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S 3019119th CongressIn Committee

No Big Blockbuster Bailouts Act

Introduced: Oct 21, 2025
Sponsor: Sen. Welch, Peter [D-VT] (D-Vermont)
Standard Summary
Comprehensive overview in 1-2 paragraphs

This Senate bill amends Medicare drug price negotiation rules to provide higher price thresholds for orphan drugs used to treat rare diseases.

Key Points

  • 1Amends Medicare Drug Price Negotiation Program for orphan drugs
  • 2Increases maximum price threshold from $200M to $400M for orphan drugs
  • 3Applies only to drugs with exclusive rare disease indications
  • 4Defines orphan drugs per Federal Food, Drug, and Cosmetic Act
  • 5Applies to price applicability years beginning 2028
  • 6Referred to Senate Committee on Finance

Impact Areas

Department of Health and Human ServicesMedicare beneficiariesPharmaceutical industryRare disease patient advocacyDrug pricing policy
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