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WASHINGTON, D.C.  – Congressman Morgan Griffith (VA-09), Chairman of the Subcommittee on Health, delivered the following opening statement at today’s hearing titled  Lowering Health Care Costs for All Americans: An Examination of the U.S. Provider Landscape . Subcommittee Chairman Griffith’s opening statement as prepared for delivery: “Today we will discuss health care costs and patient access challenges by examining the health care provider landscape.   “This is the third hearing in the Committee’s health affordability series following hearings with health insurance executives back in January and stakeholders from the prescription drug supply chain last month.    “The United States provider landscape includes a wide range of entities and organizations that deliver services to patients.   “Hospitals and large health systems provide acute and specialized care. However, we have also seen these entities expand into outpatient service delivery.   “Independent physician practices and group practices deliver much of the primary and outpatient services that patients rely on every day.   “Although they are not before us in this hearing, I also want to recognize the critical role that federally qualified health centers, rural health clinics, and community hospitals play in our health system, especially in our most rural and underserved areas.   “It is no secret that across the country patients are faced with fewer choices about where they can receive care, as the provider market has consolidated dramatically.    “Hospitals are acquiring physician practices, systems are merging, and too often, patients have little options among providers.     “In many cases, the states that see the most consolidation have the largest rural populations—exacerbating access challenges, leaving communities strained, and contributing to overall unaffordability.   “On top of vertical integration limiting the viability of independent practices, the so-called Affordable Care Act has enabled the landscape to become even more narrow.   “In fact, because of the Affordable Care Act, any existing physician-owned hospital built before 2010 is prohibited from growing beyond the size it was when the bill became law. How does that make sense?   “As a result, many patients face limited provider options in their communities and may encounter higher prices with little insight into the cost of health services.   “At the same time, transparency amongst the health care provider system remains insufficient.   “Prices can vary widely for the same service depending on where care is delivered, and billing statements may include facility fees, multiple providers, and negotiated rates that are difficult for patients to understand.    “Additionally, programs such as the 340B Drug Pricing Program have become opaque and some hospitals have gone against the true intent of the program.    “The 340B Program was created with the intention of helping safety-net providers care for low-income and vulnerable patients; however, as hospitals and larger entities participate and expand affiliated contract pharmacies, visibility has become limited into how the program’s generated discounts are used and whether those savings are reaching patients.   “In many cases, the result of this system is that Americans are left navigating complex, and often expensive, medical bills—whether from a hospital visit or routine appointment—that they did not anticipate, cannot easily afford, and sometimes only learn about weeks or months after receiving care.   “When provider markets lack competition and transparency, prices can rise without patients having the information needed to make cost-conscious decisions.   “Today we will hear from different organizations that represent health care providers across a variety of settings, so that we can look for ways to try and make delivering and receiving care more affordable.    “We have the American Hospital Association in front of us who represents many types of hospitals and health care networks.   “We will also hear from the American Medical Association who represents physicians across the country.   “The American Academy of Family Physicians is here to give the perspective of family medicine practitioners.    “We also have the Purchaser Business Group on Health before us to provide insights into the relationship between private employers and public purchasers.   “We also have a neurosurgeon from the University of California San Francisco to give the perspective of specialty doctors and the care they provide to patients.    “Lastly, we have Barbara Merrill from the American Network of Community Options and Resources.   “These witnesses have unique insights into the factors that are currently leading to the high costs patients are facing when receiving care, and I am looking forward to the discussion.”   ###

