United States · Bill · HR
H.R. 4811 (117th)
Medicare Negotiation and Competitive Licensing Act of 2021
Introduced
29 July 2021
Last action
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Status
Referred to the Subcommittee on Health.
Sponsors
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Subjects
Discovery layer
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.
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Versions
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Documents
3 official files
Introduced in House (text)
Introduced in House (text)
Introduced in House · EN · 29 July 2021
Introduced in House (PDF)
Introduced in House · EN · 29 July 2021
Introduced in House
summary · EN · 29 July 2021
Sponsors
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Sources
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- Official source: https://www.congress.gov/bill/117th-congress/house-bill/4811
- Open data entity: https://api.congress.gov/v3/bill/117/hr/4811