Issue likely battleground in coming PS&T negotiations
PEF joins fight against soaring Rx costs

By DEBORAH A. MILES

Concerned with skyrocketing costs for prescription drugs, PEF President Roger Benson joined other union officials at a daylong forum sponsored by the state AFL-CIO Task Force on Prescription Drug Prices.

The 1-year-old task force is examining escalating prescription drug costs and the effect on union members, retirees and their families throughout New York.

“PEF members value their prescription benefits very highly,” Benson told union leaders and lawmakers in Albany at the June forum. “About 14,000 members are enrolled in various HMOs that are offered to state employees. PEF is not permitted to negotiate HMO benefits. As a result, HMO prescription benefits vary widely.”

For example, some plans allow maintenance drug prescriptions to be filled at retail pharmacies, while others allow them to be filled only through mail-order pharmacies.

Because HMO’s can change prescription benefits — including copays and drug exclusions — once a year, Benson said, many PEF members worry about the continued stability of their benefits.

PEF researched the costs of commonly used medications at online pharmacies, as someone without benefits might do.
For instance, the brand-name drug Imitrex, used for treating migraine headaches costs $104.99 for nine 50 mg tablets.
And Remicade, a brand-name drug used to treat rheumatoid arthritis, costs $1,000 per dose.

Members using these drugs said they would be unaffordable without a health plan.

Cost shifting on the rise
According to a recent bulletin from the American Association of Retired People, prescription-drug costs are expected to rise between 11 percent and 18 percent this year.

“The most common response of health plans is to raise copayments and/or reduce benefits, because employers don’t want to pick up the tab,” said PEF health program analyst Deborah Stayman. “We don’t want to see members in HMOs having to pay exorbitant copays for prescription drugs.”

Benson told the task force, “When the economy was booming and unemployment rates were low, employers chose to absorb the cost increases, rather than pass them on to employees. However, now that the economy has slowed, employers have few qualms about shifting those costs to employees.

“Employers throughout the United States — whether they are small or large, manufacturing or high-tech, public- or private-sector — are facing another year of double-digit increases in health-plan premiums,” he said.

PEF prepares for battle
“It’s clear the state will try to shift more drug and medical costs to our members when we negotiate Empire Plan benefits in the coming PS&T contract talks,” Stayman said. “That’s why we are working with other unions on the AFL-CIO task force to develop effective strategies now.”

The task force plans to meet in the fall and issue recommendations in time for the 2003 legislative session. It could recommend the state establish a wholesale operation to purchase prescription drugs at lower prices, or join other states in a buyers’ cooperative.

“PEF will continue to address this issue,” Benson said. “Our members are not looking for special treatment. But they do not want to lose the access to health benefits for which we have fought long and hard.

“We will be prepared for a tough fight on this issue in the 2003 PS&T contract negotiations,” he said.

The Communicator
September 2002

The Official Online Edition of

The New York State Public Employees Federation

Inside This Issue:
Features

PEF backs Pataki re-election bid
PEF Board votes to back candidates in ’02 races
PEF joins fight against soaring Rx costs
Early retirement windows opening
Q&A on 25/55, ERI
9/11; One Year Later:
‘Everything is different’ since 9/11

PEF fights for counseling
Victims’ families grateful for PEF’s help
Contributions of PEF activists missed
PEF to dedicate memorial

Departments
President's Message: Endorsements and Loyalty
You Said It: Member's letters this month
Member Mobilization: 8 steps to success
Legislative Action: Retirement, whistleblower laws
Nurses' Station: Help make new future for nursing
Retirees In Action: Lucky to get 1% COLA
PEF Membership Benefits Program & Travel Corp

Union Matters
2002 Convention Preview
PEF researcher’s discovery offers hope
Members show interest in PS&T negotiations
Division 236 at Parole fully mobilized
Members at Labor Dept. win back rights
PEF fights big chemo bills
PEF vets keep wagering safe bet
PEF wins OT pay
Highlights of PEF Exec Board’s meeting
Member’s kids wins scholarships
Support true charities, job security
GET OUT THE VOTE!

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