., said it was too costly, using the leverage every Democrat has in the evenly divided Senate.
During the signing event, Biden addressed Manchin, who struck the critical deal with Schumer on the package last month, saying, “Joe, I never had a doubt” as the crowd chuckled. Later, outside the White House, Manchin said he has always maintained a “friendly relationship” with Biden and it has “never been personal” between the two, despite Manchin breaking off his negotiations with the White House last year.
Another $64 billion would help 13 million people pay premiums over the next three years for privately bought health insurance under the Affordable Care Act. Medicare would gain the power to negotiate its costs for pharmaceuticals, initially in 2026 for only 10 drugs. Medicare beneficiaries’ out-of-pocket prescription costs would be limited to $2,000 annually starting in 2025, and beginning next year would pay no more than $35 monthly for insulin, the costly diabetes drug.
Rep. Jim Clyburn, D-S.C., a powerful political ally to Biden, noted during the White House ceremony that his late wife, Emily, who battled diabetes for three decades, would be “beyond joy” if she were alive today because of the insulin cap.Associated Press writers Alan Fram and Darlene Superville in Washington, and Stephen Groves in Sioux Falls, S.D., contributed to this report.
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