Feb 18, 2026
Virginia's PDAB Proposal: Millions in Costs, Zero Savings for Patients
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Patients in Colorado, Maryland, Oregon, and Washington have waited six years for Prescription Drug Affordability Boards to deliver on their promise.

They're still waiting.

Not a single PDAB has produced measurable savings for patients at the pharmacy counter. Now, Virginia lawmakers want to establish their own PDAB.

"Patients should be the ones driving the conversation about their healthcare, not bureaucratic boards that have failed to deliver results in every state that has tried them," said Terry Wilcox, Co-Founder and Chief Mission Officer of Patients Rising. "Virginia families deserve better than a costly experiment that puts access to their medications at risk."

The evidence against PDABs is overwhelming.

6 Years, 0 Savings for Patients

Maryland created the first PDAB in 2019. Six years and millions of dollars later, the chair of the board can't point to a single meaningful outcome for patients. Colorado and Oregon tell similar stories. Washington is no further along.

Millions on a Board That Does Nothing for Patients

Experts have warned that Virginia's proposed PDAB could cost $3 to $4 million to operate. That's millions in taxpayer money directed toward a board that, based on every existing model, will deliver nothing to help patients afford their prescriptions.

PDABs Admit They've Accomplished Nothing

The chair of Maryland's PDAB, Van Mitchell, said it plainly at a September 2025 meeting: "We have accomplished basically nothing."