Many people in this country rely on Medicaid for health cost coverage. The reasons for doing so are as varied as the people who need it. Many of them rely on prescription drugs to improve their quality of life, but costs of many prescriptions have gone up in recent years. Even with Medicaid coverage, many people struggle to afford their necessary medication. Here in Georgia, several lawmakers are considering legislation that may help lower drug prices, though critics of the measure say the opposite will occur.
The bill going through the senate wants to target pharmacy benefits managers who represent insurance companies. Their job is to negotiate with both drug companies and pharmacies over the prices of prescription drugs. Supporters of the bill say it would help patients get their medication when they need it and make these negotiations more transparent.
Some experts believe that pharmacy benefits managers are profiting from these negotiations rather than passing the cost savings onto patients. They may be refusing to cover newer, cheaper medications because they wouldn't make as much money from negotiated prices of older medications that are already covered, many claim. Representatives for pharmacy benefits managers strongly deny that idea and say they believe this bill will end up costing taxpayers more in the long run.
Whichever way this particular piece of legislation goes, it stands to affect Medicaid recipients all across Georgia. Not all prescriptions are covered under Medicaid, meaning that recipients will need to take that into consideration. Determining long-term planning with Medicaid can be difficult, but an attorney can assist with the entire process, from determining eligibility to protecting assets from estate recovery. What's most important is that people get the care they need to live the fullest life possible.