[Congressional Record Volume 165, Number 198 (Wednesday, December 11, 2019)]
[Senate]
[Pages S6967-S6968]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
Unanimous Consent Request--S. 1416
Mr. CORNYN. Mr. President, as all America knows, climbing healthcare
costs continue to keep the American people up at night. A Kaiser
Foundation poll in September found that the No. 1 health concern of the
American people is prescription drug pricing. A whopping 70 percent of
those polled think lowering prescription drug costs should be a top
priority--a top priority--for Congress, making it the No. 1 item on our
to-do list, but our friend and colleague from New York, the minority
leader, objected last time I offered unanimous consent to take up and
pass a bill, which I will describe here momentarily.
I hope, given the intervening time and further reflection, he will
not do so today, and we can get this bill passed and address this top
priority of the American people.
The good news is, Republicans and Democrats both agree we need to do
something about it. I have the honor of serving on both the Finance and
Judiciary Committees, where we have been looking into this problem and
some of the potential solutions.
There are pharmaceutical CEOs who earn big bonuses as sales go up. I
am not opposed to them receiving compensation, but pharmacy benefit
managers who negotiate backdoor rebates that drive up out-of-pocket
costs are a problem because of the lack of transparency.
What I find very seriously concerning as well is anti-competitive
behavior when it comes to patents by drug manufacturers. There are two
practices, in particular, that the legislation I intend to offer a
unanimous consent request on would address.
One is called product hopping, which occurs when a company develops a
reformulation of a product that is about to lose exclusivity. Let me
just stop a moment and say that one of the ways we protect the
investment and the intellectual property of American innovators is to
give them exclusivity over the right to sell and license that
intellectual property, including drugs. That encourages people to make
those investments. In turn, it benefits the American people and the
world, literally, by creating new lifesaving drugs, and that is a good
thing. There is a period of exclusivity, and after that expires--after
that goes away--then it opens that particular formulation up to generic
competition; meaning, the price will almost certainly be much lower and
more affordable to the American people.
This issue of product hopping is gamesmanship, as I will explain.
First of all, before the drug loses exclusivity, the manufacturer pulls
the drug off the market. This is done not because the new formula is
more effective, but it will block generic competitors.
The second issue is patent thicketing, which occurs when an innovator
uses multiple, overlapping patents or patents with identical claims
that make it nearly impossible for competitors to enter the market.
This is nothing more and nothing less than
[[Page S6968]]
abuse of our patent system, and it is coming at a high cost for
patients who rely on affordable drugs.
Earlier this year, I introduced a bill with our friend and colleague
from Connecticut, Senator Blumenthal, who happens to be a Democrat, to
address these anti-competitive behaviors. Our bill is called the
Affordable Prescriptions for Patients Act, and it streamlines the
litigation process by limiting the number of patents these companies
can use in court. So companies are spending less time in the courtroom
and, hopefully, more time innovating these new lifesaving drugs, while
opening up these drugs once they lose their exclusivity to generic
competition and more and more affordable prices for consumers.
This legislation does not stifle innovation; it doesn't limit
patients' rights; and it doesn't cost taxpayers a dime. In fact, the
Congressional Budget Office estimates it would lower--lower--Federal
spending by more than a half a billion dollars over 10 years. This is
just savings to the Federal Government for Medicare and Medicaid.
Undoubtedly, it would show significant savings for consumers with
private health insurance as well.
I am sure it comes as no surprise, then, that this legislation passed
unanimously out of the Judiciary Committee; not a single Senator
opposed it. That happened in June. This is December, and there has been
no movement since then.
We have tried to be patient because we know there are other bills
coming from the Health, Education, Labor, and Pensions Committee. There
is a bill coming out of the Finance Committee on which the Presiding
Officer and I sit. My hope is that we would have been able to make
progress on a larger package, but here we are at the end of the year,
and there has been no movement. We have been more than patient, but I
think there comes a time when patience ceases to be a virtue,
particularly when it comes to providing something that would benefit
the American people.
There are no concerns about the policies laid out in the bill, as you
can see by some of the comments reflected in this chart. Again, our
colleague, the Democrat from Connecticut, Senator Blumenthal, said:
``This bill offers a positive, solid step toward ending abuses in the
use of patents.''