WASHINGTON, D.C. – Today, Congressman Morgan Griffith (VA-09), Chairman of the Subcommittee on Health, led a hearing titled  Lowering Health Care Costs for All Americans: An Examination of the U.S. Provider Landscape . During the hearing, we heard members express their concerns with how hospital consolidation and lack of price transparency drive up costs for American patients.  “When provider markets lack competition and transparency, prices can rise without patients having the information needed to make cost-conscious decisions,” said Chairman Griffith.   “Today, we heard from different organizations that represent health care providers across a variety of settings, so that we can continue to look for solutions that make delivering and receiving care more affordable.”   Watch the full hearing  here . Below are key excerpts from today’s hearing: Congresswoman Mariannette Miller-Meeks (IA-01):  “ Today’s hearing is critically important because every policy discussion [involves] real patients—employers trying to provide health insurance, families trying to afford care, seniors managing chronic conditions, and providers working to keep their doors open in increasingly complex systems. Over the past decade or so, we’ve seen significant consolidation across the health care system—especially after the passage of the Unaffordable Care Act—and particularly among hospitals and large health systems. At the same time, Medicare physician reimbursement has declined by over 30 percent in inflation-adjusted dollars since 2001. If we continue on the current path, we’re not just cutting payments, we are cutting access. In rural Iowa, we don’t have an excess of providers. When one closes, patients have to drive hours for care. A 2 percent to 3 percent cut in Washington can mean the difference between staying open and shutting down in a small town.” Congressman Cliff Bentz (OR-02):  “It almost seems as though the [physician] shortage gives people an excuse to raise prices. Is that the truth?”  Dr. DiGiorgio:  “I agree.”  Congressman Bentz:  “We’ve heard that in other conversations with various groups. And by the way, the remarks about larger systems resulting in higher quality care at less cost, I have to beg to differ. At least in previous conversations, it appeared that there was a focus on those types of things, while ignoring the amount of money being made on the float by delaying care. I asked that question of UnitedHealthcare when they were here. It was discouraging to hear how many billions of dollars are being made on the float, I must say. And that appears to be something we should be focusing upon.” Congresswoman Erin Houchin (IN-09):  “This is the third hearing we’ve had on affordability. I think it may be the most consequential because the provider landscape is where these issues meet real patients. Doctor Aizuss, in your testimony, you note that practice costs rose roughly 63 percent over the same period that Medicare physician payments declined by roughly 33 percent, putting an increasing strain on independent practices and threatening patients’ access to care—particularly in rural parts of the country. From your perspective, how is this sustained gap affecting patients’ ability to access timely, quality care? What specific actions should Congress take to stabilize physician practices and prevent further disruptions?”  Dr. Aizuss:  “As I’ve noted, the decrease in real payment for Medicare services is accelerating independent physicians to close their offices or to sell their practices to private equity or to be employed by large systems. So, the access is definitely impacted by that. People in their own communities can’t access the private practice physician when they want to. And wait times are increasing significantly. The biggest solution, as I keep emphasizing, is having Medicare payment reform tied to the medical economic index with automatic inflationary updates—just like the other providers are receiving.” ###

WASHINGTON, D.C.  – This week, the House Committee on Energy and Commerce is holding four Subcommittee Hearings. Read more below.  SUBCOMMITTEE HEARING:  The Energy and Commerce Subcommittee on Energy is holding a hearing to discuss the lessons learned from Winter Storm Fern. DATE:  Tuesday, March 17, 2026   TIME:  10:00 AM ET  LOCATION:  2123 Rayburn House Office Building  SUBCOMMITTEE HEARING:  The Energy and Commerce Subcommittee on Oversight and Investigations is holding a hearing on what the Trump Administration is doing to proactively tackle Medicare and Medicaid fraud, as well as continuing conversations surrounding common fraud schemes and programs that are vulnerable to fraud. DATE:  Tuesday, March 17, 2026  TIME:  2:00 PM ET  LOCATION:  2123 Rayburn House Office Building  SUBCOMMITTEE HEARING:  The Energy and Commerce Subcommittee on Health is holding a hearing on the role that providers play in making health care more affordable for all Americans.   DATE:  Wednesday, March 18, 2026  TIME:  10:15 AM ET  LOCATION:  2123 Rayburn House Office Building   SUBCOMMITTEE HEARING:  The Energy and Commerce Subcommittee on Communications and Technology is holding a hearing on the World Radiocommunication Conference.   DATE:  Wednesday, March 18, 2026  TIME:  2:00 PM ET  LOCATION:  2123 Rayburn House Office Building  ###

