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California State 2005 - Proposition 79 Prescription Drug Discounts. State-Negotiated Rebates. |
Official Summary, Pros & Cons
Compare Propositions 78 and 79
Other Resources
UU Reflection...
Visitor's Comments
Join the Discussion!
Proposition 78 and 79 offer dueling attempts to provide a drug discount program for low and moderate income Californians. Proposition 78 is financed by the Pharmaceutical industry, and Proposition 79 is put forward by consumer, senior, and health advocates with financing coming primarily from public employee unions. If they both pass, the one that has the most votes becomes law and the other one is null and void. The battle between Prop 78 and 79 is turning into the most expensive political campaign in California history, with drug manufacturers outspending their opponents by about 40 to 1.
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Current Programs
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Official Summary, Pros and Cons
- Provides for prescription drug discounts to Californians who qualify based on income-related standards, to be funded through rebates from participating drug manufacturers negotiated by California Department of Health Services.
- Prohibits new Medi-Cal contracts with manufacturers not providing the Medicaid best price to this program, except for drugs without therapeutic equivalent.
- Rebates must be deposited in State Treasury fund, used only to reimburse pharmacies for discounts and to offset costs of administration.
- At least 95% of rebates must go to fund discounts.
- Establishes oversight board. Makes prescription drug profiteering, as described, unlawful.
Proposition
79 Summary
(Source: Official CA State Voter Information Guide)
Proposition
79 Analysis
(Source: Official CA State Voter Information Guide)
Arguments
and Rebuttals
(Source: California Secretary of State/Elections and Voter Information)
A YES vote means that a new drug discount program would be created to reduce the costs Californians, with incomes at or below 400 percent of the federal poverty level, would pay for prescription drugs. The new program would be linked to Medi-Cal for the purpose of obtaining rebates on drugs. State law would provide penalties for drug profiteering.
A NO vote rejects this prescription drug discount program for low- and moderate-income California residents.
Comparing
Proposition 78 and 79
Proposition 78 and 79 are competing propositions. If both pass, the one with
the most votes wins.
Proposition 78 - What
it would do:
Establishes a discount prescription drug program for uninsured
Californians with low and moderate incomes. Drug manufacturers
would be invited to offer discounts on a voluntary basis. Those
CA residents eligible to participate would be limited to those
uninsured Californians who earn up to 300 % of federal poverty
level ($29,000 for individual and $58,000 for a family of four).
Persons enrolled in Medicare could also obtain discount cards
for drugs not covered by Medicare. Program can be cancelled if
there are not enough discounts offered to make the program work
or if a vendor cannot be found to run the program.
Proposition 79 - What
it would do:
Creates a prescription drug discount program for uninsured and underinsured
Californians under 400% of the federal poverty level ($38,000 for an individual,
$77,000 for a family of four). Californians with high deductible plans, seniors
who have gaps in their Medicare Part D drug coverage, and people with chronic
conditions who have health care costs that are more than 5% of their income
can also participate. Estimated to serve 8 – 10 million Californians.
Drug companies that don’t offer discounts through this program will no longer have their drugs on the “pre-approved list” for Medi-Cal (California spends $4 billion annually on prescriptions for Medi-Cal patients - the idea is to leverage that spending to bargain for lower drug costs). Prop 79 authorizes the state to broaden the drug discount program to assist some small businesses and labor organizations that purchase health coverage for their employees and their dependents. Proposition changes state law to make it illegal for drug manufacturers to engage in profiteering.
Links Comparing Propositions 78 and 79
Chart
Comparing 78 and 79, on the Legislative Analysts website (half
way down the page)
Frequently
Asked Questions About Propositions 78 and 79
By consumer groups in favor of Prop 79, includes history of why they took
proposition 79 to the ballot
Chart Comparing 78 and 79 on
BuyBlue.org
Comparison by the Pharmaceutical
Industry (Supporting 78; Opposing 79)
Comparison
by CA State Employees Association (Opposing 78; Supporting 79)
The
California Debate: Competing Drug Discount Programs for Millions of Californians (in
depth study)
By Medicine for People in Need (MEDPIN) - Public Health Institute
Organizations & Individuals FOR Proposition 79
Health Access (a coalition of 200 groups)
The Unitarian Universalist Legislative Ministry Action Network recommends a vote against Proposition 78 and for Proposition 79
An Extensive list of those opposed to 78 and in favor of 79
Those opposing Proposition 78 and supporting Proposition 79 get their
primary financial support from the Alliance for a Better California,
and several public employee unions. They have raised $1.8 million. A
list of top ten contributors FOR proposition 79.
