Even in today’s highly partisan environment, there’s one thing nearly all Americans agree on: The soaring cost of prescription drugs is alarming.

In fact, 80 percent of Americans consider the cost of prescription drugs unreasonable. At the same time, a majority of Americans recognize that prescription drugs have improved countless lives. The president’s recently unveiled comprehensive blueprint to lower prescription drug costs has many ideas worthy of exploration. However, if we truly want to reduce costs and make life-changing and life-saving medications accessible to all Americans, we must increase competition among prescription drugs — particularly new drugs that have the ability to cure diseases, but face limited competition.

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This year could mark a significant shift for Medicaid programs across the country, as some states look to expand the government insurance program to more poor Americans while others seek to add more requirements for people who benefit.

Initiatives to get Medicaid expansion put on the November ballot are underway in Utah, Nebraska, Idaho and Montana. And Virginia lawmakers appear on the verge of securing an expansion deal, after years of rejecting the idea.

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A growing number of mostly Republican-led states are rushing to follow Kentucky’s lead in requiring thousands of people on Medicaid to work or lose health coverage.

The governors of South Dakota, Alabama, Louisiana and South Carolina have said in recent weeks that they plan to pursue work requirements for their Medicaid programs, following the Trump administration’s release of guidelines for the concept in January.

“Whenever possible, we should always endeavor to help South Carolinians in need find their path to gainful employment and away from temporary assistance of government,” South Carolina GOP Gov. Henry McMaster tweeted Jan. 11, the same day federal officials announced the new guidance.

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Legislation from the duo at the helm of the Senate health panel would do little to improve the number of uninsured individuals if the mandate created by the 2010 health law is repealed, according to the Congressional Budget Office.

A repeal of the mandate — which requires individuals to purchase insurance or pay a yearly fine — is currently included in the GOP bill to overhaul the U.S. tax code.

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tah Republican Sen. Orrin G. Hatch has dealt an emerging bipartisan health care bill a body blow.

President Donald Trump has sent mixed messages on his stance on the legislation from Senate Health, Education, Labor and Pensions Chairman Lamar Alexander of Tennessee and ranking Democrat Patty Murray of Washington, saying he opposed it Wednesday after saying he supported it Tuesday.
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Republican senators return on Monday from a 10-day recess with immediate decisions to make on their quest to overhaul the 2010 health care law.

While Senate leaders have largely avoided putting any artificial timelines on their endeavor, the GOP is under an extreme time crunch to produce and advance their own legislation to match the House bill that narrowly passed the chamber last month.

Some members, however, are now openly doubting whether Republicans can follow through on their seven-year effort to repeal and replace President Barack Obama’s signature domestic achievement.

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Senate leadership staff will huddle this week with their colleagues on three key committees to begin drafting the chamber’s legislation to repeal and replace the 2010 health care law. “The drafting process is going to get underway,” said John Thune of South Dakota, the third-ranking Senate Republican. “Now we have enough direction, we’ve had enough meetings, we’ve got enough input from our members to know sort of what the main issues are, and kind of where the moving points are and how we can dial things. We’ll start putting stuff together and get it out there and let people react to it.”

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House Republicans still hope to vote on their health care overhaul next week, though lawmakers said Friday they may need further changes to scrape together enough votes to pass it.

Rep. Tom MacArthur of New Jersey, who authored an amendment that won the support of hardline conservatives earlier in the week, acknowledged Friday that Republicans are discussing changes to his language. He declined to specify what those changes might include. “I’m open to any good idea that gets us across the line,” he said.

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House Republicans continue to work toward a health care deal but are currently in a holding pattern as they await further details from the Trump administration on proposed changes to the bill. “We don’t have bill text or an agreement yet,” Speaker Paul Ryan told reporters after meeting with the GOP conference Tuesday morning. He declined to discuss details of proposed changes, saying “productive conversations” were happening at the “conceptual level” regarding how to lower insurance premiums while maintaining “solid protections for people.” House Freedom Caucus members said the same thing Monday night after leaving a meeting where Vice President Mike Pence and Trump administration officials, including White House Chief of Staff Reince Priebus, discussed the proposed changes with them.

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The House Energy and Commerce Committee could look to attach legislation intended to overhaul the 2010 health care law onto several other bills expected to advance this year, panel chairman Greg Walden said Tuesday.

Walden, speaking at an event hosted by the Republican Main Street Partnership, said repealing and replacing Obamacare would be the top health care priority for his panel in 2017. But a handful of other major programs under the committee’s purview are expected to be reauthorized by Congress before they expire at the end of the year.

Among the items on the panel’s 2017 agenda is the Children’s Health Insurance Program, or CHIP, a popular program that provides federal funding to states to help cover the cost of health care for children.

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