (July 26, 2002) – Senators Bob Graham, D-Florida, and Gordon Smith, R-Oregon, announced today that they have reached agreement on an alternative prescription drug benefit plan to be introduced as an amendment early next week.

"This new bipartisan plan will help all seniors buy prescription drugs, but it will give the greatest help to the most vulnerable older Americans – those with the lowest incomes and those with the most serious health problems," Graham said. "It is affordable and reliable, and we think it is a proposal that a majority of senators can rally around."

"Now is the time to put politics aside and work together to help our seniors get access to quality health care," Smith said. "This is a good, focused plan that all of us should be able to support. It targets the most help at those most in need, and is affordable enough for everyone to benefit from the security it provides."

The key elements of the plan, which would start on January 1, 2005, include:

• Benefits are available to all Medicare beneficiaries who opt to pay a $25 annual enrollment fee. There is no monthly premium.

• There is complete "catastrophic" coverage for all drug purchases above $4,000 in out-of-pocket spending, with only a small co-payment.

• There is comprehensive coverage of all drug purchases for those with incomes up to 150 percent of poverty. They will pay a nominal share of the cost per prescription.

• Everyone with incomes above 150 percent of poverty would get a drug discount of 20 to 35 percent, including a 5 percent federal subsidy. The size of the discount will depend on the prices negotiated on behalf of Medicare by pharmacy benefit managers (PBMs).

The Congressional Budget Office's preliminary estimate of the plan's cost is $400 billion through 2012.

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