119-S1836

SMART Prices Act

Last action was on 5-21-2025

Bill is currently in: Senate
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Current status is Read twice and referred to the Committee on Finance.

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119th CONGRESS

1st Session

S. 1836

1. Short title
2. Improvements to the Medicare Drug Price Negotiation Program

1. Short title

This Act may be cited as the "Strengthening Medicare And Reducing Taxpayer Prices Act" or the "SMART Prices Act".


2. Improvements to the Medicare Drug Price Negotiation Program

(a) Acceleration of the selection of negotiation-Eligible drugs - Section 1192(a) of the Social Security Act (42 U.S.C. 1320f–1(a)) is amended—

(1) - in paragraph (3)—

(A) - by striking "2028, 15 negotiation-eligible drugs" and inserting "2028 or a subsequent year, 50 negotiation-eligible drugs"; and

(B) - by striking "; and" at the end and inserting a period; and

(2) - by striking paragraph (4).

(b) Improvements to the definition of qualifying single source drug - Section 1192(e)(1) of the Social Security Act (42 U.S.C. 1320f–1(e)(1)) is amended—

(1) - in subparagraph (A)(ii), by striking "7 years" and inserting "3 years"; and

(2) - in subparagraph (B)(ii), by striking "11 years" and inserting "3 years".

(c) Improvement to the ceiling for maximum fair price - Section 1194(c)(3) of the Social Security Act (42 U.S.C. 1320f–3(c)(3)) is amended—

(1) - in subparagraph (A), by striking "75 percent" and inserting "76 percent";

(2) - in subparagraph (B), by striking "65 percent" and inserting "55 percent"; and

(3) - in subparagraph (C), by striking "40 percent" and inserting "30 percent".

(d) Effective date - The amendments made by this section shall apply with respect to initial price applicability years (as defined in section 1191(b) of the Social Security Act (42 U.S.C. 1320f(b))) beginning with initial price applicability year 2028.