WASHINGTON, D.C.  – Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, and Congressman Morgan Griffith (VA-09), Chairman of the Subcommittee on Health, announced a hearing titled Lowering Health Care Costs for All Americans: An Examination of the U.S. Provider Landscape.   “The third hearing in the Committee’s health care affordability series will examine the role that providers and hospitals play in shaping the cost of care for Americans,” said Chairman Guthrie.  “Hospitals, physicians, and health care practitioners play a vital role in delivering health care services to patients. This hearing will explore how payment policies, competition, transparency, and other incentives shape patient access and the cost of care. We look forward to hearing from the panelists on potential solutions as the Committee continues working to make health care more affordable for the American people.”   “From consolidation in the insurance marketplace to predatory practices in the pharmaceutical drug supply chain, the Health Subcommittee continues to examine all angles in our push to lower health care costs for American patients,” said Chairman Griffith. “Accordingly, our next hearing will address the role of hospital providers to better understand what can be done to make health care more affordable for all Americans.”   Subcommittee on Health hearing titled  Lowering Health Care Costs for All Americans: An Examination of the U.S. Provider Landscape .   WHAT:  Subcommittee on Health hearing on the role that providers play in making health care more affordable for all Americans.  DATE:  Wednesday, March 18, 2026   TIME:  10:15 AM ET  LOCATION:  2123 Rayburn House Office Building   This notice is at the direction of the Chairman. This hearing will be open to the public and press and will be livestreamed at  energycommerce.house.gov . If you have any questions about this hearing, please contact Annabelle Huffman with the Committee staff at  Annabelle.Huffman@mail.house.gov . If you have any press-related questions, please contact Katie West at  Katie.West@mail.house.gov .  ###

