President Trump should take real steps to actually lower drug prices, including ... bolstering U.S. drug manufacturing...
Bolster U.S. drug manufacturing to lower drug prices.
Occurrences
Restoring and bolstering American innovation.
Evidence
U.S. Senators Peter Welch and Amy Klobuchar reintroduced the Strengthening Medicare and Reducing Taxpayer (SMART) Prices Act, legislation to expand Medicare negotiation of drug prices to lower drug costs for consumers, reduce federal spending, and give the U.S. Department of Health and Human Services (HHS) stronger tools to negotiate lower drug prices in Medicare Part B and Part D.
U.S. Senators Peter Welch, Josh Hawley, and Amy Klobuchar introduced the Eliminating Thickets to Improve Competition (ETHIC) Act, bipartisan legislation to streamline drug patent litigation, encourage fair market competition, and lower prescription drug prices by making it easier for generic and biosimilar companies to enter the market.
U.S. Senator Peter Welch joined Senators Jeff Merkley, Bernie Sanders, and Representative Debbie Dingell in introducing the End Price Gouging for Medications Act, which would lower prescription drug costs for all Americans by requiring drug companies to offer medications in the United States at no more than the lowest price per drug in twelve other similarly developed countries.
U.S. Senator Peter Welch led Senators Roger Marshall, Mark Warner, and Bill Cassidy in introducing the bipartisan Protecting Pharmacies in Medicaid Act, legislation to limit abusive pricing practices by pharmacy benefit managers (PBMs), including 'spread pricing,' which drives up costs for Medicaid and short-changes pharmacies.
Senator Peter Welch issued a statement responding to Merck's lawsuit to block drug price negotiation provisions included in the Inflation Reduction Act, emphasizing his commitment to preserving these provisions and helping Vermonters afford prescription drugs.
Senator Peter Welch highlighted the passage of the Inflation Reduction Act, which empowers Medicare to negotiate drug prices for the first time, as a significant step toward more government action to control health costs.
CMS says the selected-drug file contains negotiated maximum fair prices, was updated with a ZIP file dated May 26, 2026, and includes information on selected drugs, NDCs, and negotiated prices. The page states that first-cycle maximum fair prices for 10 Part D drugs go into effect January 1, 2026, and that second-cycle prices go into effect January 1, 2027.
CMS states that the Inflation Reduction Act gave Medicare the ability to directly negotiate prices for certain high-expenditure, single-source drugs without generic or biosimilar competition. CMS says negotiated prices for 10 Part D drugs go into effect January 1, 2026, and estimates $6 billion in net covered prescription drug savings and $1.5 billion in projected savings for Medicare Part D enrollees if the negotiated prices applied as described.
The House Clerk records Roll Call 420 on H.R. 5376 as passed, 220 yeas to 207 nays, on the motion to concur in the Senate amendment. The roll call lists Welch, Democratic, Vermont, voting Yea.
Congress.gov lists S.1836, the SMART Prices Act, sponsored by Sen. Amy Klobuchar and referred to the Senate Finance Committee on May 21, 2025. The tracker says the bill has the status Introduced and has not passed the Senate, House, gone to the President, or become law.
Welch's Senate office says he introduced the bipartisan ETHIC Act with Senators Hawley and Klobuchar to streamline drug patent litigation, encourage fair market competition, and lower prescription drug prices by making it easier for generic and biosimilar companies to enter the market.
Axios reported that Welch said he would support and work aggressively to pass a most-favored-nation drug pricing policy and that Welch and Sen. Josh Hawley were working on a bipartisan bill to bar drugmakers from charging Americans more than the international average price.
Assessments
Welch has materially advanced drug-price reduction policy, including voting for the Inflation Reduction Act while in the House and pursuing Senate bills on Medicare negotiation, patent thickets, PBMs, and international reference pricing. CMS implementation shows negotiated Medicare prices taking effect in 2026, during his Senate term, which partially satisfies the lower-drug-prices objective. However, the record does not show an enacted outcome that specifically bolstered U.S. drug manufacturing, and Welch-backed manufacturing-adjacent or price-lowering bills remain pending or are not manufacturing-specific. This supports partial credit, not full delivery.
Senator Welch has sponsored or co-sponsored multiple pieces of legislation aimed at lowering drug prices through regulatory, manufacturing, and competitive reforms. Notably, he worked to enhance Medicare's negotiation power, streamline drug patent litigation, cap prices in relation to other countries, and address PBM pricing practices. However, there is no clear evidence that these legislative efforts led to the full implementation of bolstered domestic drug manufacturing as a direct means to lower prices, nor that all measures produced the promised outcome nationwide. Progress is evident but the core outcome is not fully delivered.