Senator Durbin, who is the Democratic whip, a member of leadership,
said:
It is a bipartisan measure that passed the Senate Judiciary
Committee. I not only voted for it, I cosponsored it, and I
believe it should pass and should become the law of the land.
So imagine my surprise when the Democratic leader objected to a
unanimous consent request to pass it a couple of weeks ago. He even
went so far as to call this ``a manipulative charade'' and ``a little
game,'' which is strange because he also called it a good bill. His
biggest criticism was it didn't do enough, but as I pointed out then,
if you sit around waiting for the big bill to get passed, nothing
happens in the meantime, and it is a loss to the American people.
I think it is past time for us to take up this legislation, get it
passed, get it signed by the President. Our friends in the House of
Representatives have already passed two bills, which, put together,
essentially reflect the same policy.
I can't think of any other reason for the Democratic leader to object
than pure politics. He doesn't want anybody to get a ``win.'' That also
goes for the Senator from Iowa, when she had offered a bill to
reauthorize the Violence Against Women Act. She happens to be on the
ballot in 2020 as well. The only rationale I can possibly think of that
the Democratic leader would continue to object to these bipartisan
consensus bills is just that he doesn't want somebody to be able to
score a point on this side because he feels like that will disadvantage
his candidates in the next election and advantage us.
There comes a time when we need to put those election considerations
to the side and focus on making good policy. I happen to believe good
policy is good politics.
The truth is, the Democratic leader, in objecting to the passage of
this legislation, does have one very big and powerful cheerleader
behind him; that is, the drug companies. The drug companies love it
when bipartisan legislation gets blocked on the Senate floor for
whatever reason. The truth is, they hate this bill, and they don't want
to see anything done on this issue. Inadvertently or not, the
Democratic leader seems to be providing them a lot of cover right now.
My constituents didn't send me to Washington to play these endless
games. They sent me here to get results, and that is exactly what I aim
to do.
Mr. President, I ask unanimous consent that as in legislative
session, the Senate proceed to the immediate consideration of Calendar
No. 132, S. 1416. I ask unanimous consent that the committee-reported
substitute be withdrawn; that the Cornyn amendment at the desk be
agreed to; that the bill, as amended, be considered read a third time
and passed; and that the motion to reconsider be considered made and
laid upon the table.
The PRESIDING OFFICER. Is there objection?
Mr. SCHUMER. Mr. President, reserving the right to object.
The PRESIDING OFFICER. The Democratic leader.
Mr. SCHUMER. Mr. President, my good friend, the Senator from Texas,
is just engaged in a gimmick to cover up all that he hasn't done on
making drug costs lower. Now, 99 percent of what the public wants is
not being allowed on the floor by his leadership when he was the whip,
by this leadership, and now he wants to get well with a bill that is
very small.
Open up the floor to debate. We will debate all the big things that
will really reduce prices, which people want, and we will debate his
bill. I object.
The PRESIDING OFFICER. Objection is heard.
The Senator from Texas.
Mr. CORNYN. Mr. President, I point out to my friend from New York, I
am not the leader or the floor manager of legislation. That is up to
Senator McConnell, the Senator from Kentucky. Obviously, there has been
foot-dragging on important things like appropriations bills, the
USMCA--the important trade agreement with Canada and Mexico--and now
there is impeachment mania that has consumed the House of
Representatives and has crowded out our ability to get other things
done; hence, my loss of patience after waiting since June to get this
bill passed.
This isn't a case of my wanting to get well; this is a case of
wanting to make the American people well by providing them access to
low-cost generic alternative drugs and preventing Big Pharma from
engaging in the sorts of gamesmanship that keep drug prices up and keep
the American consumer down.
I yield the floor.
I suggest the absence of a quorum.
The PRESIDING OFFICER. The clerk will call the roll.
The senior assistant legislative clerk proceeded to call the roll.
Mr. CASEY. Mr. President, I ask unanimous consent that the order for
the quorum call be rescinded.
The PRESIDING OFFICER. Without objection, it is so ordered.
Mr. CASEY. Mr. President, I ask unanimous consent to speak as in
morning business.
The PRESIDING OFFICER. Without objection, it is so ordered.