Democratic Senators Demand Information on Telehealth Provider Affiliations with Eli Lilly and Pfizer

April 9, 2025

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Four Democratic senators sent a letter to five telehealth companies that have held contracts with Pfizer and Eli Lilly, inquiring about their financial relationships and possible influence on prescriptions for medications. The letter was signed by the ranking member of the Senate Judiciary Committee and member of Senate Democratic leadership, Sen. Dick Durbin (D-IL), and the ranking member of the Senate Health, Education, Labor and Pensions (HELP) Committee, Sen. Bernie Sanders (I-VT), as well as Sens. Peter Welch (D-VT) and Elizabeth Warren (D-MA).

The letter accuses these arrangements of sending direct-to-consumer advertisements that steer patients toward particular medications and create the potential for inappropriate prescribing that can increase health care spending. The letters were addressed to the CEOs of 9amHealth, Thirty Madison (Cove), Form Health, Populus Health Technologies, and UpScriptHealth, and demand answers to questions by April 15.

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Bicameral Patients before Monopolies Act reintroduced

On May 13, bipartisan lawmakers in the House and Senate reintroduced the Patients Before Monopolies (PBM) Act (S.4509/H.R.8779), legislation that would prohibit common ownership of PBMs, insurers, and pharmacies. Sponsored by Sens. Warren (D-MA) and Josh Hawley (R-MO) alongside Reps. Diana Harshbarger (R-TN) and Jake Auchincloss (D-MA), the bill would require impacted organizations to divest […]
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June 10, 2026

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legislation

CMS announces ePA acceleration initiative, democrats seek to repeal WISeR Model

The Centers for Medicare & Medicaid Services (CMS) is advancing its electronic prior authorization (ePA) efforts through a newly established Electronic Prior Authorization Acceleration initiative to address key challenges and drive solutions ahead of 2027 requirements. To date, 29 health care organizations – including health systems, electronic health record developers, physician practices, networks, and digital health […]
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June 10, 2026

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legislation

Tri-Departments release fertility excepted benefits proposed rule

On May 10, the Departments of Labor, HHS, and Treasury (the Departments) issued a proposed rule that would create a new category of limited excepted benefits to allow employers to offer stand-alone fertility benefits to their employees, similar to dental, vision, and other supplemental coverage. Benefits would be limited to fertility-related items and services for […]
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June 10, 2026

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