WASHINGTON, D.C.  – In case you missed it, the  New York Post   recently published an article highlighting letters sent to ten states, authored by Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman John Joyce, M.D. (PA-13), Chairman of the Energy and Commerce Subcommittee on Oversight and Investigations, and Congressman Morgan Griffith (VA-09), Chairman of the Energy and Commerce Subcommittee on Health, inquiring about the rampant waste in their state Medicaid systems and what measures are being taken to address it. In Case You Missed It: “A House committee has launched an investigation into alleged Medicaid fraud in 10 states — including New York and California — demanding records ‘to ensure program integrity in states nationwide,’ The Post can reveal. “The letters, sent March 3 by GOP leaders on the House Energy and Commerce Committee, asked for records and communications from the governors and leaders of state health agencies of New York, California, Colorado, Massachusetts, Maine, Nebraska, Oregon, Pennsylvania, Vermont and Washington State. “Each of the missives drew attention to recent reports or prosecutions of fraudsters in the respective states. “In New York, for example, two individuals linked to adult day cares in Brooklyn and a home health care firm pleaded guilty in January to defrauding taxpayers out of $68 million in Medicaid funds. “Another scheme cited $120 million allegedly stolen from Medicaid and Medicare funds to the owners of Queens-based adult daycare centers and a pharmacy who were taking kickbacks. “The Empire State spent $115.6 billion on Medicaid for almost 7 million people in fiscal year 2025, but the program ‘has continued to grow at unsustainable levels,’ according to Gov. Kathy Hochul’s budget plan for this fiscal year. “Other letters to California, Colorado, Pennsylvania and Nebraska noted massive percentage increases in spending on Medicaid services in recent years. “‘Fraud shouldn’t be a partisan issue,’ Energy and Commerce Chairman Brett Guthrie (R-Ky.) said in a statement. ‘It’s our most vulnerable Americans who are most at risk from fraudsters diverting precious resources intended for critical, needed care.’ “‘We owe it to our fellow Americans to preserve the Medicaid program for those that need it most, and states have an important role to play in ensuring that Medicaid programs operate with integrity,’ he added. ‘The Committee will continue to combat rampant waste, fraud, and abuse across the entire country.’ “The letters all cited reports of fraudsters bilking taxpayer funds in Minnesota — as well as Trump administration probes that recently led to the withholding of more than $250 million in Medicaid funding. “That fraud was perpetrated through ‘overbilling, falsifying records, identity theft, and phantom claims in Medicaid social service and health programs for the elderly and disabled, children with autism, people struggling with substance use disorders, and homelessness,’ wrote Guthrie and two other GOP subcommittee chairmen, Rep. John Joyce (R-Pa.) and Rep. Morgan Griffith (R-Va.). “The House Energy and Commerce Committee’s probe comes after a hearing early in February that heard testimony from experts about kinds of fraud schemes — including those with ‘high rates’ of abuse such as Applied Behavioral Analysis (ABA), services for children with Autism Spectrum Disorder (ASD), substance abuse treatment centers, home and community based services and more. “Certified fraud examiner Jessica Gay told the House committee that the vulnerable programs ‘should be on every state’s radar.’ “‘If a state isn’t monitoring ABA services closely, they are likely missing a considerable area where FWA is committed,’ Gay said. “‘Medicaid fraud robs both taxpayers and patients, and we will pursue it wherever it hides,’ Joyce said in a statement. “‘Republicans in Congress will continue to do the necessary legwork to investigate allegations of waste, fraud and abuse within our Medicaid system,’ added Griffith. “New York Gov. Kathy Hochul accused the House Energy and Commerce Committee of ‘playing partisan games,’ but vowed to continue to go after ‘bad actors in the Medicaid program.’ “‘Congressional Republicans should learn from Governor Hochul’s dogged efforts to root out waste, fraud and abuse – including sweeping CDPAP reforms that shut down hundreds of wasteful Medicaid middlemen and saved over $2 billion for state and federal taxpayers while protecting home care for those who need it,’ a spokesperson for Hochul said in a statement. “A spokesperson for California Gov. Gavin Newsom insisted the state has tackled Medicaid fraud for years. “‘California holds a strong commitment to protecting taxpayer dollars and the integrity of public programs like Medi-Cal. The state has taken action against Medi-Cal fraud for years and utilizes robust oversight mechanisms to protect the integrity of Medi-Cal programs and preserve public confidence,’ the spokesperson said. “Colorado ‘takes oversight of our Medicaid programs very seriously, and prioritizes finding and rooting out fraud when it occurs, including referring to law enforcement,’ according to a statement from Gov. Jared Polis’ spokesperson. “Reps for the other seven governors’ offices and state health agencies in the states did not immediately respond to a request for comment.”

