US names 10 prescription drugs subject to price negotiations
1 year, 3 months ago

US names 10 prescription drugs subject to price negotiations

Al Jazeera  

Move is expected to cut costs for some patients but faces lawsuits from drugmakers and heavy criticism from Republicans. US President Joe Biden’s administration has released a list of 10 prescription medicines that will be subject to the first-ever price negotiations by the United States Medicare health programme, a move that could affect tens of millions of people. Biden’s signature Inflation Reduction Act, signed into law in August last year, allows the health programme for Americans aged 65 and over to negotiate prices for some of its most costly drugs. Medicines on the list released by the White House on Tuesday morning include Merck & Co’s diabetes drug Januvia, Eliquis rival Xarelto from Johnson & Johnson and AbbVie’s leukaemia treatment Imbruvica. The White House said on Tuesday that the Medicare agency aims to negotiatiate prices for as many as 60 drugs over the next four years, followed by an additional 20 drugs every year after that.

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History of this topic

Price stops 1 in 6 US adults with asthma from taking their life-saving medications as prescribed
2 weeks ago

Price stops 1 in 6 US adults with asthma from taking their life-saving medications as prescribed

The Independent  

Sign up for our free Health Check email to receive exclusive analysis on the week in health Get our free Health Check email Get our free Health Check email SIGN UP I would like to be emailed about offers, events and updates from The Independent. Read our privacy policy The cost of medication to treat asthma, the chronic lung disease, …

Biden proposes huge expansion of weight loss drug access
3 weeks, 6 days ago

Biden proposes huge expansion of weight loss drug access

Raw Story  

by Danny KEMP Outgoing U.S. President Joe Biden proposed Tuesday to give millions more Americans access to weight loss drugs -- but Donald Trump's incoming health chief looked set to shoot down the idea. Any plan to increase US public health insurance spending would also likely run foul of Trump's bid to slash government budgets and waste. Trump said last …

Democrats can still pull off a victory before year's end: Lowering drug costs once more
1 month ago

Democrats can still pull off a victory before year's end: Lowering drug costs once more

Salon  

Democrats have a golden opportunity to lower drug prices — again — before the next Congress begins on Jan. 3. Democrats and Republicans alike support two bills that'd rein in pharmacy benefit managers — the gigantic and secretive "pharmaceutical middlemen who squeeze small pharmacies' profits and raise costs for consumers," as Vice President Kamala Harris described them during the campaign. …

Column: The Ozempic revolution in weight-loss drugs exposes the weakest links in our healthcare system — drug pricing and insurance
3 months, 3 weeks ago

Column: The Ozempic revolution in weight-loss drugs exposes the weakest links in our healthcare system — drug pricing and insurance

LA Times  

The diabetes and weight-loss drug Ozempic. This limits the length of time that health gains can be internalized as reduced claims.’ — David Anderson, University of South Carolina health policy expert Yet millions of Americans are unable to access these drugs, thanks to the two big, interrelated flaws in our healthcare system: unrestrained pricing by drug companies and the economics …

Biden deal to lower prescription drug prices will save taxpayers $6bn next year, Democrats say
4 months, 1 week ago

Biden deal to lower prescription drug prices will save taxpayers $6bn next year, Democrats say

The Independent  

Sign up for the daily Inside Washington email for exclusive US coverage and analysis sent to your inbox Get our free Inside Washington email Get our free Inside Washington email SIGN UP I would like to be emailed about offers, events and updates from The Independent. Read our privacy policy A landmark price negotiation between pharmaceutical companies and Medicare will …

Medicare Price Negotiations Have Led To Agreements On 10 Drugs
4 months, 1 week ago

Medicare Price Negotiations Have Led To Agreements On 10 Drugs

Huff Post  

LOADING ERROR LOADING The first-ever negotiations between the federal government and pharmaceutical companies have led to agreements that will lower the prices of 10 treatments, reducing costs for the Medicare program and for some individual seniors, the Biden administration announced early Thursday morning. “When these lower prices go into effect, people on Medicare will save $1.5 billion in out-of-pocket costs …

Medicare negotiated drug prices for the first time. Here’s what it got
4 months, 1 week ago

