Federal Build Back Better Framework Includes Major Health Investments, Falls Short on Prescription Drug & Medicare Reform

For Immediate Release: Thursday, October 28, 2021

CONTACT: Rachel Linn Gish, Director of Communications, Health Access California, rlinngish@health-access.org, 916-532-2128 (cell)



  • Framework extends ACA financial assistance through 2025, helping 1.4 million Covered California enrollee.
  • Crucial drug price reform continues to be blocked by Big Pharma and a handful of holdouts, including CA Rep. Scott Peters
  • California Health and consumer advocates urge passage of Build Back Better plan for its help in health coverage, hearing benefits in Medicare, home care, child care, and more – and continue to fight for permanent affordability assistance, further expansions in Medicare and prescription drug price relief. 

SACRAMENTO, CA – Today President Biden announced a federal framework for the Build Back Better proposal that includes historic investments to help Californians afford their health care, but does not include key proposals around prescription drug price reform and expanding Medicare dental and vision benefits.

Important victories that will help Californians and our health system include:

  • Keeping health care affordable for those who purchase coverage on their own. The Build Back Better framework extends the financial assistance through 2025 that was initially implemented in the American Rescue Plan. This will continue to help almost all of the 1.4 million Covered California enrollees who are seeing a savings of an average of $1,000 per year to their health care coverage.
  • Over 6 million Californians are on Medicare, who would be able to have their hearing aids covered.
  • Other investments include providing coverage to low-income Americans in the twelve states that have not expanded Medicaid under the ACA, a significant boost in home care for older Americans and people with disabilities, and other key areas that invest in children and families, like preschool and child care.

However, this framework falls far short in key areas that are critical to ensuring our health care system is affordable and equitable.

  • Not included is drug price reform, which is being blocked by the influence and deep pockets of Big Pharma, and a handful of Congressional holdouts, including California’s Rep. Scott Peters. If popular provisions, such as allowing Medicare to negotiate drug prices, are included, it could save Californians billions in drug costs.
  • The framework also does not include expanding Medicare to include dental and vision benefits. Almost one quarter of Californians over the age of 65 report they have not seen a dentist in the past year or never at all. Expanding dental benefits in Medicare is crucial to helping our older Californians access this vital care.

Here is a statement by Anthony Wright, Executive Director of Health Access California, the statewide health care consumer advocacy coalition which has been advocating and organizing in the state for these federal health care reforms:

“This framework includes important investments to help Californians afford health coverage, providing annual assistance of hundreds or, for many, thousands of dollars. This helps the 1.4 million with coverage in Covered California not have to spend more than a percentage of their income on health insurance—help that is especially urgent in our high cost-of-living state. The health of millions of Californians would benefit from this assistance to afford coverage, have Medicare covering hearing aids, and other investments in home care, child care, and much more.”

“We are deeply disappointed that despite a broad popular support to have Medicare negotiate drug prices, it is not included in this framework. San Diegans should be angry that California’s Rep. Scott Peters and a few other holdouts have scuttled this rare opportunity to lower the cost of needed medication. By siding with Big Pharma, Rep. Peters and others hampered our ability to further expand Medicare benefits and make other needed investments. We have fought for prescription drug price reform for decades and we aren’t going to stop now.”

“We will work to ensure that these key health care investments are passed by Congress, and keep up our advocacy to get permanent affordability assistance, prescription drug price reforms and Medicare benefit expansions included.”

Learn more about what was originally proposed for Build Back Better in specific regions throughout the state: