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House|Senate

110th Congress, Vote 23; House of Representatives #4

Medicare Prescription Drug Price Negotiation Act of 2007


Official Title: To amend part D of title XVIII of the Social Security Act to require the Secretary of Health and Human Services to negotiate lower covered part D drug prices on behalf of Medicare beneficiaries.

HR4 Medicare Prescription Drug Price Negotiation Act
Passed by House Jan. 12, 2007
Not acted upon in Senate

Synopsis: This bill would have required the Secretary of Health and Human Services, who oversees Medicare, to negotiate lower drug prices for Part D, the prescription drug benefit under Medicare.

President George W. Bush threatened to veto the bill, which also was opposed by pharmaceutical companies. "Government interference impedes competition, limits access to lifesaving drugs, reduces convenience for beneficiaries and ultimately increases costs to taxpayers, beneficiaries and all American citizens alike," the White House said in a written statement on the House bill.

Why supporters pushed for this bill

  • Every other developed country in the world negotiates with drug-makers for bulk discounts on prescription drugs. If there is no medical evidence that a new product will provide more benefits to most patients than older (and almost always cheaper) products, governments will refuse to pay more for the "new, new thing" – though they may well agree to cover the drug for those few patients who would benefit.
  • In the U.S., the Veterans' Administration (VA) is allowed to bargain with pharmaceutical companies, and it has already shown that government negotiators can achieve significant savings in the U.S., without depriving patients of needed drugs.
  • Opponents argued that drug-makers need higher payments from the U.S. in order to fund needed research. The bill's supporters pointed out that large pharmaceutical companies now spend more on marketing than on research and development, and in recent years, have brought very few true "breakthroughs" to market.
  • Medicare just cannot afford "runaway inflation" in spending on drugs. Health care for seniors is not the nation's only priority. We also need more money for education, job-creation, the environment, exploring alternative sources of energy ...

Why opponents tried to stop the bill

  • Those who voted against the bill insisted that by paying pharmaceutical companies more, Medicare is providing the resources that drug-makers need to pursue ground-breaking, life-saving research.
  • They also argued that the market, not government, should set drug prices. Government regulation would stand in the way of free market competition.
  • The Veterans Administration has refused to cover some drugs that some patients (and their doctors) feel that they need.
01/12/2007 Status: House passed

More: select a member to see his or her other key Medicare votes.