Medicare negotiated drug prices for the first time. Here’s what it got

NPR  

Medicare negotiated drug prices for the first time. Here’s what it got toggle caption Nam Y. Huh/AP The White House unveiled the fruits of months of negotiations between the government and pharmaceutical companies: new, lower Medicare prices for 10 blockbuster drugs. It took both sides to reach a good deal.” Sponsor Message The program selected the first 10 medicines for …

White House says prescription drug deals will produce billions in savings for taxpayers, seniors
4 months, 1 week ago

White House says prescription drug deals will produce billions in savings for taxpayers, seniors

LA Times  

Vice President Kamala Harris and President Biden depart after speaking about the administration’s efforts to lower prescription drug costs during an event at Prince George’s Community College in Largo, Md., on Thursday. Taxpayers are expected to save billions after the Biden administration signed deals with pharmaceutical companies to knock down the list prices for 10 of Medicare’s costliest drugs. “I’ve …

In a first, Medicare has set prices for 10 drugs, saving billions
4 months, 1 week ago

In a first, Medicare has set prices for 10 drugs, saving billions

Politico  

This marks the first time Biden and Harris have rallied together in public since the president dropped his bid for a second term, and offers a chance for Harris to tout one of the administration’s signature domestic achievements. Asked whether it’s fair to compare the negotiated prices to individual drugs’ list prices, which don’t take into account rebates, Dr. Meena …

White House set to unveil Medicare price negotiation savings
4 months, 2 weeks ago

White House set to unveil Medicare price negotiation savings

Politico  

President Joe Biden and Vice President Kamala Harris are slated to tout the details during an event in Maryland later that day, casting it as a key accomplishment of a policy platform focused on easing consumer costs that Democratic presidential nominee Harris has vowed to continue if elected in November. Both the White House and the Harris campaign have envisioned …

Column: Pharmacy middlemen claim to keep prescription prices low. In fact, they’ve cost consumers billions
5 months, 1 week ago

Column: Pharmacy middlemen claim to keep prescription prices low. In fact, they’ve cost consumers billions

LA Times  

A CVS Pharmacy location in California. We’ve created plan designs to aggressively steer customers to home delivery where the drug cost is ~200 times higher.” PBMs are not lowering prices for drugs used by patients to treat severe diseases like prostate cancer and leukemia. The FTC staff found that for “specialty prescriptions” — a designation the PBMs place on certain …

Biden sees a $35 price cap for insulin as a pivotal campaign issue. It’s not that clear-cut
8 months ago

Biden sees a $35 price cap for insulin as a pivotal campaign issue. It’s not that clear-cut

Associated Press  

WASHINGTON — Rarely a day goes without President Joe Biden mentioning insulin prices. “It is about political signaling in a campaign much more than it is about demonstrating for people that they benefit from the insulin cap,” said Drew Altman, president and CEO of KFF, a nonprofit that researches health care issues. There are a lot of people who don’t …

Medicare spending on Ozempic and similar diabetes drugs soars, study finds, and it could end up costing seniors
8 months, 4 weeks ago

Medicare spending on Ozempic and similar diabetes drugs soars, study finds, and it could end up costing seniors

CNN  

CNN — Medicare shelled out $5.7 billion on Ozempic and other similar diabetes drugs in 2022, up from $57 million in 2018, according to a new KFF analysis. “These drugs offer substantial potential health benefits, but the combination of intense demand, new uses, and high prices for these treatments is likely to place tremendous pressure on Medicare spending, Part D …

Column: A Trump judge slaps down Big Pharma’s attack on Biden’s drug price cuts
9 months, 2 weeks ago

Column: A Trump judge slaps down Big Pharma’s attack on Biden’s drug price cuts

LA Times  

President Biden speaks during an event in August marking the one-year anniversary of the Inflation Reduction Act, which authorized Medicare to negotiate drug prices. “Understandably, drug manufacturers like AstraZeneca don’t like the IRA,” wrote Judge Colm F. Connolly, referring to the Inflation Reduction Act of 2022, which authorized Medicare to negotiate with drugmakers over how much it would pay for …

Column: Big drug makers are whining about having to negotiate with Medicare, but they can’t afford not to
1 year, 2 months ago

Column: Big drug makers are whining about having to negotiate with Medicare, but they can’t afford not to

