United States 116th Congress Status: In Committee Bipartisan · 147 R · 1 I cosponsors

HR 19 — Lower Costs, More Cures Act of 2019

Last action — Referred to the Subcommittee on Antitrust, Commercial, and Administrative Law.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 116th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.

Summary

Lower Costs, More Cures Act of 2019 This bill establishes and modifies several requirements to address prescription drug prices under Medicare, Medicaid, and other programs. The bill generally limits payment amounts for drugs and biologics under Medicare medical services, reduces cost-sharing under the Medicare prescription drug benefit, modifies certain authorities and requirements under the Medicaid Drug Rebate Program, revises provisions relating to regulatory approval and commercial availability of generics and biosimilars, and establishes several reporting requirements for drug manufacturers with respect to drug prices.

Bill Text

How this bill changes current law

7 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill amends existing provisions related to Medicare by updating payment transparency and introducing refunds for discarded drugs.

  • 42 U.S.C. 1395m(t)

    In general → Site payment

    This change alters the heading to clarify that the section discusses site payment.

  • 42 U.S.C. 1395m(t)(1)

    or to → , to

    This addition clarifies the scope of payment settings.

  • 42 U.S.C. 1395m(t)(1)

    , or to a physician for services furnished in a physician's office

    This adds a new payment setting explicitly covering physicians' offices.

  • 42 U.S.C. 1395m(t)(1)

    2018 → (or 2021 with respect to a physician for services furnished in a physician's office)

    This update modifies the timeline for including physician payment data.

  • 42 U.S.C. 1395m(t)(1)(A)

    and the → , the

    This minor wording change improves clarity in the provision.

  • 42 U.S.C. 1395m(t)(1)(A)

    , and the physician fee schedule under section 1848 (with respect to the practice expense component of such payment amount)

    This addition specifies that physician fee schedule information must also be included.

  • 42 U.S.C. 1395-3a

    (h) Refund for Certain Discarded Single-Dose Container or Single-Use Package Drugs.-- (1) Secretarial provision of information.--

    This establishes a new requirement for manufacturers to provide refunds for certain drugs.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  4. Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  5. Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  6. Referred to the Subcommittee on Health.

  7. Referred to the Subcommittee on Antitrust, Commercial, and Administrative Law.

Sponsors

Sponsorship breakdown

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1 sponsors · 147 co-sponsors · 399 not signed on

Sponsors (1)

Co-sponsors (147)

Not signed on (399)

399 members have not signed on to this bill.

