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Prescription Drug Pricing Reduction Act of 2020

USA116th CongressS-4199| Senate 
| Updated: 7/2/2020
Chuck Grassley

Chuck Grassley

Republican Senator

Iowa

Cosponsors (10)
Joni Ernst (Republican)Bill Cassidy (Republican)Mike Braun (Republican)Dan Sullivan (Republican)Cindy Hyde-Smith (Republican)Martha McSally (Republican)Susan M. Collins (Republican)Rob Portman (Republican)Steve Daines (Republican)Lisa Murkowski (Republican)

Finance Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Prescription Drug Pricing Reduction Act of 2020 This bill alters several programs and requirements relating to the prices of prescription drugs under Medicare and Medicaid. Among other things, the bill requires drug manufacturers to issue rebates to the Centers for Medicare & Medicaid Services (CMS) for certain drugs covered under Medicare for which the average manufacturer price increases faster than inflation; requires drug manufacturers to issue rebates to the CMS for discarded amounts of certain single-dose drugs covered under Medicare, based on information reported by providers; reduces the annual out-of-pocket spending threshold, and eliminates beneficiary cost-sharing above this threshold, under the Medicare prescription drug benefit; requires the CMS to publish certain information, as reported by pharmacy benefit managers (PBMs), relating to drug discounts and rebates, and payments between PBMs, health plans, and pharmacies; requires pass-through pricing models, and prohibits spread-pricing, for payment arrangements with PBMs under Medicaid; and increases the maximum rebate payable by drug manufacturers under the Medicaid Drug Rebate Program.
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Timeline
Jul 2, 2020
Introduced in Senate
Jul 2, 2020
Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S4228)
  • July 2, 2020
    Introduced in Senate


  • July 2, 2020
    Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S4228)

Health

Related Bills

  • HR 116-1781: Payment Commission Data Act of 2019
  • S 116-2543: Prescription Drug Pricing Reduction Act of 2019
  • HR 116-3029: Improving Low-Income Access to Prescription Drugs Act of 2019
  • S 116-801: A bill to amend titles XVIII and XIX of the Social Security Act to provide the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to certain drug payment information, including certain rebate information.
  • HR 116-4649: Capping Drug Costs for Seniors Act of 2019
  • S 116-1999: Improving Low Income Access to Prescription Drugs Act of 2019
  • S 116-1505: Medicare Prescription Drug Fraud Prevention Act of 2019
  • HR 116-5281: Drug Price Transparency in Medicaid Act of 2019
  • HR 116-4629: Star Rating for Biosimilars Act
  • HR 116-1264: Payment Commission Data Act of 2019
Accounting and auditingAdministrative law and regulatory proceduresAdvisory bodiesAppropriationsCongressional oversightDepartment of Health and Human ServicesDrug safety, medical device, and laboratory regulationDrug therapyEmergency medical services and trauma careFraud offenses and financial crimesGeneticsGovernment information and archivesGovernment studies and investigationsHealth care costs and insuranceHealth care coverage and accessHealth care qualityHealth information and medical recordsHealth programs administration and fundingHealth technology, devices, suppliesHome and outpatient careHospital careIndian social and development programsInfectious and parasitic diseasesInflation and pricesIntergovernmental relationsManufacturingMedicaidMedical ethicsMedicareMinority healthPoverty and welfare assistancePrescription drugsPublic contracts and procurementPublic participation and lobbyingRetail and wholesale tradesSocial work, volunteer service, charitable organizationsState and local government operations

Prescription Drug Pricing Reduction Act of 2020

USA116th CongressS-4199| Senate 
| Updated: 7/2/2020
Prescription Drug Pricing Reduction Act of 2020 This bill alters several programs and requirements relating to the prices of prescription drugs under Medicare and Medicaid. Among other things, the bill requires drug manufacturers to issue rebates to the Centers for Medicare & Medicaid Services (CMS) for certain drugs covered under Medicare for which the average manufacturer price increases faster than inflation; requires drug manufacturers to issue rebates to the CMS for discarded amounts of certain single-dose drugs covered under Medicare, based on information reported by providers; reduces the annual out-of-pocket spending threshold, and eliminates beneficiary cost-sharing above this threshold, under the Medicare prescription drug benefit; requires the CMS to publish certain information, as reported by pharmacy benefit managers (PBMs), relating to drug discounts and rebates, and payments between PBMs, health plans, and pharmacies; requires pass-through pricing models, and prohibits spread-pricing, for payment arrangements with PBMs under Medicaid; and increases the maximum rebate payable by drug manufacturers under the Medicaid Drug Rebate Program.
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Timeline
Jul 2, 2020
Introduced in Senate
Jul 2, 2020
Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S4228)
  • July 2, 2020
    Introduced in Senate


  • July 2, 2020
    Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S4228)
Chuck Grassley

Chuck Grassley

Republican Senator

Iowa

Cosponsors (10)
Joni Ernst (Republican)Bill Cassidy (Republican)Mike Braun (Republican)Dan Sullivan (Republican)Cindy Hyde-Smith (Republican)Martha McSally (Republican)Susan M. Collins (Republican)Rob Portman (Republican)Steve Daines (Republican)Lisa Murkowski (Republican)

Finance Committee

Health

Related Bills

  • HR 116-1781: Payment Commission Data Act of 2019
  • S 116-2543: Prescription Drug Pricing Reduction Act of 2019
  • HR 116-3029: Improving Low-Income Access to Prescription Drugs Act of 2019
  • S 116-801: A bill to amend titles XVIII and XIX of the Social Security Act to provide the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to certain drug payment information, including certain rebate information.
  • HR 116-4649: Capping Drug Costs for Seniors Act of 2019
  • S 116-1999: Improving Low Income Access to Prescription Drugs Act of 2019
  • S 116-1505: Medicare Prescription Drug Fraud Prevention Act of 2019
  • HR 116-5281: Drug Price Transparency in Medicaid Act of 2019
  • HR 116-4629: Star Rating for Biosimilars Act
  • HR 116-1264: Payment Commission Data Act of 2019
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Accounting and auditingAdministrative law and regulatory proceduresAdvisory bodiesAppropriationsCongressional oversightDepartment of Health and Human ServicesDrug safety, medical device, and laboratory regulationDrug therapyEmergency medical services and trauma careFraud offenses and financial crimesGeneticsGovernment information and archivesGovernment studies and investigationsHealth care costs and insuranceHealth care coverage and accessHealth care qualityHealth information and medical recordsHealth programs administration and fundingHealth technology, devices, suppliesHome and outpatient careHospital careIndian social and development programsInfectious and parasitic diseasesInflation and pricesIntergovernmental relationsManufacturingMedicaidMedical ethicsMedicareMinority healthPoverty and welfare assistancePrescription drugsPublic contracts and procurementPublic participation and lobbyingRetail and wholesale tradesSocial work, volunteer service, charitable organizationsState and local government operations