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Medicare Drug Price Negotiation Act

USA116th CongressS-99| Senate 
| Updated: 1/10/2019
Bernard Sanders

Bernard Sanders

Independent Senator

Vermont

Cosponsors (8)
Patrick J. Leahy (Democratic)Jack Reed (Democratic)Kirsten E. Gillibrand (Democratic)Elizabeth Warren (Democratic)Kamala D. Harris (Democratic)Tina Smith (Democratic)Cory A. Booker (Democratic)Richard Blumenthal (Democratic)

Finance 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
Introduced in Senate
Jan 10, 2019
Read twice and referred to the Committee on Finance.
Sep 25, 2019

Latest Companion Bill Action

HR 116-448
Subcommittee Hearings Held.
  • January 10, 2019
    Introduced in Senate


  • January 10, 2019
    Read twice and referred to the Committee on Finance.


  • September 25, 2019

    Latest Companion Bill Action

    HR 116-448
    Subcommittee Hearings Held.

Health

Related Bills

  • HR 116-448: 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 CongressS-99| Senate 
| Updated: 1/10/2019
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
Introduced in Senate
Jan 10, 2019
Read twice and referred to the Committee on Finance.
Sep 25, 2019

Latest Companion Bill Action

HR 116-448
Subcommittee Hearings Held.
  • January 10, 2019
    Introduced in Senate


  • January 10, 2019
    Read twice and referred to the Committee on Finance.


  • September 25, 2019

    Latest Companion Bill Action

    HR 116-448
    Subcommittee Hearings Held.
Bernard Sanders

Bernard Sanders

Independent Senator

Vermont

Cosponsors (8)
Patrick J. Leahy (Democratic)Jack Reed (Democratic)Kirsten E. Gillibrand (Democratic)Elizabeth Warren (Democratic)Kamala D. Harris (Democratic)Tina Smith (Democratic)Cory A. Booker (Democratic)Richard Blumenthal (Democratic)

Finance Committee

Health

Related Bills

  • HR 116-448: 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