WASHINGTON, D.C. – Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman John Joyce, M.D. (PA-13), Chairman of the Energy and Commerce Subcommittee on Oversight and Investigations, and Congressman Morgan Griffith (VA-09), Chairman of the Energy and Commerce Subcommittee on Health, are continuing their ongoing investigation into waste, fraud, and abuse within Medicaid programs by sending letters to ten additional states to request information and documents on the actions each state is taking to strengthen Medicaid program integrity. These requests come amidst reports and law enforcement actions that have demonstrated high levels of Medicaid fraud across numerous states. For example, in Massachusetts, a woman pleaded guilty to fraudulently billing MassHealth for $500,000 in Personal Care Attendant, home health, and adult foster care services after enrolling disabled, elderly, and homeless people in services without their knowledge or consent and billing Medicaid as their caretaker despite not providing these services. In Colorado, two individuals were charged in separate cases for defrauding Health First Colorado’s non-emergency medical transportation (NEMT) program. The first defendant allegedly billed over $1 million in NEMT rides—$400,000 of which were billed for rides for herself and family members, and most of which were not associated with transportation to medical appointments. The second defendant billed Health First Colorado for $3.3 million in NEMT rides, including $283,000 for 64 rides for a single beneficiary, $165,000 of which occurred after the beneficiary had died. In Oregon, a woman was sentenced to federal prison for using stolen identities to submit fraudulent health care claims to Oregon’s Medicaid Program, totaling over $3 million and triggering $1.5 million in fraudulent Medicaid reimbursements. In New York, two individuals involved in a Brooklyn-based scheme involving adult day cares and home health  pleaded guilty   to $68 million in Medicaid fraud over a seven-year period. In addition, two men in Queens who owned adult daycare centers and a pharmacy  were recently charged  with $120 million in alleged Medicaid and Medicare fraud schemes. This included illegal kickbacks to Medicaid recipients to fill prescriptions at their pharmacies and enroll in their adult day care. It’s no secret that Medicaid fraud schemes have possibly cost the program billions of dollars annually across the country. These schemes contribute greatly to rising health care costs and strain our health care system, all at the expense of Medicaid beneficiaries and taxpayers. The Committee on Energy and Commerce is committed to rooting out waste, fraud, and abuse in our government health programs like Medicaid to ensure Americans who need them get the quality, affordable care they deserve. Chairmen Guthrie, Joyce, and Griffith issued the following statements regarding the ongoing investigation: “Fraud shouldn’t be a partisan issue. It's our most vulnerable Americans who are most at risk from fraudsters diverting precious resources intended for critical, needed care , ” said Chairman Guthrie. “ We owe it to our fellow Americans to preserve the Medicaid program for those that need it most, and states have an important role to play in ensuring that Medicaid programs operate with integrity. The Committee will continue to combat rampant waste, fraud, and abuse across the entire country.” "Medicaid was established to ensure the most vulnerable Americans are never left behind. That is why fraud and abuse within Medicaid will not be tolerated. Medicaid fraud robs both taxpayers and patients, and we will pursue it wherever it hides," said Rep. John Joyce, M.D. "Expanding this investigation is part of our responsibility in Congress to ensure that the government upholds the standards it was created to serve. Our Committee will work diligently to strengthen the integrity of the Medicaid system and to ensure that those who engage in fraudulent misuse or abuse are held fully accountable." “Americans support federal health care programs that serve American communities, not fraudsters! Led by the House Committee on Energy and Commerce, this latest series of letters is the next step in our investigations to protect our social safety net programs and secure them for the most vulnerable Americans,” said Rep. Griffith. “Republicans in Congress will continue to do the necessary legwork to investigate allegations of waste, fraud and abuse within our Medicaid system.” BACKGROUND: In January, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman John Joyce, M.D. (PA-13), Chairman of the Energy and Commerce Subcommittee on Oversight and Investigations, and Congressman Morgan Griffith (VA-09), Chairman of the Energy and Commerce Subcommittee on Health, wrote to Minnesota Governor Tim Walz and the Temporary Commissioner of Minnesota’s Department of Human Services, Shireen Gandhi, requesting communications, documents, and information to better understand the ongoing Medicaid fraud occurring in the state of Minnesota and actions the state is taking to strengthen program integrity. On February 3, the Subcommittee on Oversight and Investigations held a hearing titled Common Schemes, Real Harm: Examining Fraud in Medicare and Medicaid . During this hearing, expert witnesses testified on common examples of Medicaid fraud schemes and the potential scale of fraud in Medicaid programs nationwide. Now, as part of the Committee’s ongoing efforts to address Medicaid fraud, the Committee sent letters to CA , CO , MA , ME , NE , NY , OR , PA , VT , and WA . Each of these states displayed concerning cases of Medicaid fraud over the last several years. The purpose of this investigation is to assess the extent of fraud in state Medicaid programs and understand what states are doing to address the issue and protect the integrity of Medicaid for Americans. Read More About this Ongoing Investigation: CLICK HERE to read the New York Post's exclusive coverage of the letter.

