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Medicare Drug Price Negotiation Act

USA117th CongressS-908| Senate 
| Updated: 3/23/2021
Bernard Sanders

Bernard Sanders

Independent Senator

Vermont

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

Health, Education, Labor, and Pensions Committee, Finance Committee, Primary Health and Retirement Security Subcommittee

  • 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

S 116-99
Medicare Drug Price Negotiation Act
Mar 23, 2021
Introduced in Senate
Mar 23, 2021
Read twice and referred to the Committee on Finance.
Mar 23, 2021
Committee on Health, Education, Labor, and Pensions Subcommittee on Primary Health and Retirement Security. Hearings held.
Mar 24, 2021

Latest Companion Bill Action

HR 117-2139
Referred to the Subcommittee on Health.
  • Bill from Previous Congress

    S 116-99
    Medicare Drug Price Negotiation Act


  • March 23, 2021
    Introduced in Senate


  • March 23, 2021
    Read twice and referred to the Committee on Finance.


  • March 23, 2021
    Committee on Health, Education, Labor, and Pensions Subcommittee on Primary Health and Retirement Security. Hearings held.


  • March 24, 2021

    Latest Companion Bill Action

    HR 117-2139
    Referred to the Subcommittee on Health.

Health

Related Bills

  • HR 117-2139: 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 CongressS-908| Senate 
| Updated: 3/23/2021
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

S 116-99
Medicare Drug Price Negotiation Act
Mar 23, 2021
Introduced in Senate
Mar 23, 2021
Read twice and referred to the Committee on Finance.
Mar 23, 2021
Committee on Health, Education, Labor, and Pensions Subcommittee on Primary Health and Retirement Security. Hearings held.
Mar 24, 2021

Latest Companion Bill Action

HR 117-2139
Referred to the Subcommittee on Health.
  • Bill from Previous Congress

    S 116-99
    Medicare Drug Price Negotiation Act


  • March 23, 2021
    Introduced in Senate


  • March 23, 2021
    Read twice and referred to the Committee on Finance.


  • March 23, 2021
    Committee on Health, Education, Labor, and Pensions Subcommittee on Primary Health and Retirement Security. Hearings held.


  • March 24, 2021

    Latest Companion Bill Action

    HR 117-2139
    Referred to the Subcommittee on Health.
Bernard Sanders

Bernard Sanders

Independent Senator

Vermont

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

Health, Education, Labor, and Pensions Committee, Finance Committee, Primary Health and Retirement Security Subcommittee

Health

Related Bills

  • HR 117-2139: 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