LA Times  

Medicare is finally allowed to negotiate prescription drug prices with drug companies. Given the pharmaceutical industry’s conviction that the government’s Medicare drug negotiation program will “deal a fatal blow” to its innovative research, “coerce” it into sacrificing its rightful profits, kill innocent patients and was also unconstitutional, naturally the companies would decline to participate. Knowing that Medicare can’t walk away …

Biden says that all 10 drugs targeted for the first Medicare price negotiations will participate
1 year, 2 months ago

Biden says that all 10 drugs targeted for the first Medicare price negotiations will participate

Associated Press  

WASHINGTON — President Joe Biden announced Tuesday that the manufacturers of all of the first 10 prescription drugs selected for Medicare’s first price negotiations have agreed to participate, clearing the way for talks that could lower their costs in coming years and give him a potential political win heading into next year’s election. In announcing that price negotiations will go …

Why Republican Presidential Contenders Are Mostly Silent About Biden’s Signature Prescription Drug Policy
1 year, 3 months ago

Why Republican Presidential Contenders Are Mostly Silent About Biden’s Signature Prescription Drug Policy

Huff Post  

President Joe Biden speaks during an event celebrating the start of Medicare's prescription drug price negotiation at the White House on Aug. 29, 2023. “Unlike Donald Trump, President Biden had the courage to stand up to Big Pharma, and thanks to his and Democrats’ leadership, seniors won’t have to choose between putting a meal on the table and their life-saving …

Biden’s Medicare price negotiation push is broadly popular. But he’s not getting much credit
1 year, 3 months ago

Biden’s Medicare price negotiation push is broadly popular. But he’s not getting much credit

Associated Press  

WASHINGTON — President Joe Biden is trumpeting Medicare’s new powers to negotiate directly with drugmakers on the cost of prescription medications — but a poll shows that any immediate political boost that Biden gets for enacting the overwhelmingly popular policy may be limited. Even among the Americans who support allowing Medicare to negotiate drug prices, approval of Biden’s handling of …

5 things to know about the new drug pricing negotiations
1 year, 3 months ago

5 things to know about the new drug pricing negotiations

Salon  

The Biden administration has picked the first 10 high-priced prescription drugs subject to federal price negotiations, taking a swipe at the powerful pharmaceutical industry. But that would be true only if companies aren't already pricing their drugs as high as the private market will bear, said Tricia Neuman, executive director of KFF's program on Medicare policy. At least six drug …

US to negotiate price of 10 prescription drugs: What you need to know
1 year, 3 months ago

US to negotiate price of 10 prescription drugs: What you need to know

Al Jazeera  

Under President Joe Biden’s Inflation Reduction Act, the government will negotiate the prices of select medicines. The United States government on Tuesday released a list of 10 prescription medicines that will be subject to the first-ever price negotiations by the Medicare health program that covers Americans aged 65 and over. These include Merck & Co’s diabetes drug Januvia, big-selling blood …

The Biden administration unveils the first 10 medications up for price negotiation
1 year, 3 months ago

The Biden administration unveils the first 10 medications up for price negotiation

NPR  

The Biden administration unveils the first 10 medications up for price negotiation A MARTÍNEZ, HOST: About a quarter of adults in the U.S. say they have to take four or more prescription medications. The Biden administration has picked 10 medications to start negotiating lower prices for Medicare patients, and it's overriding an argument from the pharmaceutical industry that reduced profits …

10 drugs targeted for Medicare price negotiations as Biden pitches cost reductions
1 year, 3 months ago

10 drugs targeted for Medicare price negotiations as Biden pitches cost reductions

Associated Press  

WASHINGTON — President Joe Biden touted the potential cost savings of Medicare’s first-ever price negotiations for widely used prescription drugs on Tuesday as he struggles to convince Americans that he’s improved their lives as he runs for reelection. Currently, pharmacy benefit managers that run Medicare prescription plans negotiate rebates off a drug’s price. The new drug price negotiations aim “to …

Biden targets 10 drugs for Medicare price negotiations
1 year, 3 months ago

Biden targets 10 drugs for Medicare price negotiations

LA Times  

President Biden spoke at Irvine Valley College on Oct, 14, 2022, about his actions to protect and strengthen Medicare and Social Security. President Biden touted the potential cost savings of Medicare‘s first-ever price negotiations for widely used prescription drugs on Tuesday as he struggles to convince Americans that he’s improved their lives as he runs for reelection. Currently, pharmacy benefit …

