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Medicare Drug Price Negotiation Act

USA117th CongressHR-2139| House 
| Updated: 3/24/2021
Lloyd Doggett

Lloyd Doggett

Democratic Representative

Texas

Cosponsors (24)
Brenda L. Lawrence (Democratic)Sylvia R. Garcia (Democratic)Raúl M. Grijalva (Democratic)Mark Pocan (Democratic)John A. Yarmuth (Democratic)Mondaire Jones (Democratic)Ilhan Omar (Democratic)Andy Levin (Democratic)Steve Cohen (Democratic)Rosa L. DeLauro (Democratic)Peter A. DeFazio (Democratic)Ro Khanna (Democratic)Mark DeSaulnier (Democratic)Pramila Jayapal (Democratic)Joe Neguse (Democratic)Janice D. Schakowsky (Democratic)Andy Kim (Democratic)Maxine Waters (Democratic)Peter Welch (Democratic)Suzanne Bonamici (Democratic)Jesús G. "Chuy" García (Democratic)Rashida Tlaib (Democratic)Debbie Wasserman Schultz (Democratic)Cori Bush (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 median 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

Bill from Previous Congress

HR 116-448
Medicare Drug Price Negotiation Act

Bill from Previous Congress

HR 116-275
Medicare Prescription Drug Price Negotiation Act of 2019
Mar 23, 2021

Latest Companion Bill Action

S 117-908
Introduced in Senate
Mar 23, 2021
Introduced in House
Mar 23, 2021
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.
Mar 23, 2021
Referred to the Subcommittee on Health.
Mar 24, 2021
Referred to the Subcommittee on Health.
  • Bill from Previous Congress

    HR 116-448
    Medicare Drug Price Negotiation Act


  • Bill from Previous Congress

    HR 116-275
    Medicare Prescription Drug Price Negotiation Act of 2019


  • March 23, 2021

    Latest Companion Bill Action

    S 117-908
    Introduced in Senate


  • March 23, 2021
    Introduced in House


  • March 23, 2021
    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.


  • March 23, 2021
    Referred to the Subcommittee on Health.


  • March 24, 2021
    Referred to the Subcommittee on Health.

Health

Related Bills

  • S 117-908: 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

USA117th CongressHR-2139| House 
| Updated: 3/24/2021
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 median 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

Bill from Previous Congress

HR 116-448
Medicare Drug Price Negotiation Act

Bill from Previous Congress

HR 116-275
Medicare Prescription Drug Price Negotiation Act of 2019
Mar 23, 2021

Latest Companion Bill Action

S 117-908
Introduced in Senate
Mar 23, 2021
Introduced in House
Mar 23, 2021
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.
Mar 23, 2021
Referred to the Subcommittee on Health.
Mar 24, 2021
Referred to the Subcommittee on Health.
  • Bill from Previous Congress

    HR 116-448
    Medicare Drug Price Negotiation Act


  • Bill from Previous Congress

    HR 116-275
    Medicare Prescription Drug Price Negotiation Act of 2019


  • March 23, 2021

    Latest Companion Bill Action

    S 117-908
    Introduced in Senate


  • March 23, 2021
    Introduced in House


  • March 23, 2021
    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.


  • March 23, 2021
    Referred to the Subcommittee on Health.


  • March 24, 2021
    Referred to the Subcommittee on Health.
Lloyd Doggett

Lloyd Doggett

Democratic Representative

Texas

Cosponsors (24)
Brenda L. Lawrence (Democratic)Sylvia R. Garcia (Democratic)Raúl M. Grijalva (Democratic)Mark Pocan (Democratic)John A. Yarmuth (Democratic)Mondaire Jones (Democratic)Ilhan Omar (Democratic)Andy Levin (Democratic)Steve Cohen (Democratic)Rosa L. DeLauro (Democratic)Peter A. DeFazio (Democratic)Ro Khanna (Democratic)Mark DeSaulnier (Democratic)Pramila Jayapal (Democratic)Joe Neguse (Democratic)Janice D. Schakowsky (Democratic)Andy Kim (Democratic)Maxine Waters (Democratic)Peter Welch (Democratic)Suzanne Bonamici (Democratic)Jesús G. "Chuy" García (Democratic)Rashida Tlaib (Democratic)Debbie Wasserman Schultz (Democratic)Cori Bush (Democratic)

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

Health

Related Bills

  • S 117-908: 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