plans for expanding future drug price negotiations, including by enabling Medicare to negotiate the prices of more drugs more quickly
Support the expansion of Medicare's ability to negotiate the prices of more prescription drugs more quickly.
Occurrences
“This commonsense fix builds on the legislation, passed and signed into law by Democrats, that caps insulin at $35 a month and allows Medicare to negotiate drug prices. We will continue to deliver real solutions that lower costs for American families and end Big Pharma’s price gouging.”
Evidence
Senators Catherine Cortez Masto, Ron Wyden, Peter Welch, and Ruben Gallego announced a Democratic plan for lowering prescription drug costs, including by enabling Medicare to negotiate the prices of more drugs more quickly.
Cortez Masto, Klobuchar, and Welch introduced the SMART Prices Act, which would expand Medicare negotiation of drug prices, more than double the number of prescription drugs Medicare must negotiate to a minimum of 50 per year, and allow negotiation five years after FDA approval for the costliest drugs and biologics.
Cortez Masto's office said she and Democratic colleagues announced a plan that would enable Medicare to negotiate prices for more drugs more quickly.
Cortez Masto, Klobuchar, and Welch introduced the SMART Prices Act to more than double negotiated drugs to at least 50 per year and begin negotiations earlier.
CMS listed 10 drugs for 2026, 15 drugs for 2027, and 15 drugs for 2028, with third-cycle negotiations occurring in 2026 for prices effective in 2028.
The statute set Medicare negotiation at 10 drugs for 2026, 15 for 2027, 15 for 2028, and 20 for 2029 or later years.
The 2025 reconciliation law expanded and clarified the orphan-drug exclusion under the Medicare Drug Price Negotiation Program, effective for price applicability years beginning in 2028.
Cortez Masto, Welch, and Wyden introduced the No Big Blockbuster Bailouts Act to repeal certain negotiation exemptions and make high-spending orphan-status drugs eligible.
Assessments
Cortez Masto directly supported and introduced legislation, including the SMART Prices Act, to expand Medicare drug-price negotiation to more drugs and accelerate eligibility. However, the promised expansion has not been enacted: CMS implementation remains on the Inflation Reduction Act schedule of 10 drugs for 2026, 15 for 2027, 15 for 2028, and 20 for 2029 and later, and the 2025 reconciliation law narrowed some negotiation eligibility rather than expanding it. This is a serious same-term legislative effort without delivery of the promised policy outcome.
Cortez Masto has supported and introduced legislation to expand Medicare drug-price negotiation to more drugs on a faster timeline, including the SMART Prices Act and a 2026 Democratic plan. However, the promised policy expansion has not been enacted into federal law based on the provided evidence. Because she made a serious legislative effort but the outcome remains undelivered, this should be scored as not fulfilled with an effort badge rather than partial delivery.