Opinion: Here’s Big Pharma’s playbook to bankrupt Americans who can’t afford medications
1 year, 4 months ago

Opinion: Here’s Big Pharma’s playbook to bankrupt Americans who can’t afford medications

LA Times  

America’s pharmaceutical giants are now suing to block the federal government’s first effort at drug price regulation. Last year’s Inflation Reduction Act included what on its face seems a modest proposal: The federal government would for the first time be empowered to negotiate prices Medicare pays for drugs — but only for 10 very expensive medicines beginning in 2026. Those …

What's a fair price for a prescription drug? Medicare's about to weigh in
1 year, 4 months ago

What's a fair price for a prescription drug? Medicare's about to weigh in

NPR  

What's a fair price for a prescription drug? Medicare can push back and signal its priorities to drugmakers Although this unprecedented negotiation process presents several tricky decisions for Medicare, experts said the need to keep finding better treatments for dire diseases looms largest. "This chronic tension between trying to make sure that we keep health care affordable and that we …

Biden launches a new push to limit healthcare costs, hoping to show he can save money for families
1 year, 5 months ago

Biden launches a new push to limit healthcare costs, hoping to show he can save money for families

LA Times  

President Biden on Friday rolled out a new set of initiatives to reduce healthcare costs: a crackdown on scam insurance plans, new guidance to prevent surprise medical bills and an effort to reduce medical debt tied to credit cards. Biden’s remarks will build on previous initiatives to limit healthcare costs, with the Department of Health and Human Services releasing new …

Drugmaker lobbying group sues over plan to negotiate Medicare drug prices
1 year, 6 months ago

Drugmaker lobbying group sues over plan to negotiate Medicare drug prices

Associated Press  

A key drugmaker lobbying group has joined the legal fight against the federal government’s plan to negotiate Medicare drug prices. PhRMA said in a federal court complaint filed Wednesday that the act forces drugmakers to agree to a “government-dictated price” under the threat of a heavy tax. It also says the program violates the due process clause of the Constitution’s …

Drugmakers are abandoning cheap generics, and now U.S. cancer patients can’t get meds
1 year, 6 months ago

Drugmakers are abandoning cheap generics, and now U.S. cancer patients can’t get meds

LA Times  

A growing shortage of common cancer treatments is forcing doctors to switch medications and delay care. “Your roof is caving in, but you want to build a basketball court in the backyard because your wife is pregnant with twin boys and you want them to be NBA stars when they grow up?” “It’s just a travesty that this is the …

Medicaid plans to audit the prices of costliest drugs
1 year, 7 months ago

Medicaid plans to audit the prices of costliest drugs

Associated Press  

WASHINGTON — The Biden administration said Tuesday it is planning to conduct a yearly audit to verify the prices drug makers charge on a handful of the costliest prescriptions covered by Medicaid. Under the proposal, the Centers for Medicare and Medicaid Services would require as many as 10 drug makers every year to furnish the government with proprietary and non-proprietary …

Which medicines are getting cheaper? Can I get double my medication for half the price?
1 year, 7 months ago

Which medicines are getting cheaper? Can I get double my medication for half the price?

ABC  

You may have heard the cost of hundreds of medicines will effectively be halved for millions of Australians with chronic illness, under a major shake-up of the Pharmaceutical Benefits Scheme. Back in 2018 it recommended patients should be able to increase their script refill from one month's supply to two for more than 140 medications, however that wasn't ever adopted …

Prices of drugs to be revised from today
1 year, 8 months ago

Prices of drugs to be revised from today

Deccan Chronicle  

Vijayawada: Prices of scheduled and non-scheduled drugs are likely to be revised by the National Pharmaceutical Pricing Authority based on wholesale price index from April 1. NPPA carries out a revision of prices of both scheduled and non-scheduled drugs at the start of every financial year based on wholesale price index, effective from April 1. All such medicines fall under …

Column: Biden says he wants to bring down drug prices. His actions tell a different story
1 year, 9 months ago

Column: Biden says he wants to bring down drug prices. His actions tell a different story

LA Times  

President Biden meets with National Institutes of Health scientists Barney Graham, left, and Kizzmekia Corbett as they work on technology that contributed to Moderna’s COVID-19 vaccine in 2021. — Xtandi users’ petition for government price cut The drug is marketed in the U.S. by Pfizer and the Japanese drug company Astellas for $189,800 a year. The action by HHS is …

