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The pharma CEO behind $35 insulin

June 13, 2024
Reporter, D.C. Diagnosis Writer

Hello, and happy Thursday! There's no fun on Capitol Hill like a celebrity guest, and this week featured Usher trying to get lawmakers to vote yeah, yeah, yeah to improve screening for type 1 diabetes. And Sen. Peter Welch (D-Vt.) did his best impression. Send any and all celebrity Hill spottings to rachel.cohrs@statnews.com.

election 2024

The pharma CEO behind $35 insulin

As I was reporting out a story about insulin pricing, a source asked me a question that stopped me in my tracks: Where did the ubiquitous $35 per month figure come from? 

Both President Biden and former President Trump have been eager to claim credit for $35 insulin. The number was included in the Inflation Reduction Act's Medicare insulin protections, has popped up in states, has been the basis of bills in Congress, and has become the go-to standard for companies' patient assistance programs. 

Mystery solved. As it turns out, the figure actually started with a massive pharmaceutical company. Get the full backstory in my new article out this morning.


health equity

Diversifying clinical research is difficult

A recent NIH effort to make cancer research more diverse turned out to be a costly failure, according to my colleague John Wilkerson.

Drugs are still tested mostly on white men, and there's been a lot of talk about finding ways to attract people of color to clinical trials. 

Government researchers hoped paying for the travel expenses of cancer patients seeking to volunteer for trials would lead to greater trial diversity by reducing a barrier to participation. It didn't work, and travel costs at the National Cancer Institute's Center for Cancer Research rose 45% over the course of the pilot.


capitol hill

The FDA takes a bipartisan beating

Early in his tenure, Brian King described his role leading the FDA's tobacco center as "baptism by blowtorch." Yesterday's hearing on vaping underscored his point.

Members of the Senate Judiciary Committee dressed down King for what they see as ineffective actions by the FDA to clear the market of illegal vapes, my colleague Nick Florko reports. (Nick is only mildly insulted that he was not invited to testify after all his escapades buying illegal vapes around FDA's campus.)

King, and the FDA's tobacco center generally, are no stranger to criticism. But this got really bad. Bad enough, in fact, that the audience for the hearing burst out laughing when Republican Senator Thom Tillis (R-N.C.) suggested he poll the audience when he couldn't get what he thought was a straight answer from King about whether certain vapes were illegal or not. 

For more fireworks, check out Nick's story here.



has coopearpharma

Bernie's empty threat?

Senate health committee Chair Bernie Sanders is threatening to subpoena the head of Novo Nordisk's U.S. division to testify on the price of its weight loss and diabetes drugs, but some of his fellow committee Democrats hope it doesn't come to that.

Sen. Tina Smith (D-Minn.) declined to say whether she would vote for a subpoena.

"We'd like him to come voluntarily," Smith said, adding that other business executives have agreed to testify under threat of subpoena.

Sen. Tim Kaine (D-Va.) said he would be "inclined" to vote for the subpoena, if it comes to that.

"In the past, we haven't had to vote on a subpoena in the committee, because when the chairman says, 'Hey look, we're prepared to do this,' that usually works."

Sen. John Hickenlooper (D-Colo.) said he wanted to speak to Sanders before commenting on his vote. Sen. Patty Murray (D-Wash.) made a similar statement to Axios' Peter Sullivan. 

Sen. Tim Casey (D-Pa.) was the sole hard yes.

"I will vote for it," Casey said.

Of note, a Novo spokesperson said the company told Sanders before the subpoena threat that its CEO is willing to testify.


science

House report sparks new momentum for gain-of-function restrictions

House Energy & Commerce Committee Republicans on Tuesday accused the NIH, and NIAID in particular, of stonewalling a monthslong probe of certain gain-of-function studies, fueling a rising debate in Congress over the future of the controversial field of research, which involves altering a virus to make it more transmissible or virulent, my co-author Sarah Owermohle reports.

Committee investigators, in an interim report, zeroed in on an mpox study proposed by longtime NIAID researcher Bernard Moss, saying that NIH misrepresented the status of the study. The investigators concluded by calling for a "wholly independent" board to review future gain-of-function proposals, with the possibility that its director would need Senate confirmation.

While that's a far-off reality for now — with elections around the corner and no legislation drafted for the possible change — the report sets the table for future oversight probes and potential reforms. Republicans in both the House and Senate have called to reintroduce gain-of-function bans, while some have explored broader reforms that could streamline research.

E&C GOP leadership took a similar line Tuesday: The report's findings are "unacceptable and demonstrates the clear need for reform," they said in a shared statement.


China

BIOSECURE will have to find another ride

House lawmakers did not allow the BIOSECURE Act to be considered in defense budget legislation. The National Defense Authorization Act was considered the most likely vehicle for the biotech national security bill, John reports. BIOSECURE's prospects of passage would've been helped by allowing it to be considered as an amendment to the NDAA, but the bill still has legs.

The Rules Committee held a hearing Tuesday to determine which policies can be considered as amendments to the bill. A precursor to BIOSECURE was allowed to be considered in the NDAA debate last year, though Congress didn't include it in the final NDAA. 

This year, GOP leadership set stricter amendment standards for the NDAA to avoid fights over social-policy issues that could derail bipartisan support for the bill, according to two sources. However, GOP leadership allowed some red meat for its own members, including amendments to prohibit the Department of Defense from covering abortion-related expenses and prohibiting DOD's Tricare from providing gender affirming care.

"There are pieces of legislation like BIOSECURE that, even though there's bipartisan support, are falling by the wayside, not for policy reasons necessarily, but for numbers reasons," said Michael Sobolik, a senior fellow at the American Foreign Policy Council.


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