WASHINGTON, D.C.  – Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, issued a statement following President Trump’s State of the Union Address to a Joint Session of Congress: “Tonight, President Trump laid out a bold vision for the American people as we celebrate the 250th anniversary since our founding. By unleashing American energy dominance, we can lower energy costs, strengthen our national security, and power innovation. As the President discussed in his speech, we must rely on baseload power from coal, oil, natural gas, nuclear, and hydropower that can provide the on-demand electricity we need. Our Committee will remain focused on cutting red tape and lowering prices for hard-working families.   “ House Republicans stand with President Trump tonight, with a strong focus on making life more affordable for everyday Americans—not only when it comes to energy prices, but when it comes to the cost of health care, too. Previous Democrat administrations effectively broke our American health care system, and I applaud President Trump in his steadfast efforts to fix it. Through programs like TrumpRx, Americans now have access to the lowest cost prescription drugs. Through commitments like Making America Healthy Again, Americans see the promise of health improvements for generations to come. Our country’s milestone of 250 years signifies an opportunity to put the wellbeing of Americans back at the forefront of our health care system.    “ As we look to the future, adversaries are challenging our standing as the world’s greatest innovator. Americans have the creativity and the skills to compete on the world stage, but we need the regulatory environment to match our aspirations. The President and I share a vision for a future where the United States can lead the development and deployment of cutting-edge technologies and Americans enjoy the benefits of these advances.   “ Tonight, the President outlined a vision of prosperity shared widely across the Republican Party. By unleashing American energy, lowering health care prices, and supporting U.S. innovators, President Trump and Committee Republicans are in lockstep fighting to address the issues that matter most to American families.”   ###

WASHINGTON, D.C. - Last December, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) released a report showing that since 2016, OIG has conducted 18 audits, which revealed Medicaid agencies improperly paid states nearly $289 million on behalf of deceased enrollees. The audit outlined in HHS OIG’s report was conducted from July 1, 2021, through June 30, 2022. After reviewing a stratified random sample of 100 capitation payments from the nearly 410,000 capitation payments covered by the audit, HHS OIG found that Medicaid agencies paid for deceased individuals in 99 of the 100 sample capitation payments. During that same one-year period, Medicaid paid over $207 million to insurance companies for people who had already died. This is far from the first accounting of massive fraud found in our federal health programs. In July of 2025, the Centers for Medicare & Medicaid (CMS) announced that they had identified and were removing 2.8 million duplicative enrollees in two or more Medicaid and/or Affordable Care Act (ACA) exchange plans after conducting an analysis of 2024 enrollment data. In September of 2025, the Congressional Budget Office (CBO) found that Democrat policies have facilitated a years-long, massive cover-up to defraud American taxpayers in order to subsidize waste, fraud, and abuse in federal health programs, including using loopholes to provide free health care to illegal immigrants. The agency found that Democrat policies have led to at least 2.3 million fraudulent enrollees in Obamacare. And most recently, in December, GAO conducted covert operations by creating fictitious identities with fake or never issued Social Security numbers (SSN) and still received taxpayer-subsidized Obamacare coverage. One hundred percent of fake applicants were approved by the ACA Marketplace in late 2024 and 90 percent of fake applicants received coverage in 2025. Experts estimate the federal government may be spending as much as $27 billion a year in taxpayer dollars on improper Obamacare enrollments. Thanks to President Trump’s Working Families Tax Cuts signed into law on Independence Day last year, Republicans implemented commonsense guardrails to protect Americans and crack down on the Democrat-enabled waste, fraud, and abuse pervading our health care system. Our law takes action to remove duplicative and deceased enrollees from the Medicaid rolls and prohibit states from paying multiple managed care organizations for wasteful, duplicative health care coverage. We believe that taxpayer dollars should be used to benefit our most vulnerable Americans. To that end, the Committee has sent letters to state and federal officials requesting additional information on Medicare and Medicaid fraud. For example, the Committee opened an investigation into the massive fraud schemes in Minnesota's Medicaid programs; and just last week, our Subcommittee on Oversight and Investigations held a hearing exploring the egregious Medicare and Medicaid fraud schemes that are happening nationwide. Over the past several years, Democrat Administrations have allowed waste, fraud, and abuse across the American health care system to explode, ultimately driving up costs, hurting American families, and draining taxpayer dollars. Republicans are committed to finding solutions that restore affordability, fairness, accountability, and the rule of law across our health care system. Read the full report here .

