EXPRESS SCRIPTS, INC. for EXPRESS SCRIPTS, INC.

Health Issues HCR

Regulatory policies related to health reform legislation: structure, drug benefits, disclosure Regulatory implementation of HITECH/Accounting of Disclosures Issues regarding making prescription drugs more affordable (generic user fees; pedigree; pathway for biosimilars; REMs). Restrictions on specialty tiering; HR 460

Contacted: Labor, Dept of (DOL); Medicare Payment Advisory Commission (MedPAC); Health Resources & Services Administration (HRSA); Office of Personnel Management (OPM); Health & Human Services, Dept of (HHS); Food & Drug Administration (FDA); Centers For Medicare and Medicaid Services (CMS); Internal Revenue Service (IRS); SENATE; HOUSE OF REPRESENTATIVES; Federal Trade Commission (FTC); Executive Office of the President (EOP); Congressional Budget Office (CBO); Government Accountability Office (GAO); White House Office

Bills named: H.R. 460 (113th)

Medicare/Medicaid MMM

Health reform proposals that impact Medicare Part D such as formulary requirements, PBM disclosure provisions, closing of the Part D coverage gap. General reg/leg Part D issues such as direct negotiation (budget proposals). Statutory implementation of changes to the definition of AMP in Medicaid. Exclusion of specialty distributors' prompt pay discounts from the definition of Average Sales Price. Medicare audit and preferred network restrictions. S. 867, Medicare Prescription Drug Integrity andAnd Transparency Act of 2013 and other versions (HR 4437, S. 867, HR 4577. General issues and legislation (HR 3392) regarding combatting Rx abuse in Medicare and Medicaid (pharmacy lock-in, etc)

Contacted: Office of Personnel Management (OPM); HOUSE OF REPRESENTATIVES; Medicare Payment Advisory Commission (MedPAC); SENATE; Labor, Dept of (DOL); Congressional Budget Office (CBO); Health Resources & Services Administration (HRSA); Food & Drug Administration (FDA); Federal Trade Commission (FTC); Health & Human Services, Dept of (HHS); White House Office; Executive Office of the President (EOP); Centers For Medicare and Medicaid Services (CMS); Government Accountability Office (GAO); Internal Revenue Service (IRS)

Bills named: H.R. 3392 (113th), H.R. 4577 (113th), S. 867 (113th), H.R. 4437 (113th)

Pharmacy PHA

Policies related to the Federal Employees Health Benefit Program's pharmacy benefit (HR 1367); Regulatory design and coverage of pharmacy benefits in health reform Exchanges and the commercial market (EHB, grandfathering, Rx quality, eRx, PBM disclosure requirements, MLR); specialty pharmacy tiering restrictions (HR 460); regulatory implementation of a pathway for the approval of biosimilars; REMs; 340b program; policies placing restrictions on pharmacy benefit designissues regarding making prescription drugs more affordable (generic user fees; pedigree; pathway for biosimilars; REMs). General issues dealing with prescription drug abuse (HR 3392) including Medicare Lock-in programs. General issues dealing with regulating pharmacy drug compounding (PDSQ Act); S. 867 (and versions HR 4437, HR 4577), the Medicare Prescription Drug Program Integrity and Transparency Act.

Contacted: Government Accountability Office (GAO); Internal Revenue Service (IRS); Labor, Dept of (DOL); SENATE; White House Office; Health & Human Services, Dept of (HHS); Executive Office of the President (EOP); Medicare Payment Advisory Commission (MedPAC); Food & Drug Administration (FDA); Health Resources & Services Administration (HRSA); Federal Trade Commission (FTC); Office of Personnel Management (OPM); HOUSE OF REPRESENTATIVES; Congressional Budget Office (CBO); Centers For Medicare and Medicaid Services (CMS)

Bills named: H.R. 4437 (113th), S. 867 (113th), H.R. 4577 (113th), H.R. 460 (113th), H.R. 3392 (113th), H.R. 1367 (113th)

Postal POS

Postal Reform proposals and their impact on 6 day mail delivery

Contacted: Health & Human Services, Dept of (HHS); SENATE; White House Office; Office of Personnel Management (OPM); HOUSE OF REPRESENTATIVES; Medicare Payment Advisory Commission (MedPAC); Labor, Dept of (DOL); Executive Office of the President (EOP); Food & Drug Administration (FDA); Centers For Medicare and Medicaid Services (CMS); Federal Trade Commission (FTC); Congressional Budget Office (CBO); Government Accountability Office (GAO); Health Resources & Services Administration (HRSA); Internal Revenue Service (IRS)

Defense DEF

Pharmacy issues related to Section 700 (Champus provisions) of the annual defense bill

Contacted: Labor, Dept of (DOL); Executive Office of the President (EOP); Health & Human Services, Dept of (HHS); Centers For Medicare and Medicaid Services (CMS); SENATE; Federal Trade Commission (FTC); Internal Revenue Service (IRS); Congressional Budget Office (CBO); White House Office; Food & Drug Administration (FDA); Government Accountability Office (GAO); Office of Personnel Management (OPM); Health Resources & Services Administration (HRSA); HOUSE OF REPRESENTATIVES; Medicare Payment Advisory Commission (MedPAC)

Taxation/Internal Revenue Code TAX

Regulatory implementation of various tax provisions in the health reform legislation

Contacted: Office of Personnel Management (OPM); Internal Revenue Service (IRS); Centers For Medicare and Medicaid Services (CMS); Federal Trade Commission (FTC); Congressional Budget Office (CBO); Executive Office of the President (EOP); Food & Drug Administration (FDA); Labor, Dept of (DOL); Health & Human Services, Dept of (HHS); SENATE; Government Accountability Office (GAO); Medicare Payment Advisory Commission (MedPAC); White House Office; Health Resources & Services Administration (HRSA); HOUSE OF REPRESENTATIVES

Labor Issues/Antitrust/Workplace LBR

Legislation to exempt certain pharmacies from the antitrust laws for purposes of negotiating with payers (HR 1188)

Contacted: Food & Drug Administration (FDA); HOUSE OF REPRESENTATIVES; Executive Office of the President (EOP); Government Accountability Office (GAO); Centers For Medicare and Medicaid Services (CMS); Medicare Payment Advisory Commission (MedPAC); Health & Human Services, Dept of (HHS); Labor, Dept of (DOL); Office of Personnel Management (OPM); Federal Trade Commission (FTC); Internal Revenue Service (IRS); White House Office; SENATE; Health Resources & Services Administration (HRSA); Congressional Budget Office (CBO)

Bills named: H.R. 1188 (113th)