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brooklynite

(94,363 posts)
1. You're surprised?
Tue Aug 16, 2022, 06:40 PM
Aug 2022

New laws never take effect immediately. Especially those which require either regulations or spending programs to be implemented.

Celerity

(43,128 posts)
11. I commented on this all as soon as the Manchin deal came out. I am suprised people are just
Tue Aug 16, 2022, 07:52 PM
Aug 2022

finding out now.

MichMan

(11,869 posts)
6. How long before it causes inflation to fall precipitously?
Tue Aug 16, 2022, 07:05 PM
Aug 2022

That is by far the biggest concern of voters right now.

Celerity

(43,128 posts)
10. the bill will have little impact on inflation before the midterms
Tue Aug 16, 2022, 07:48 PM
Aug 2022

Almost none of the new major provisions will be in effect until 2023. The ACA extension effects 2023 premiums, but several key cost reductions parts will not kick in until 2025 (2000 usd per year cap for Medicare pharma), and 2026 (pharma price reforms), so not even before the 2024 POTUS election.

Celerity

(43,128 posts)
7. 2026 for the pharma price reform part to kick in
Tue Aug 16, 2022, 07:26 PM
Aug 2022
Prescription Drug Price Reforms Won’t Happen for Years

Democrats continue to not learn the lesson that they shouldn’t pass a policy in 2022 that doesn’t kick in until 2026.

https://prospect.org/health/prescription-drug-price-reforms-wont-happen-for-years/



snip

However, that benefit is fragile, especially if what’s being touted as progress doesn’t pan out or isn’t immediately visible to the public. That’s what’s so confounding about the Inflation Reduction Act’s prescription drug reforms. The two major pieces that offer the most impact to seniors not only don’t take effect before this national election, but not even before the next one. There doesn’t seem to be any credible reason for this delay, other than as a favor to the pharmaceutical lobby. But it’s potentially debilitating to Democrats’ political fortunes, as they are overpromising relief for seniors that won’t materialize for years and years.

The two biggest benefits for seniors in the IRA are the Medicare negotiation of certain high-cost prescription drugs, and the $2,000 out-of-pocket cap. But while price negotiations technically start next year, no consumer will see the benefit until the new prices begin in 2026, and even then on only 10 drugs (another 15 are added in 2027 and 2028, rising to 20 by 2029 and subsequent years).

You could squint and maybe understand the need for a little delay in setting up a negotiation regime. There are some parameters to set up, like the benchmarks for prices and the penalties if drug companies refuse to deal. Maybe you have to train negotiators. But none of that can possibly explain the three-year delay between the beginning of negotiation and the realization of price discounts for seniors. To be crass, it means that substantial numbers of seniors living now will not be alive when the reduction in certain prescription drug prices is realized.

The $2,000 out-of-pocket cap, which is across the board for all seniors, not just on certain drugs, is even worse. That cap doesn’t go into effect until 2025, although out-of-pocket costs get capped at $4,000 in 2024. If there is kind of an explanation for delays in setting up Medicare drug price negotiation, for the out-of-pocket cap there is not. You literally tally up patient out-of-pocket costs, which are fully transparent, until they hit $2,000, and then stop them. Why does this take more than two years to pull off? Medicare itself, the entire program, took only a year to implement.

snip

jojog

(372 posts)
13. They did keep reduced premiums for ACA in place
Tue Aug 16, 2022, 08:51 PM
Aug 2022

That was due to expire in September, just before mid-term.

Hekate

(90,563 posts)
14. Some parts apparently kick in right away, according to one poster
Tue Aug 16, 2022, 10:07 PM
Aug 2022
https://www.democraticunderground.com/100217052846


Star Member Yo_Mama_Been_Loggin (88,136 posts)

Inflation Reduction Act: 4 ways it will kick in right away

The signing Tuesday of the Inflation Reduction Act is set to kick off a parade of action from the Biden administration and other Democrats to sell the bill to the public. While some analysis shows it won't meaningfully reduce inflation, the so-called IRA will devote hundreds of billions of dollars toward fighting climate change, reducing prescription drug costs, and cutting the deficit.

President Joe Biden and others will fan out around the U.S. in the coming weeks to discuss the bill, according to the White House — with Cabinet members traveling to 23 states just this month.

The coming Democratic message will likely focus on the aspects of the bill that could improve Americans' lives immediately — including tax credits for electric vehicles and energy-efficient home improvements and key health care provisions.

“A lot is going to happen,” Biden said recently of what to expect once the bill is signed, trying to emphasize that much of the action will be quick.

https://finance.yahoo.com/news/4-key-ways-the-inflation-reduction-act-will-kick-in-right-away-182211474.html
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