In the latest gambit by a state lawmaker to lower prescription drug costs, a Pennsylvania legislator has introduced a bill that would tie prices paid by residents to what Canadians are charged for medicines.

Specifically, the legislation would require the state to create a list of the 250 costliest drugs every year. From there, the Pennsylvania Insurance Department would set a maximum rate paid by health insurers for each medicine on the list based on pricing in Canada’s four largest provinces. And health insurers would have to pass along lower premiums resulting from any reduced medication costs, or pay a fine.

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