United States · Bill · HR
H.R. 4811 (117th)
Medicare Negotiation and Competitive Licensing Act of 2021
Introduced
29 July 2021
Last action
8 September 2021 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Rep. Doggett, Lloyd [D-TX-37], Rep. Beyer, Donald S. [D-VA-8], Rep. Blumenauer, Earl [D-OR-3], Rep. Bowman, Jamaal [D-NY-16], Rep. Bush, Cori [D-MO-1], Rep. Cartwright, Matt [D-PA-17], Rep. Castro, Joaquin [D-TX-20], Rep. Cicilline, David N. [D-RI-1], Rep. Cleaver, Emanuel [D-MO-5], Rep. Cohen, Steve [D-TN-9], Rep. DeFazio, Peter A. [D-OR-4], Rep. DeLauro, Rosa L. [D-CT-3], Rep. Dingell, Debbie [D-MI-6], Rep. Escobar, Veronica [D-TX-16], Rep. Espaillat, Adriano [D-NY-13], Rep. Garamendi, John [D-CA-8], Rep. García, Jesús G. "Chuy" [D-IL-4], Rep. Green, Al [D-TX-9], Rep. Grijalva, Raúl M. [D-AZ-7], Rep. Jackson Lee, Sheila [D-TX-18], Rep. Jayapal, Pramila [D-WA-7], Kaiali'i Kahele, Rep. Kaptur, Marcy [D-OH-9], Rep. Khanna, Ro [D-CA-17], Sen. Kim, Andy [D-NJ], Rep. Krishnamoorthi, Raja [D-IL-8], Rep. Langevin, James R. [D-RI-2], Rep. Lee, Barbara [D-CA-12], Rep. Levin, Andy [D-MI-9], Rep. Lowenthal, Alan S. [D-CA-47], Rep. McNerney, Jerry [D-CA-9], Rep. Mfume, Kweisi [D-MD-7], Rep. Nadler, Jerrold [D-NY-12], Rep. Neguse, Joe [D-CO-2], Del. Norton, Eleanor Holmes [D-DC-At Large], Rep. Ocasio-Cortez, Alexandria [D-NY-14], Rep. Omar, Ilhan [D-MN-5], Rep. Perlmutter, Ed [D-CO-7], Rep. Pingree, Chellie [D-ME-1], Rep. Pocan, Mark [D-WI-2], Rep. Porter, Katie [D-CA-47], Rep. Pressley, Ayanna [D-MA-7], Rep. Raskin, Jamie [D-MD-8], Rep. Schakowsky, Janice D. [D-IL-9], Rep. Sherman, Brad [D-CA-32], Rep. Takano, Mark [D-CA-39], Rep. Thompson, Bennie G. [D-MS-2], Rep. Titus, Dina [D-NV-1]
Subjects
Healthcare, Taxation
Source updated
6 June 2025
Summary
Medicare Negotiation and Competitive Licensing Act of 2021 This bill establishes several requirements relating to the prices of prescription drugs. Specifically, the bill requires the Centers for Medicare & Medicaid Services (CMS) to negotiate with pharmaceutical companies regarding prices for drugs covered under Medicare. (Current law prohibits the CMS from doing so.) If the CMS is unable to negotiate the price of a drug, such drug is subject to competitive licensing in order to further its sale under health insurance programs, notwithstanding existing government-granted exclusivities. The negotiated prices also apply to other federal health care programs, private health insurance, and the uninsured; pharmacies that charge more than the negotiated price for uninsured individuals are subject to civil penalties. Manufacturers must also comply with specified reporting requirements relating to prices and licensing, subject to civil penalties. The bill also institutes an excise tax on drugs for which the price spikes beyond a certain limit, subject to specified exemptions, as well as on drugs for which the price exceeds the negotiated price.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
29 July 2021
Referred
Referred to the Subcommittee on Health.
Source: Committee
29 July 2021
Introduced
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Oversight and Reform, Veterans' Affairs, and Armed Services, 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
29 July 2021
Introduced
Introduced in House
Source: IntroReferral
29 July 2021
Introduced
Introduced in House
Source: IntroReferral
30 July 2021
Referred
Referred to the Subcommittee on Health.
Source: Committee
8 September 2021
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 29 July 2021 · Download file
Documents
3 official files
Introduced in House (text)
This file cannot be previewed here. Use View or Download.
