Already, 2023 looks like a dynamic and busy year for biotech on the state level. We spoke to BIO’s State Government Affairs Team about the four issues to watch in the state legislatures this year—read more.
1. Vaccine challenges are front and center.
Vaccines continue to be one of the most contentious issues on the state level, with over 150 vaccine-related bills already introduced in 33 states—a number that will undoubtedly increase.
Vaccine-related bills fall into a few categories:
- Undermining vaccine mandates and passports.
- Expanding vaccine exemptions as well as targeting school-entry requirements.
- Bills intended to target human cell lines, which arose last year and are already coming up in the early months of 2023.
- Eroding the authority of health departments to declare a public health emergency or determine which immunizations are required for school entry.
2. Medicaid coverage and Accelerated Approval
With recent attention on new Alzheimer’s therapies, there could be more attempts by state Medicaid programs to limit Medicaid access to therapies approved under the Accelerated Approval Pathway—such as what we saw attempted in Oregon.
3. PDABs aren’t going away.
Prescription Drug Affordability Boards (PDABs), which aim to cap, control, and dictate the price of drugs at the state level, will continue to be actively introduced in 2023.
So far, Minnesota, Virginia, and New Mexico have already introduced bills to create PDABs, which could impact how Medicaid programs in those states provide coverage for therapies under PDAB review.
State bills may also try to use the Inflation Reduction Act’s (IRA) Medicare “Maximum Fair Price” (MFP) when setting an “upper payment limit” on a therapy.
4. Workforce development will be a priority.
Though it is not yet clear how workforce development under the IRA will play out on the state level, it is a priority as states focus on how they will implement the bill. In addition to high-level education and vocational training, workforce development should incorporate short-term, focused training.
Read the whole thing at Bio.News.