White House, Congress considering killing Part D rebate rule, creating spending cap

White House and congressional staff from both parties are discussing legislation that would create an out-of-pocket cap on drug costs for Medicare Part D beneficiaries, individuals briefed on the discussions told BioCentury.

The spending cap would be coupled with eliminating or deferring implementation of the Trump administration’s proposal to prohibit rebates to PBMs and health plans in Medicare Part D. ...