Reed, Whitehouse Cosponsor Bill Allowing Americans To Import Low-cost Medicines

Press Release

In an effort to provide seniors with more affordable prescription drugs, U.S. Senators Jack Reed (D-RI) and Sheldon Whitehouse (D-RI) are joining Bernie Sanders (I-VT) in cosponsoring legislation to lower the skyrocketing cost of prescription drugs by allowing Americans to purchase safe, low-cost medicines from Canada. The Affordable and Safe Prescription Drug Importation Act would also authorize the Secretary of Health and Human Services (HHS) to allow importation from other advanced countries in future years.

"We need to ensure seniors have access to safe, affordable prescription drugs. It makes zero sense that Americans are paying the highest prices in the world for prescription drugs that are available in other industrialized countries for a fraction of the price. This legislation will ensure safety, help patients save money, and ultimately help save lives because it will enable people to actually afford the life-saving medicine they need," said Senator Reed. "This legislation wouldn't be necessary if the federal government effectively used its purchasing power to negotiate lower drug prices. Other countries do this, and even the Department of Veterans Affairs does it. In fact, the VA pays about 40 percent less than Medicare for some of the same types of drugs. We need to scale this effort up so all consumers can benefit."

"Hardworking Rhode Islanders are paying too much for prescription drugs," said Senator Whitehouse. "It is past time we let Americans buy prescription drugs from countries like Canada, which are often manufactured in the same factories as American medicines. President Trump said on the campaign trail he would lower the cost of prescription drugs. He can make good on his pledge by convincing his Republican colleagues to join us and allow safe prescription drugs to be imported."

In Canada and other major countries, the same medications, manufactured by the same companies, in the same factories are available for a fraction of the price compared to the United States. In 2014, Americans spent $1,112 per person on prescription drugs while Canadians spent $772.

While five major drug manufacturers made more than $50 billion in profits in 2015, nearly 1 in 3 Americans could not afford the medicine they were prescribed at some point in their lives.

The Affordable and Safe Prescription Drug Importation Act, introduced in both the Senate and House, would instruct the Secretary of Health and Human Services to put forward regulations allowing wholesalers, pharmacies, and individuals to import qualifying prescription drugs from licensed Canadian sellers. After two years, the secretary would have the authority to permit importation from countries in the Organizations for Economic Co-operation and Development with standards for the approval and sale of prescription drugs that are comparable to those in the United States.

The bill includes detailed provisions outlining safeguards and consumer protections that ensure the safety of imported drugs, including Food and Drug Administration (FDA) certification of foreign sellers, a clear definition of what drugs may be imported, and supply chain security requirements.

Legally imported drugs under the bill must be purchased from an FDA-certified foreign seller and must have the same active ingredient, route of administration, and strength as drugs approved in the United States. The new agreement also cracks down on rogue online pharmacies.

Allowing the importation of safe and affordable prescription drugs is overwhelmingly supported by the American people with 71 percent in favor of allowing Americans to buy prescription drugs from Canada.

In addition to Sanders, Reed, and Whitehouse, the Affordable and Safe Prescription Drug Importation is cosponsored by Senators Cory Booker (D-NJ), Bob Casey (D-PA), Martin Heinrich (D-NM), Angus King (I-ME), Amy Klobuchar (D-MN), Kirsten Gillibrand (D-NY), Sherrod Brown (D-OH), Al Franken (D-MN), Tammy Baldwin (D-WI), Jeanne Shaheen (D-NH), Maggie Hassan (D-NH), Tom Udall (D-NM), and Debbie Stabenow (D-MI).

BACKGROUND: The Affordable and Safe Prescription Drug Importation Act

Americans pay -- by far -- the highest prices in the world for prescription drugs. For three consecutive years, retail prescription drugs have experienced double-digit price increases in the U.S. well above inflation. Americans have seen the price of some drugs skyrocket by as much as 5,000 percent literally overnight.

In 2014, the U.S. spent about 40 percent more on prescriptions per person than Canada, twice as much as the average major industrialized country, and more than three times as much as Denmark.

A 2014 survey by the Commonwealth Fund found nearly twenty percent of the population between the ages of 19 and 64, or 35 million people, did not fill a prescription because they could not afford it, which can lead to unnecessary pain, suffering, and premature death.

In order to get the medicine they need, millions of people are buying their prescription drugs from other countries. According to the Kaiser Family Foundation, 8 percent of American adults -- 19 million people -- say they or someone in their household had imported a drug at some point to get a lower price.

Safety standards regulated by Health Canada and the European Union are as tough as FDA standards, according to a December 2016 bipartisan report from the Senate Special Committee on Aging: "While some countries' pharmaceutical manufacturing standards are lax, others, particularly in Canada and the European Union, are stringent and comparable to U.S. standards." Canadian officials say U.S. drug prices are so high that they are skewing the cost of those medicines in Canada. Drug prices in Canada are informed by prices in seven other countries, including the United States. Canada's Minister of Health Jane Philpott recently said she wants to strike the U.S. from that list and replace it with a country like New Zealand, where drug prices are much lower.

Allowing the importation of safe and affordable prescription drugs is overwhelmingly supported by the American people. According to a September 29, 2016 poll by the Kaiser Family Foundation, 71 percent favor allowing Americans to buy prescription drugs imported from Canada.

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