Show all 399 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HR 19 do?
Lower Costs, More Cures Act of 2019 This bill establishes and modifies several requirements to address prescription drug prices under Medicare, Medicaid, and other programs. The bill generally limits payment amounts for drugs and biologics under Medicare medical services, reduces cost-sharing under the Medicare prescription drug benefit, modifies certain authorities and requirements under the Medicaid Drug Rebate Program, revises provisions relating to regulatory approval and commercial availability of generics and biosimilars, and establishes several reporting requirements for drug manufacturers with respect to drug prices.
Who sponsors HR 19?
HR 19 is sponsored by Brady, Kevin (Republican), Foxx, Virginia (Republican), Collins, Doug (Republican), Burgess, Michael C. (Republican), Nunes, Devin (Republican), Walberg, Tim (Republican), Sensenbrenner, F. James, Jr. (Republican), Scalise, Steve (Republican), Cheney, Liz (Republican), Upton, Fred (Republican), Shimkus, John (Republican), Latta, Robert E. (Republican), Guthrie, Brett (Republican), McMorris Rodgers, Cathy (Republican), Olson, Pete (Republican), McKinley, David B. (Republican), Kinzinger, Adam (Republican), Griffith, H. Morgan (Republican), Bilirakis, Gus M. (Republican), Johnson, Bill (Republican), Long, Billy (Republican), Bucshon, Larry (Republican), Flores, Bill (Republican), Brooks, Susan W. (Republican), Mullin, Markwayne (Republican), Hudson, Richard (Republican), Carter, Earl L. "Buddy" (Republican), Gianforte, Greg (Republican), Palmer, Gary J. (Republican), Cole, Tom (Republican), Williams, Roger (Republican), Abraham, Ralph Lee (Republican), Keller, Fred (Republican), Rutherford, John H. (Republican), Ferguson, A. Drew (Republican), Kustoff, David (Republican), Riggleman, Denver (Republican), Westerman, Bruce (Republican), Graves, Garret (Republican), LaMalfa, Doug (Republican), Baird, James R. (Republican), Huizenga, Bill (Republican), Murphy, Gregory F. (Republican), Conaway, K. Michael (Republican), Allen, Rick W. (Republican), Weber, Randy K. Sr. (Republican), Newhouse, Dan (Republican), Babin, Brian (Republican), Hagedorn, Jim (Republican), Rouzer, David (Republican), Rice, Tom (Republican), Wilson, Joe (Republican), Pence, Greg (Republican), Hill, J. French (Republican), Marshall, Roger (Republican), Balderson, Troy (Republican), Aderholt, Robert B. (Republican), Davis, Rodney (Republican), Mitchell, Paul (Independent), Crenshaw, Dan (Republican), Joyce, John (Republican), Johnson, Dusty (Republican), Green, Mark E. (Republican), Miller, Carol D. (Republican), Stefanik, Elise M. (Republican), Banks, Jim (Republican), Comer, James (Republican), McCaul, Michael T. (Republican), Diaz-Balart, Mario (Republican), Amodei, Mark E. (Republican), Norman, Ralph (Republican), Roe, David P. (Republican), Budd, Ted (Republican), Cook, Paul (Republican), Hern, Kevin (Republican), Chabot, Steve (Republican), Steube, W. Gregory (Republican), Curtis, John R. (Republican), Grothman, Glenn (Republican), Steil, Bryan (Republican), Joyce, David P. (Republican), Smith, Christopher H. (Republican), Gonzalez, Anthony (Republican), Stauber, Pete (Republican), Buchanan, Vern (Republican), Smith, Adrian (Republican), Arrington, Jodey C. (Republican), Marchant, Kenny (Republican), Walorski, Jackie (Republican), Kelly, Mike (Republican), Smith, Jason (Republican), LaHood, Darin (Republican), Holding, George (Republican), Estes, Ron (Republican), Reed, Tom (Republican), Schweikert, David (Republican), Wenstrup, Brad R. (Republican), Roby, Martha (Republican), Reschenthaler, Guy (Republican), Hurd, Will (Republican), Watkins, Steve (Republican), Luetkemeyer, Blaine (Republican), Turner, Michael R. (Republican), Thompson, Glenn (Republican), Herrera Beutler, Jaime (Republican), Guest, Michael (Republican), Hartzler, Vicky (Republican), Wagner, Ann (Republican), Waltz, Michael (Republican), Wright, Ron (Republican), Gibbs, Bob (Republican), Bacon, Don (Republican), Harris, Andy (Republican), Duncan, Jeff (Republican), Bost, Mike (Republican), Barr, Andy (Republican), Webster, Daniel (Republican), Byrne, Bradley (Republican), Moolenaar, John R. (Republican), Womack, Steve (Republican), Granger, Kay (Republican), Meuser, Daniel (Republican), Rogers, Harold (Republican), Dunn, Neal P. (Republican), Katko, John (Republican), Smucker, Lloyd (Republican), King, Peter T. (Republican), Spano, Ross (Republican), Thornberry, Mac (Republican), Zeldin, Lee M. (Republican), Burchett, Tim (Republican), Mooney, Alexander X. (Republican), Scott, Austin (Republican), Carter, John R. (Republican), Perry, Scott (Republican), Bergman, Jack (Republican), Fulcher, Russ (Republican), Hice, Jody B. (Republican), Simpson, Michael K. (Republican), Armstrong, Kelly (Republican), DesJarlais, Scott (Republican), Timmons, William R. (Republican), Gooden, Lance (Republican), Bishop, Dan (Republican), Crawford, Eric A. "Rick" (Republican), Wittman, Robert J. (Republican), Brooks, Mo (Republican), and Walden, Greg (Republican).
What is the current status of HR 19?
This bill died with 116th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HR 19?
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