However, more work is required on this front. We must continue empowering the FDA to fast-track cheaper off-label drugs, and we should pursue the importation of lower-cost alternatives from trading partners like Canada.
I will continue supporting efforts to empower the FDA to fast-track cheaper off-label drugs and pursue importation of lower-cost prescription alternatives from trading partners such as Canada.
Occurrences
Evidence
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Higgins' official health care page says he supports marketplace competition, reducing unnecessary federal regulations, and encouraging development of life-saving drugs, devices, and therapies.
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Congress.gov lists H.R.832 as sponsored by Rep. Chellie Pingree, referred to the House Energy and Commerce Subcommittee on Health, with status Introduced. CRS summarizes that it would require FDA to allow personal importation of prescription drugs from Canada in certain instances.
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FDA/HHS issued a final rule, effective November 30, 2020, implementing Section 804 importation programs to allow importation of certain prescription drugs from Canada when cost-savings and safety requirements are met.
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FDA authorized Florida's Section 804 drug importation program, calling it the first step toward Florida facilitating importation of certain prescription drugs from Canada, subject to further FDA review and safety obligations.
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S.204 became Public Law 115-176 on May 30, 2018. CRS describes it as exempting certain unapproved investigational drugs for terminally ill patients from specified FD&C Act requirements.
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The House passed S.204 by recorded vote, 250-169. The Clerk records Higgins (LA), Republican, Louisiana, as Not Voting.
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The House passed H.R.3, the Elijah E. Cummings Lower Drug Costs Now Act, 230-192. The Clerk records Higgins (LA), Republican, Louisiana, as Nay.
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FDA authorized Colorado's Section 804 Importation Program for two years after determining that the proposal met Section 804 and 21 CFR part 251 requirements and would significantly reduce covered-product costs without additional public-health risk. The letter also states that drugs still may not be imported until FDA grants drug-specific Pre-Import Requests.
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Congress.gov lists H.R.3162 as introduced on May 1, 2025, referred to House Energy and Commerce, with status 'Introduced.' The cosponsors page lists five Democratic cosponsors: Cohen, Doggett, Omar, Pingree, and Pocan; Clay Higgins is not listed.
Assessments
The Canada/importation portion saw real federal progress through the 2020 Section 804 importation rule and later FDA authorizations for Florida in 2024 and Colorado in 2026, but those programs remained conditional on drug-specific approvals and do not amount to broad delivered access to lower-cost imported prescriptions. The off-label fast-track portion is not shown as delivered. The record also does not show Higgins sponsoring, cosponsoring, voting for, or materially advancing the relevant importation measures, and some adjacent evidence weakens personal credit. Because unrelated federal and state/FDA actions partially advanced one prong while the full promised outcome and candidate-specific contribution are not established, partial credit is appropriate.
The importation portion saw real federal progress: HHS/FDA created a Section 804 pathway for Canadian prescription-drug importation in 2020 and FDA authorized Florida's program in 2024. However, the evidence does not show Higgins sponsoring, cosponsoring, voting for, or materially advancing those outcomes, and the off-label fast-track portion was not delivered. His record is mostly general support statements, with weak or adverse legislative evidence on related drug-cost measures. This merits partial credit for policy progress aligned with part of the promise, not full delivery attributable to Higgins.