Biden says he’s focused ‘intensely’ on lowering drug costs
1 year, 9 months ago

Biden says he’s focused ‘intensely’ on lowering drug costs

Associated Press  

LAS VEGAS — President Joe Biden on Wednesday said his administration was focused “intensely” on lowering health care costs and took aim at “MAGA” Republicans who he said are intent on dialing back Medicare coverage for millions of Americans. “Let’s protect the lower prescription drug costs for everyone” Already, the legislation caps the price of insulin at $35 for disabled …

Biden will seek Medicare changes, up tax rate in new budget
1 year, 9 months ago

Biden will seek Medicare changes, up tax rate in new budget

The Hindu  

President Joe Biden wants to increase taxes to boost funding for Medicare and expand the programme's ability to negotiate lower costs for prescription drugs, according to advance details of his budget proposal being released later this week. The Medicare tax rate would rise from 3.8% to 5% on income exceeding $400,000 per year, including salaries and capital gains. “This modest …

U.S. government to start imposing inflation penalties on drugmakers in 2025
1 year, 10 months ago

U.S. government to start imposing inflation penalties on drugmakers in 2025

The Hindu  

The U.S. government will begin imposing penalties in 2025 on drug companies that charge its Medicare program prices that rise faster than inflation, the Centers for Medicare & Medicaid Services said on Thursday. The agency issued initial guidance on how it will implement a provision in President Joe Biden's signature Inflation Reduction Act that penalizes drugmakers for raising prices faster …

Biden pushing lower prescription drug costs in midterm press
2 years, 2 months ago

Biden pushing lower prescription drug costs in midterm press

Associated Press  

IRVINE, California — President Joe Biden is highlighting his administration’s efforts to lower prescription drug costs on Friday as part of his three-state Western tour this week, as he confronts a sobering inflation report in the waning weeks before midterm elections. And on a month-to-month basis, such “core” prices soared 0.6% for a second straight time, defying expectations for a …

EXPLAINER: Lower prescription prices to take time in new law
2 years, 3 months ago

EXPLAINER: Lower prescription prices to take time in new law

Associated Press  

WASHINGTON — After decades of failed attempts, Democrats passed legislation that aims to rein in the soaring costs of drugs for some in the United States. That new bargaining power won’t kick in until 2025, when Medicare is able to haggle over the price of 10 drugs covered by its prescription plan. In the first year, Medicare will be allowed …

Column: Everyone is thrilled that Medicare can finally negotiate drug prices. Prepare to be disappointed
2 years, 4 months ago

Column: Everyone is thrilled that Medicare can finally negotiate drug prices. Prepare to be disappointed

LA Times  

President Biden hands the pen used to sign the Inflation Reduction Act of 2022 to Sen. Joe Manchin. It’s the provision allowing Medicare to negotiate pharmaceutical prices directly with drug companies for the first time. — Simon F. Haeder, Texas A&M The idea has always garnered overwhelming support among the public, which has interpreted the ban on Medicare’s negotiating authority …

Price Cut on Critical Medicines Soon as Health Minister Calls Meeting with Pharma Lobbies
2 years, 5 months ago

Price Cut on Critical Medicines Soon as Health Minister Calls Meeting with Pharma Lobbies

News 18  

The price cut on several critical medicines may happen soon as health minister Mansukh Mandaviya is expected to meet top manufacturers and pharma lobbies to finalise the list of drugs set to go under trade margin rationalisation, News18 has learnt. “The minister is slated to meet the industry on July 26 on the subject of trade margin rationalisation on non-scheduled …

Govt Plans to Slash Critical Drugs' Prices for Diabetes, Heart & Kidney Diseases by Fixing Trade Margin
2 years, 5 months ago

Govt Plans to Slash Critical Drugs' Prices for Diabetes, Heart & Kidney Diseases by Fixing Trade Margin

News 18  

By fixing trade margins, the Narendra Modi government is planning to bring down the prices of critical drugs, News18.com has learnt. Similarly, this time, we will announce the slashing of the trade margins of a particular category of drugs such as anti-diabetic or for kidney diseases,” said the source. At least 2.97% of the medicines in the Rs 50-100 per …

Medicare recipients to see premium cut — but not until 2023
2 years, 6 months ago

