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H.R. 4811 · 117th Congress

Medicare Negotiation and Competitive Licensing Act of 2021

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Never voted on. It didn't reach a floor vote before the 117th Congress ended, so it expired. A bill has to be introduced again to be considered in a new Congress.

This bill establishes several requirements relating to the prices of prescription drugs.

What it does: CRS summary · Introduced in House · Jul 29, 2021

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.

Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov

About this bill and sources

Official title: Medicare Negotiation and Competitive Licensing Act of 2021

Latest action (Sep 8, 2021): Referred to the Subcommittee on Health.

Policy area: Health · Origin: House · Introduced: Jul 29, 2021

Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)

No recorded floor vote found.