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Introduced in House (text)
Introduced in House · EN · 29 July 2021
Introduced in House (PDF)
Introduced in House · EN · 29 July 2021
ViewDownloadOpen at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Introduced in House
summary · EN · 29 July 2021
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Sponsors
- Rep. Doggett, Lloyd [D-TX-37] · D · Sponsor
- Rep. Beyer, Donald S. [D-VA-8] · D · Sponsor
- Rep. Blumenauer, Earl [D-OR-3] · D · Sponsor
- Rep. Bowman, Jamaal [D-NY-16] · D · Sponsor
- Rep. Bush, Cori [D-MO-1] · D · Sponsor
- Rep. Cartwright, Matt [D-PA-17] · D · Sponsor
- Rep. Castro, Joaquin [D-TX-20] · D · Sponsor
- Rep. Cicilline, David N. [D-RI-1] · D · Sponsor
- Rep. Cleaver, Emanuel [D-MO-5] · D · Sponsor
- Rep. Cohen, Steve [D-TN-9] · D · Sponsor
- Rep. DeFazio, Peter A. [D-OR-4] · D · Sponsor
- Rep. DeLauro, Rosa L. [D-CT-3] · D · Sponsor
- Rep. Dingell, Debbie [D-MI-6] · D · Sponsor
- Rep. Escobar, Veronica [D-TX-16] · D · Sponsor
- Rep. Espaillat, Adriano [D-NY-13] · D · Sponsor
- Rep. Garamendi, John [D-CA-8] · D · Sponsor
- Rep. García, Jesús G. "Chuy" [D-IL-4] · D · Sponsor
- Rep. Green, Al [D-TX-9] · D · Sponsor
- Rep. Grijalva, Raúl M. [D-AZ-7] · D · Sponsor
- Rep. Jackson Lee, Sheila [D-TX-18] · D · Sponsor
- Rep. Jayapal, Pramila [D-WA-7] · D · Sponsor
- Kaiali'i Kahele · D · Sponsor
- Rep. Kaptur, Marcy [D-OH-9] · D · Sponsor
- Rep. Khanna, Ro [D-CA-17] · D · Sponsor
- Sen. Kim, Andy [D-NJ] · D · Sponsor
- Rep. Krishnamoorthi, Raja [D-IL-8] · D · Sponsor
- Rep. Langevin, James R. [D-RI-2] · D · Sponsor
- Rep. Lee, Barbara [D-CA-12] · D · Sponsor
- Rep. Levin, Andy [D-MI-9] · D · Sponsor
- Rep. Lowenthal, Alan S. [D-CA-47] · D · Sponsor
- Rep. McNerney, Jerry [D-CA-9] · D · Sponsor
- Rep. Mfume, Kweisi [D-MD-7] · D · Sponsor
- Rep. Nadler, Jerrold [D-NY-12] · D · Sponsor
- Rep. Neguse, Joe [D-CO-2] · D · Sponsor
- Del. Norton, Eleanor Holmes [D-DC-At Large] · D · Sponsor
- Rep. Ocasio-Cortez, Alexandria [D-NY-14] · D · Sponsor
- Rep. Omar, Ilhan [D-MN-5] · D · Sponsor
- Rep. Perlmutter, Ed [D-CO-7] · D · Sponsor
- Rep. Pingree, Chellie [D-ME-1] · D · Sponsor
- Rep. Pocan, Mark [D-WI-2] · D · Sponsor
- Rep. Porter, Katie [D-CA-47] · D · Sponsor
- Rep. Pressley, Ayanna [D-MA-7] · D · Sponsor
- Rep. Raskin, Jamie [D-MD-8] · D · Sponsor
- Rep. Schakowsky, Janice D. [D-IL-9] · D · Sponsor
- Rep. Sherman, Brad [D-CA-32] · D · Sponsor
- Rep. Takano, Mark [D-CA-39] · D · Sponsor
- Rep. Thompson, Bennie G. [D-MS-2] · D · Sponsor
- Rep. Titus, Dina [D-NV-1] · D · Sponsor
Showing 48 of 85 sponsors and actors.
Related records
No cross-record relationships stored yet.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/117th-congress/house-bill/4811
- Open data entity: https://api.congress.gov/v3/bill/117/hr/4811
- us · 117-hr-4811 · source updated 6 June 2025