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Congress should grant Medicare the statutory authority to use its purchasing power to obtain drug price discounts directly from pharmaceutical manufacturers.
Congress should eliminate the asset test for the LIS for Part D coverage and ensure coordination of benefits for those who are dually eligible for Medicare and Medicaid.
Efforts to reform the Medicare Part D benefit structure should not lead to higher enrollee premiums or federal spending.
With respect to their formularies and preferred drug lists, plans should:
Federal and state governments should maintain the entitlement nature of Medicaid funding so all who qualify will be covered.
Congress should evaluate the federal Medicaid funding formula to determine whether it distributes federal funds equitably among states, consistent with Title XIX of the Medicaid statute.
State and federal governments should ensure that benefits and services address individual medical, mental health, prescription drug, LTSS, language, cultural, and social needs.
The federal government should permit states to opt out of Medicaid estate recovery.