HR Bill 4895 Lowering Drug Costs for American Families Act

Purpose and Summary

Chamber: House

Introduced date: 2023-07-26

Lowering Drug Costs for American Families Act

This bill expands the Medicare Drug Price Negotiation Program to include additional drugs and drugs that are covered under private insurance. It also extends certain rebate requirements for covered drugs under Medicare to drugs that are covered under private insurance.

Current law requires the Centers for Medicare & Medicaid Services (CMS) to negotiate maximum prices for brand-name drugs that do not have other generic equivalents and that account for the greatest Medicare spending; the CMS must eventually negotiate the prices of 20 drugs that are covered under Medicare in 2029 and each year thereafter.

The bill requires the CMS to negotiate the prices of 50 drugs beginning in 2029. It also applies the negotiated maximum prices under the program to drugs that are covered under private health insurance, unless the insurer opts out. The CMS, Department of Labor, and Department of Treasury must publish a list of insurers that choose to opt out; insurers must also publicly disclose their decision to opt out.

Current law also requires drug manufacturers to issue rebates to the CMS for brand-name drugs without generic equivalents under Medicare that cost $100 or more per year per individual and for which prices increase faster than inflation. The bill extends these requirements to drugs that are covered under private insurance.

 

 

Recent Activity

Referred to the Subcommittee on Health.

Alternative Names

Lowering Drug Costs for American Families Act

Lowering Drug Costs for American Families Act

To amend title XI of the Social Security Act to expand the drug price negotiation program, and for other purposes.

Associated Legislation

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Policy Areas

Health

Potential Impact

Government information and archives

Health care costs and insurance

Medicare

Prescription drugs

Sponsors and Supporters

Rep. Pallone, Frank, Jr. [D-NJ-6]

Cosponsors and Supporters

Rep. Neal, Richard E. [D-MA-1]

Rep. Scott, Robert C. "Bobby" [D-VA-3]

Rep. Thompson, Mike [D-CA-4]

Rep. Johnson, Henry C. "Hank," Jr. [D-GA-4]

Rep. Raskin, Jamie [D-MD-8]

Rep. Cohen, Steve [D-TN-9]

Del. Norton, Eleanor Holmes [D-DC-At Large]

Rep. Stevens, Haley M. [D-MI-11]

Rep. Mfume, Kweisi [D-MD-7]

Rep. Castor, Kathy [D-FL-14]

Rep. Courtney, Joe [D-CT-2]

Rep. Tonko, Paul [D-NY-20]

Rep. Wild, Susan [D-PA-7]

Rep. Trone, David J. [D-MD-6]

Rep. Garcia, Robert [D-CA-42]

Rep. Kelly, Robin L. [D-IL-2]

Rep. Slotkin, Elissa [D-MI-7]

Rep. Titus, Dina [D-NV-1]

Rep. Cherfilus-McCormick, Sheila [D-FL-20]

Rep. Frankel, Lois [D-FL-22]

Rep. McCollum, Betty [D-MN-4]

Rep. Ivey, Glenn [D-MD-4]

Rep. Schakowsky, Janice D. [D-IL-9]

Rep. Kim, Andy [D-NJ-3]

Rep. Larson, John B. [D-CT-1]

Rep. Evans, Dwight [D-PA-3]

Rep. Keating, William R. [D-MA-9]

Rep. Chu, Judy [D-CA-28]

Rep. Craig, Angie [D-MN-2]

Rep. Bonamici, Suzanne [D-OR-1]

Rep. Gomez, Jimmy [D-CA-34]

Rep. Beyer, Donald S., Jr. [D-VA-8]

Rep. Grijalva, Raúl M. [D-AZ-7]

Del. Sablan, Gregorio Kilili Camacho [D-MP-At Large]

Rep. Goldman, Daniel S. [D-NY-10]

Rep. Sarbanes, John P. [D-MD-3]

Rep. McClellan, Jennifer L. [D-VA-4]

Rep. Lieu, Ted [D-CA-36]

Rep. Takano, Mark [D-CA-39]

Rep. Meng, Grace [D-NY-6]

Rep. DeSaulnier, Mark [D-CA-10]

Rep. Dingell, Debbie [D-MI-6]

Rep. Morelle, Joseph D. [D-NY-25]

Rep. Moore, Gwen [D-WI-4]

Rep. Magaziner, Seth [D-RI-2]

Rep. Manning, Kathy E. [D-NC-6]

Rep. Balint, Becca [D-VT-At Large]

Rep. Wasserman Schultz, Debbie [D-FL-25]

Rep. Barragan, Nanette Diaz [D-CA-44]

Rep. Panetta, Jimmy [D-CA-19]

Rep. DeGette, Diana [D-CO-1]

Rep. Williams, Nikema [D-GA-5]

Rep. Salinas, Andrea [D-OR-6]

Rep. Caraveo, Yadira [D-CO-8]

Rep. Connolly, Gerald E. [D-VA-11]

Rep. Kildee, Daniel T. [D-MI-8]

Rep. Escobar, Veronica [D-TX-16]

Rep. Larsen, Rick [D-WA-2]

Rep. Porter, Katie [D-CA-47]

Rep. Pingree, Chellie [D-ME-1]

Rep. Davids, Sharice [D-KS-3]

Rep. Spanberger, Abigail Davis [D-VA-7]

Rep. Cartwright, Matt [D-PA-8]

Rep. Nadler, Jerrold [D-NY-12]

Rep. Tokuda, Jill N. [D-HI-2]

Committees and Subcommittees

Energy and Commerce Committee

Health Subcommittee

Education and the Workforce Committee

Ways and Means Committee

Variations and Revisions

Eleanor Holmes NortonGlenn IveyDaniel S. GoldmanDiana DeGetteWays and MeansEnergy and CommerceEducation and the Workforce

Lowering Drug Costs for American Families Act

1/2/2024, 8:45 PM

Lowering Drug Costs for American Families Act

This bill expands the Medicare Drug Price Negotiation Program to include additional drugs and drugs that are covered under private insurance. It also extends certain rebate requi...

Congress
118

Number
HR - 4895

Introduced on
2023-07-26

# Amendments
0

Sponsors
+5

Cosponsors
+5

Variations and Revisions

7/26/2023

Status of Legislation

Bill Introduced
Introduced to House
House to Vote
Introduced to Senate
Senate to Vote

Purpose and Summary

Lowering Drug Costs for American Families Act

This bill expands the Medicare Drug Price Negotiation Program to include additional drugs and drugs that are covered under private insurance. It also extends certain rebate requi...

Alternative Names
Official Title as IntroducedTo amend title XI of the Social Security Act to expand the drug price negotiation program, and for other purposes.

Policy Areas
Health

Potential Impact
Government information and archives
Health care costs and insurance
Medicare
Prescription drugs

Comments

Recent Activity

Latest Summary11/5/2024

Lowering Drug Costs for American Families Act

This bill expands the Medicare Drug Price Negotiation Program to include additional drugs and drugs that are covered under private insurance. It also extends certain rebate requi...


Latest Action7/28/2023
Referred to the Subcommittee on Health.