Organizations/individuals AGAINST
Proposition 79
Pharmaceutical Research and Manufacturers of America (PhRMA), a trade group
for pharmaceutical and biomedical research firms, have created Californians
for Affordable Prescriptions to fund a campaign for Proposition 78 and Californians
Against the Wrong Prescription to oppose Proposition 79. Drug companies have
pledged a record setting $80.1 million to this effort. Approximately 94% of
this funding is from companies based outside California. Taxpayer organizations,
and the Los Angeles Area Chamber of Commerce are also among other supporters
of Prop 78.
A
List of Top Ten Donors For Proposition 78
Posted by the California Healthcare Foundation
Californians for Affordable
Prescriptions
Selected Articles, Editorials, Opinions, Reports
Never doubt that a small group of thoughtful,
committed citizens can change the world. Indeed, it is the only thing
that ever has.
– Margaret Mead
Drug
Firms Try to Fool Voters
Los Angeles Times, By Michael Hiltzik, August 25, 2005
California's
Dueling Drug Measurers
Associated Press, July 2005
Proposition
79’s AdWatch offering rebuttals to TV ads
Propositions
78 and 79, Backers Make the Difference
Consumers Support One Initiative; with the Other it's the Drugmakers
San Francisco Chronicle, by Victoria Colliver, October 13, 2005
Reflections... UU Commentaries
Coming soon...
Visitor's Comment List
Visitor Name: Yvonne Schumacher Strejcek
Congregation: Unitarian Universalist Community of the Mountains - Grass Valley
Please note that both Propositions 78 & 79 offer alternative ways of handling prescription drug pricing in California, and they won't both pass, although voters are free to vote for or against either or both. The outcome possibilities are that one or the other will pass, or both will fail. If both receive a majority of "yes" votes, then the one with the most "yes" votes will win and the other will fail. So this is why it is important that voters NOT simply vote "no" on everything, just to express displeasure with an expensive special election. For to vote "no" on either 78 or 79 may turn out to be effectively voting "yes" on the other if both garner a majority of "yes" votes.
Yvonne Schumacher Strejcek,
UULMCA board member; member of both UU Community of the Mountains, in Grass Valley, and the UU Church of Berkeley; second year MDiv student at Starr King School
Visitor Name: Chuck O'Neil
Congregation: Unitarian Universalist Society of Sacramento - Sacramento
This is a drug cost reduction bill sponsored by consumer groups. I'll trust them to represent my best interests and vote yes for Prop 79!
Don't pay any attention to the lies in the ads.
Chuck
Visitor Name: John Keasler
Congregation: First Unitarian Universalist Church of San Diego - San Diego
Nix the first Six! Prop 79 and 80 are the only two which I'll vote for. Sadly, the first six are business as usual---hurting public servants, workers and the poor.
Visitor Name: Eric
Congregation: Humboldt Unitarian Universalist Fellowship - Humboldt
Proposition 78 - Pharmaceutical companies' prescription discount proposal
- No
Proposition 79 - Good guys' prescription discount proposal - Yes
Page 38 of the voter's guide provides a chart of the differences between
the propositions. Of course, if both pass, the one with the greater number
of votes prevails.
The measures would essentially expand the existing MediCal prescription
discounts. I'll discuss the other differences shortly, but the key
difference is that prop 78 "offers" to allow drug companies the
opportunity to offer discounts out of the goodness of their hearts. Prop
79 mandates discounts, the punishment for failure to comply being the loss
of MediCal contracts. It also offers rebates to participating companies,
where 95% of the rebates must be directed to actual discounts rather than
administration. Prop 79 mandates oversight, and makes drug profiteering
not only unlawful but also subject to civil suit (hence the propaganda
about how the measure benefits trial lawyers like me).
Another key difference between the measures is the eligibility
requirements. Under prop 78, applicants earning under 300 percent of the
poverty level would be eligible, including families of four earning 58
thousand or less. Under prop 79, the threshold would be 400 percent of
poverty, or 77 thousand for a family of four AND any persons with medical
expenses above 5 percent of income. Prop 79 also establishes a discount
program for employers and labor organizations.
The application and renewal fee for prop 78 is $15, while it is $10 for
prop 79.
Do the math.
The one disadvantage I see to proposition 79 is that it will require
federal approval for the Medicaid related provisions, and unlike prop 78,
the pharmaceutical companies are likely to attempt to tie 79 in the courts
for years. But if they were so confident they could defeat the proposal,
they wouldn't have offered up a sham in the form of 78. And they can
always offer up discounts out of the goodness of their hearts anyway.
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