Biden Administration Suspends Trump Order to Lower Insulin, Epinephrine Prices

January 25, 2021 Updated: January 25, 2021

The Biden administration has paused a rule put in place by former President Donald Trump that would allow community health centers to pass on all their insulin and epinephrine savings to patients.

According to a Federal Register (pdf) post, “this action temporarily delays for 60 days from the date of the memorandum the effective date of the final rule titled ‘Implementation of Executive Order on Access to Affordable Life-saving Medications,’ published” in December 2020.

The Department of Health and Human Services (HHS) added that the “temporary delay in the effective date of this final rule is necessary to give Department officials the opportunity for further review and consideration of new regulations, consistent with the memorandum of January 20, 2021.”

The move, according to the White House chief of staff Ron Klain, is part of its effort to scrutinize Trump’s health policies and other executive orders.

Klain issued a directive that suspends new regulations for 60 days, while the new administration carries out a review. The insulin and epinephrine rule was to have taken effect on Jan. 22.

Joe Biden
President Joe Biden delivers remarks on the economy in the State Dining Room of the White House in Washington on Jan. 22, 2021. (Evan Vucci/AP Photo)

“With respect to rules that have been published in the Federal Register, or rules that have been issued in any manner, but have not taken effect, consider postponing the rules’ effective dates for 60 days from the date of this memorandum, consistent with applicable law and subject to the exceptions described in paragraph 1, for the purpose of reviewing any questions of fact, law, and policy the rules may raise,” Klain wrote.

He explained: “For rules postponed in this manner, during the 60-day period, where appropriate and consistent with applicable law, consider opening a 30-day comment period to allow interested parties to provide comments about issues of fact, law, and policy raised by those rules, and consider pending petitions for reconsideration involving such rules.”

According to a Bloomberg Law article, critics of the Trump rule said that health centers providing the two drugs “already pass on those savings and this [Trump] rule is merely an administrative burden that paints them as entities that price-gouge patients.”

Trump also last year signed an executive order to lower drug prescription prices.

“It is unacceptable that Americans pay more for the exact same drugs, often made in the exact same places,” his September 2020 order reads. The order had called on the HHS secretary to “immediately take appropriate steps to implement his rulemaking plan to test a payment model,” and implement a “most favored nations” policy.