United States · Bill · HR
H.R. 448 (116th)
Medicare Drug Price Negotiation Act
Introduced
10 January 2019
Last action
25 September 2019 · Committee
Status
Subcommittee Hearings Held.
Sponsors
Rep. Cummings, Elijah E. [D-MD-7], Sen. Welch, Peter [D-VT], Rep. Doggett, Lloyd [D-TX-37], Rep. Maloney, Sean Patrick [D-NY-18], Rep. Pocan, Mark [D-WI-2], Rep. DeLauro, Rosa L. [D-CT-3], Rep. Gabbard, Tulsi [D-HI-2], Rep. Bonamici, Suzanne [D-OR-1], Rep. Omar, Ilhan [D-MN-5], Rep. Khanna, Ro [D-CA-17], Del. Norton, Eleanor Holmes [D-DC-At Large], Rep. Jayapal, Pramila [D-WA-7], Rep. Schakowsky, Janice D. [D-IL-9], Rep. Higgins, Brian [D-NY-26], Rep. Neguse, Joe [D-CO-2], Rep. Cohen, Steve [D-TN-9], Rep. Krishnamoorthi, Raja [D-IL-8], Rep. Tlaib, Rashida [D-MI-12], Rep. DeSaulnier, Mark [D-CA-10], Rep. Haaland, Debra A. [D-NM-1], Rep. Raskin, Jamie [D-MD-8], Rep. Grijalva, Raúl M. [D-AZ-7], Rep. Wasserman Schultz, Debbie [D-FL-25], Rep. DeFazio, Peter A. [D-OR-4], Rep. Delgado, Antonio [D-NY-19], Sen. Kim, Andy [D-NJ]
Subjects
Healthcare
Source updated
20 January 2026
Summary
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.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
10 January 2019
Referred
Referred to the Subcommittee on Health.
Source: Committee
10 January 2019
Introduced
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.
Source: IntroReferral
10 January 2019
Introduced
Introduced in House
Source: IntroReferral
10 January 2019
Introduced
Introduced in House
Source: IntroReferral
25 January 2019
Referred
Referred to the Subcommittee on Health.
Source: Committee
25 September 2019
Committee
Subcommittee Hearings Held.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 10 January 2019 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 10 January 2019
Introduced in House (PDF)
Introduced in House · EN · 10 January 2019
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Introduced in House
summary · EN · 10 January 2019
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Sponsors
- Rep. Cummings, Elijah E. [D-MD-7] · D · Sponsor
- Sen. Welch, Peter [D-VT] · D · Sponsor
- Rep. Doggett, Lloyd [D-TX-37] · D · Sponsor
- Rep. Maloney, Sean Patrick [D-NY-18] · D · Sponsor
- Rep. Pocan, Mark [D-WI-2] · D · Sponsor
- Rep. DeLauro, Rosa L. [D-CT-3] · D · Sponsor
- Rep. Gabbard, Tulsi [D-HI-2] · D · Sponsor
- Rep. Bonamici, Suzanne [D-OR-1] · D · Sponsor
- Rep. Omar, Ilhan [D-MN-5] · D · Sponsor
- Rep. Khanna, Ro [D-CA-17] · D · Sponsor
- Del. Norton, Eleanor Holmes [D-DC-At Large] · D · Sponsor
- Rep. Jayapal, Pramila [D-WA-7] · D · Sponsor
- Rep. Schakowsky, Janice D. [D-IL-9] · D · Sponsor
- Rep. Higgins, Brian [D-NY-26] · D · Sponsor
- Rep. Neguse, Joe [D-CO-2] · D · Sponsor
- Rep. Cohen, Steve [D-TN-9] · D · Sponsor
- Rep. Krishnamoorthi, Raja [D-IL-8] · D · Sponsor
- Rep. Tlaib, Rashida [D-MI-12] · D · Sponsor
- Rep. DeSaulnier, Mark [D-CA-10] · D · Cosponsor
- Rep. Haaland, Debra A. [D-NM-1] · D · Cosponsor
- Rep. Raskin, Jamie [D-MD-8] · D · Cosponsor
- Rep. Grijalva, Raúl M. [D-AZ-7] · D · Cosponsor
- Rep. Wasserman Schultz, Debbie [D-FL-25] · D · Cosponsor
- Rep. DeFazio, Peter A. [D-OR-4] · D · Cosponsor
- Rep. Delgado, Antonio [D-NY-19] · D · Cosponsor
- Sen. Kim, Andy [D-NJ] · D · Cosponsor
- · hsif00 · Standing
- · hswm00 · Standing
Related records
- related to → Medicare Drug Price Negotiation Act
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/116th-congress/house-bill/448
- Open data entity: https://api.congress.gov/v3/bill/116/hr/448
- us · 116-hr-448 · source updated 20 January 2026