Medicare recipients to see premium cut — but not until 2023

Associated Press  

WASHINGTON — Medicare recipients will get a premium reduction — but not until next year — reflecting what Health and Human Services Secretary Xavier Becerra said Friday was an overestimate in costs of covering an expensive and controversial new Alzheimer’s drug. Becerra’s statement said the 2022 premium should be adjusted downward but legal and operational hurdles prevented officials from doing …

Biden puts focus on drug prices in fight against inflation
2 years, 10 months ago

Biden puts focus on drug prices in fight against inflation

Associated Press  

CULPEPER, Virginia — Unable to tame inflation that has worsened sharply under his watch, President Joe Biden stressed Thursday that his administration’s policies would cut prescription drug prices and make life more affordable for families. Prescription drugs remain a politically safe focal point for Biden’s visit, and Spanberger said the president was right to push forward on it. Biden’s drug …

Biden puts focus on drug prices as he tries to revive agenda
2 years, 10 months ago

Biden puts focus on drug prices as he tries to revive agenda

The Independent  

Sign up for the daily Inside Washington email for exclusive US coverage and analysis sent to your inbox Get our free Inside Washington email Get our free Inside Washington email SIGN UP I would like to be emailed about offers, events and updates from The Independent. Read our privacy policy President Joe Biden is trying to jump-start progress on his …

Biden touts savings on insulin and other drugs for Americans
3 years ago

Biden touts savings on insulin and other drugs for Americans

Associated Press  

WASHINGTON — President Joe Biden pledged Monday that his social agenda legislation would deliver tangible savings on prescription drugs for all Americans. “I’m committed to using every tool I have to lower prescription drug costs for Americans consistent with the drug companies getting a fair return on their investment,” he added. In a statement following Biden’s speech, Stephen J. Ubl, …

Sanders to Biden: Cut back looming Medicare premium hike
3 years ago

Sanders to Biden: Cut back looming Medicare premium hike

Associated Press  

WASHINGTON — Sen. Bernie Sanders is asking the White House to cut back a big Medicare premium hike set to take effect in weeks and tied to a pricey Alzheimer’s drug whose benefits have been widely questioned. In a letter Friday to President Joe Biden, the Vermont Independent called on the president to act immediately to prevent the portion of …

Real Medicare drug savings in Dems’ bill — but not overnight
3 years, 1 month ago

Real Medicare drug savings in Dems’ bill — but not overnight

Associated Press  

WASHINGTON — Medicare enrollees who take expensive medicines could save thousands of dollars a year under the Democrats’ sweeping social agenda bill, but those dividends won’t come overnight. A huge development would follow in 2024: the first-ever cap on out-of-pocket costs for nearly 50 million seniors in Medicare’s Part D pharmacy drug program. Seniors would see the first fruits of …

Democrats reach drug price deal, Biden upbeat on Manchin
3 years, 1 month ago

Democrats reach drug price deal, Biden upbeat on Manchin

Associated Press  

WASHINGTON — Democrats reached agreement Tuesday on a plan to lower prescription drug costs for most older people, capping out-of-pocket Medicare costs at $2,000 and reducing the price of insulin, salvaging a campaign promise as part of President Joe Biden’s $1.75 trillion domestic policy proposal. And there would be “a new monthly cap on the price of insulin, and an …

Column: Letting Medicare negotiate drug prices won’t help as much as you think
3 years, 1 month ago

Column: Letting Medicare negotiate drug prices won’t help as much as you think

LA Times  

Drug prices are a never-ending concern for Americans, so why can’t Congress do anything about them? Foreign countries whose drug prices are often cited as possible benchmarks for U.S. healthcare payers don’t enter talks with one arm tied behind their backs — they can set prices based on measures of effectiveness, value and the cost of research and development. “Brand-name …

Democrats' deal on prescription drugs would lower costs for seniors
3 years, 1 month ago

Democrats' deal on prescription drugs would lower costs for seniors

NPR  

Democrats' deal on prescription drugs would lower costs for seniors Enlarge this image toggle caption Julio Cortez/AP Julio Cortez/AP Democrats in Congress have made a big, if substantially pared back, step toward lowering prescription drug costs for older Americans, reaching a compromise on the matter after significant infighting on the issue. "After Senator Sinema reached earlier agreement with President Biden …

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