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Medicare Drug Price Negotiation Act

USA116th CongressHR-448| House 
| Updated: 9/25/2019
Elijah E. Cummings

Elijah E. Cummings

Democratic Representative

Maryland

Cosponsors (25)
Raúl M. Grijalva (Democratic)Mark Pocan (Democratic)Brian Higgins (Democratic)Debra A. Haaland (Democratic)Ilhan Omar (Democratic)Steve Cohen (Democratic)Rosa L. DeLauro (Democratic)Peter A. DeFazio (Democratic)Ro Khanna (Democratic)Sean Patrick Maloney (Democratic)Mark DeSaulnier (Democratic)Raja Krishnamoorthi (Democratic)Pramila Jayapal (Democratic)Eleanor Holmes Norton (Democratic)Antonio Delgado (Democratic)Tulsi Gabbard (Democratic)Jamie Raskin (Democratic)Joe Neguse (Democratic)Janice D. Schakowsky (Democratic)Andy Kim (Democratic)Peter Welch (Democratic)Suzanne Bonamici (Democratic)Rashida Tlaib (Democratic)Lloyd Doggett (Democratic)Debbie Wasserman Schultz (Democratic)

Ways and Means Committee, Health Subcommittee, Health Subcommittee, Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Medicare Drug Price Negotiation Act This bill makes a series of changes relating to the prices of prescription drugs under the Medicare prescription drug benefit and Medicare Advantage (MA) prescription drug plans (PDPs). Under current law, the Centers for Medicare & Medicaid Services (CMS) may neither negotiate the prices of covered drugs nor establish a formulary. The bill repeals these restrictions and instead specifically requires the CMS to (1) negotiate the prices of covered drugs; and (2) either establish a formulary for covered drugs, or require changes to PDP formularies that take into account CMS negotiations. If the CMS is unable to negotiate an appropriate price for a drug in accordance with certain criteria, the price must be the lowest of three specified options (e.g., the average price in other countries). The CMS must identify drugs that are subject to negotiation, with priority given to certain categories of drugs based on usage and cost. Additionally, drug manufacturers must issue rebates to the CMS for drugs dispensed to eligible low-income individuals. Subject to civil monetary penalties, a Medicare or MA PDP sponsor must report, both to drug manufacturers and to the CMS, specified information related to the determination and payment of such rebates.
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Timeline
Jan 10, 2019

Latest Companion Bill Action

S 116-99
Introduced in Senate
Jan 10, 2019
Introduced in House
Jan 10, 2019
Referred to the Subcommittee on Health.
Jan 10, 2019
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Jan 25, 2019
Referred to the Subcommittee on Health.
Sep 25, 2019
Subcommittee Hearings Held.
  • January 10, 2019

    Latest Companion Bill Action

    S 116-99
    Introduced in Senate


  • January 10, 2019
    Introduced in House


  • January 10, 2019
    Referred to the Subcommittee on Health.


  • January 10, 2019
    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.


  • January 25, 2019
    Referred to the Subcommittee on Health.


  • September 25, 2019
    Subcommittee Hearings Held.

Health

Related Bills

  • S 116-99: Medicare Drug Price Negotiation Act
Congressional oversightGovernment information and archivesGovernment studies and investigationsHealth care costs and insuranceInflation and pricesMedicaidMedicarePrescription drugsPublic contracts and procurementRetail and wholesale trades

Medicare Drug Price Negotiation Act

USA116th CongressHR-448| House 
| Updated: 9/25/2019
Medicare Drug Price Negotiation Act This bill makes a series of changes relating to the prices of prescription drugs under the Medicare prescription drug benefit and Medicare Advantage (MA) prescription drug plans (PDPs). Under current law, the Centers for Medicare & Medicaid Services (CMS) may neither negotiate the prices of covered drugs nor establish a formulary. The bill repeals these restrictions and instead specifically requires the CMS to (1) negotiate the prices of covered drugs; and (2) either establish a formulary for covered drugs, or require changes to PDP formularies that take into account CMS negotiations. If the CMS is unable to negotiate an appropriate price for a drug in accordance with certain criteria, the price must be the lowest of three specified options (e.g., the average price in other countries). The CMS must identify drugs that are subject to negotiation, with priority given to certain categories of drugs based on usage and cost. Additionally, drug manufacturers must issue rebates to the CMS for drugs dispensed to eligible low-income individuals. Subject to civil monetary penalties, a Medicare or MA PDP sponsor must report, both to drug manufacturers and to the CMS, specified information related to the determination and payment of such rebates.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Jan 10, 2019

Latest Companion Bill Action

S 116-99
Introduced in Senate
Jan 10, 2019
Introduced in House
Jan 10, 2019
Referred to the Subcommittee on Health.
Jan 10, 2019
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Jan 25, 2019
Referred to the Subcommittee on Health.
Sep 25, 2019
Subcommittee Hearings Held.
  • January 10, 2019

    Latest Companion Bill Action

    S 116-99
    Introduced in Senate


  • January 10, 2019
    Introduced in House


  • January 10, 2019
    Referred to the Subcommittee on Health.


  • January 10, 2019
    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.


  • January 25, 2019
    Referred to the Subcommittee on Health.


  • September 25, 2019
    Subcommittee Hearings Held.
Elijah E. Cummings

Elijah E. Cummings

Democratic Representative

Maryland

Cosponsors (25)
Raúl M. Grijalva (Democratic)Mark Pocan (Democratic)Brian Higgins (Democratic)Debra A. Haaland (Democratic)Ilhan Omar (Democratic)Steve Cohen (Democratic)Rosa L. DeLauro (Democratic)Peter A. DeFazio (Democratic)Ro Khanna (Democratic)Sean Patrick Maloney (Democratic)Mark DeSaulnier (Democratic)Raja Krishnamoorthi (Democratic)Pramila Jayapal (Democratic)Eleanor Holmes Norton (Democratic)Antonio Delgado (Democratic)Tulsi Gabbard (Democratic)Jamie Raskin (Democratic)Joe Neguse (Democratic)Janice D. Schakowsky (Democratic)Andy Kim (Democratic)Peter Welch (Democratic)Suzanne Bonamici (Democratic)Rashida Tlaib (Democratic)Lloyd Doggett (Democratic)Debbie Wasserman Schultz (Democratic)

Ways and Means Committee, Health Subcommittee, Health Subcommittee, Energy and Commerce Committee

Health

Related Bills

  • S 116-99: Medicare Drug Price Negotiation Act
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Congressional oversightGovernment information and archivesGovernment studies and investigationsHealth care costs and insuranceInflation and pricesMedicaidMedicarePrescription drugsPublic contracts and procurementRetail and wholesale trades