WASHINGTON, D.C. – Congressman Morgan Griffith (VA-09), Chairman of the Subcommittee on Health, delivered the following opening statement at today’s hearing titled Lowering Health Care Costs for All Americans: An Examination of the Prescription Drug Supply Chain.

Subcommittee Chairman Griffith’s opening statement as prepared for delivery:

“First, I want to recognize the bipartisan bill that we were able to pass last week that included many important health care provisions and lowered health care costs for all Americans.

“Today, we will discuss health care costs and patient access challenges by examining affordability across the entire pharmaceutical supply chain.

“I’m proud of this subcommittee’s work, but there is still more to be done, which is why I am eager to continue building on our affordability series with today’s hearing that comes after we heard from insurance executives last month.

“We now will hear from stakeholders who are part of the complex pharmaceutical drug supply chain.

“To regular people, this system may seem simple: a disease is researched and a treatment is developed, then that treatment is manufactured and distributed to a hospital, pharmacy, or other health entity before it is dispensed to a patient.

“However, there are many more layers that are involved in this process that affect how a drug gets to a patient and how that drug is priced.

“One of the most frustrating aspects of the supply chain is that it operates in a blackbox.

“Luckily, we have witnesses here to provide their perspectives and shine a light on the process.

“Do each of these entities in front of us today play a role in getting the drug to a patient? Yes.

“Are there too many cooks in the kitchen at times? Probably so.

“Today is a great opportunity for Congress to get a glimpse and see what is happening, and look for ways to help make prescription drugs more affordable.

“In 2017, this same subcommittee held a hearing similar to this one.

“A lot has changed since then.

“I am glad we are reexamining what we learned from that hearing to continue working towards what we all want: lowering costs for patients while ensuring that America remains a leader in pharmaceutical innovation.

“We have PhRMA and BIO in front of us who can speak to the intricacies that go into researching, developing, and pricing a drug on the market.

“We will also get the perspective of generic drugs from the Association for Accessible Medicines who can speak on the issues in that area.

“We also have the Pharmaceutical Care Management Association here who is the trade association that represents pharmaceutical benefit managers, or PBMs.

“In theory, PBMs manage prescription drug benefits for insurance companies, employers, and others.

“What we heard in our hearing last month is that insurance companies own many PBMs.

“The largest three insurance owned PBMs control over 80 percent of the market.

“How they manage these benefits is a mystery and can lead to higher drug prices.

“However, just last week, led by Representative Buddy Carter from Georgia, Congress passed and the President signed into law the biggest PBM reform package in history.

“These bills will bring more transparency into this system, lower costs, and allow for more access to medicines.

“The Healthcare Supply Chain Association is here on behalf of Group Purchasing Organizations, or GPOs, which act as intermediaries between manufacturers and providers.

“In front of us is also the Healthcare Distribution Alliance, who is involved in the distribution of prescription drugs along the supply chain.

“I am looking forward to hearing from the National Community Pharmacists Association who is before us today as well, since they represent community pharmacists.

“These community pharmacies serve a critical role in bringing care to patients, especially in rural areas; yet, many have had to sadly close their doors in recent years due to factors we will discuss today.

“The ERISA Industry Committee is also here to discuss their point of view for employers when it comes to high costs, as well as decisions they make based on those costs.

“Each of these different entities play a unique role in how a drug finally gets to a patient.

“In this meeting, we will hear from these witnesses on how to navigate this complex web on behalf of the American people.

“I look forward to the discussion.”