Yes (255)
Our
Pick
D Robert Cramer AL
D Artur Davis AL
D Robert Berry AR
D Mike Ross AR
D Victor Snyder AR
D Gabrielle Giffords AZ
D Raúl Grijalva AZ
D Harry Mitchell AZ
D Ed Pastor AZ
R Rick Renzi AZ
D Joe Baca CA
D Xavier Becerra CA
D Howard Berman CA
D Lois Capps CA
D Dennis Cardoza CA
D Jim Costa CA
D Susan Davis CA
D Anna Eshoo CA
D Sam Farr CA
D Bob Filner CA
D Jane Harman CA
D Michael Honda CA
D Tom Lantos CA
D Barbara Lee CA
D Zoe Lofgren CA
D Doris Matsui CA
D Jerry McNerney CA
D J. Millender-McDonald CA
D George Miller CA
D Grace Napolitano CA
D Nancy Pelosi CA
D L. Roybal-Allard CA
D Linda Sánchez CA
D Loretta Sanchez CA
D Adam Schiff CA
D Brad Sherman CA
D Hilda Solis CA
D Fortney Stark CA
D Ellen Tauscher CA
D Mike Thompson CA
D Maxine Waters CA
D Diane Watson CA
D Henry Waxman CA
D Lynn Woolsey CA
D Diana DeGette CO
D Ed Perlmutter CO
D John Salazar CO
D Mark Udall CO
D Joe Courtney CT
D Rosa DeLauro CT
D John Larson CT
D Christopher Murphy CT
R Michael Castle DE
D Allen Boyd FL
D Corrine Brown FL
R Vern Buchanan FL
D Kathy Castor FL
D Alcee Hastings FL
D Ron Klein FL
D Tim Mahoney FL
D Kendrick Meek FL
R Jeff Miller FL
D D. Wasserman Schultz FL
D Robert Wexler FL
D John Barrow GA
D Sanford Bishop GA
D Henry Johnson GA
D John Lewis GA
D James Marshall GA
D David Scott GA
D Neil Abercrombie HI
D Mazie Hirono HI
D Leonard Boswell IA
D Bruce Braley IA
D Melissa Bean IL
D Jerry Costello IL
D Danny Davis IL
D Rahm Emanuel IL
D Luis Gutiérrez IL
D Phil Hare IL
D Jesse Jackson IL
R Timothy Johnson IL
D Daniel Lipinski IL
D Bobby Rush IL
D Janice Schakowsky IL
R Dan Burton IN
D Julia Carson IN
D Joe Donnelly IN
D Brad Ellsworth IN
D Baron Hill IN
D Peter Visclosky IN
D Nancy Boyda KS
D Dennis Moore KS
R Jerry Moran KS
D Ben Chandler KY
D John Yarmuth KY
D William Jefferson LA
D Charles Melancon LA
D Michael Capuano MA
D William Delahunt MA
D Barney Frank MA
D Stephen Lynch MA
D Edward Markey MA
D James McGovern MA
D Martin Meehan MA
D Richard Neal MA
D John Olver MA
D John Tierney MA
D Elijah Cummings MD
D Steny Hoyer MD
D C. Ruppersberger MD
D John Sarbanes MD
D Chris Van Hollen MD
D Albert Wynn MD
D Thomas Allen ME
D Michael Michaud ME
D John Conyers MI
D John Dingell MI
D Dale Kildee MI
D Carolyn Kilpatrick MI
D Bart Stupak MI
D Keith Ellison MN
D Betty McCollum MN
D James Oberstar MN
D Collin Peterson MN
R James Ramstad MN
D Timothy Walz MN
D Russ Carnahan MO
D Wm. Clay MO
D Emanuel Cleaver MO
R Jo Ann Emerson MO
D Ike Skelton MO
D Gene Taylor MS
D Bennie Thompson MS
D George Butterfield NC
D Bob Etheridge NC
R Walter Jones NC
D Mike McIntyre NC
D R. Miller NC
D David Price NC
D Heath Shuler NC
D Melvin Watt NC
D Earl Pomeroy ND
D Paul Hodes NH
D Carol Shea-Porter NH
D Robert Andrews NJ
D Rush Holt NJ
R Frank LoBiondo NJ
D Frank Pallone NJ
D Bill Pascrell NJ
D Donald Payne NJ
D Steven Rothman NJ
D Albio Sires NJ
R Christopher Smith NJ
D Tom Udall NM
D Shelley Berkley NV
D Gary Ackerman NY
D Michael Arcuri NY
D Timothy Bishop NY
D Yvette Clarke NY
D Joseph Crowley NY
D Eliot Engel NY
R Vito Fossella NY
D Kirsten Gillibrand NY
D John Hall NY
D Brian Higgins NY
D Maurice Hinchey NY
D Steve Israel NY
D Nita Lowey NY
D Carolyn Maloney NY
D Carolyn McCarthy NY
D Michael McNulty NY
D Gregory Meeks NY
D Jerrold Nadler NY
D Charles Rangel NY
D José Serrano NY
D Louise Slaughter NY
D Edolphus Towns NY
D Nydia Velázquez NY
R James Walsh NY
D Anthony Weiner NY
R Steve Chabot OH
D Stephanie Jones OH
D Marcy Kaptur OH
D Dennis Kucinich OH
R Steven LaTourette OH
R Ralph Regula OH
D Tim Ryan OH
D Zachary Space OH
D Betty Sutton OH
D Charles Wilson OH
D Dan Boren OK
D Earl Blumenauer OR
D Peter DeFazio OR
D Darlene Hooley OR
D David Wu OR
D Jason Altmire PA
D Robert Brady PA
D Christopher Carney PA
D Michael Doyle PA
D Chaka Fattah PA
D Tim Holden PA
D Paul Kanjorski PA
D Patrick Murphy PA
D John Murtha PA
R Todd Platts PA
D Allyson Schwartz PA
D Joe Sestak PA
D Patrick Kennedy RI
D James Langevin RI
D James Clyburn SC
D John Spratt SC
D S. Herseth Sandlin SD
D Steve Cohen TN
D Jim Cooper TN
D Lincoln Davis TN
D Barton Gordon TN
D John Tanner TN
R Zach Wamp TN
D Henry Cuellar TX
D Lloyd Doggett TX
D Thomas Edwards TX
D Charles Gonzalez TX
D Al Green TX
D Gene Green TX
D Rubén Hinojosa TX
D Sheila Jackson Lee TX
D Eddie Johnson TX
D Nicholas Lampson TX
D Solomon Ortiz TX
R Ronald Paul TX
D Silvestre Reyes TX
D Ciro Rodriguez TX
D Jim Matheson UT
D Frederick Boucher VA
R Jo Ann Davis VA
R Bob Goodlatte VA
D James Moran VA
D Robert Scott VA
R Frank Wolf VA
D Peter Welch VT
D Brian Baird WA
D Norman Dicks WA
D Jay Inslee WA
D Rick Larsen WA
D Jim McDermott WA
D Adam Smith WA
D Tammy Baldwin WI
D Steve Kagen WI
D Ron Kind WI
D Gwen Moore WI
D David Obey WI
R Thomas Petri WI
D Alan Mollohan WV
D Nick Rahall WV
No (170)
R Don Young AK
R Robert Aderholt AL
R Spencer Bachus AL
R Jo Bonner AL
R Terry Everett AL
R Mike Rogers AL
R John Boozman AR
R Jeff Flake AZ
R Trent Franks AZ
R John Shadegg AZ
R Brian Bilbray CA
R Mary Bono Mack CA
R Ken Calvert CA
R John Campbell CA
R John Doolittle CA
R David Dreier CA
R Elton Gallegly CA
R Walter Herger CA
R Duncan Hunter CA
R Darrell Issa CA
R Jerry Lewis CA
R Daniel Lungren CA
R Kevin McCarthy CA
R Howard McKeon CA
R Devin Nunes CA
R Dana Rohrabacher CA
R Edward Royce CA
R Doug Lamborn CO
R Marilyn Musgrave CO
R Thomas Tancredo CO
R Christopher Shays CT
R Gus Bilirakis FL
R Virginia Brown-Waite FL
R Ander Crenshaw FL
R Lincoln Diaz-Balart FL
R Mario Diaz-Balart FL
R Tom Feeney FL
R Ric Keller FL
R Connie Mack FL
R John Mica FL
R Adam Putnam FL
R Ileana Ros-Lehtinen FL
R Clifford Stearns FL
R David Weldon FL
R C. Young FL
R Nathan Deal GA
R Phil Gingrey GA
R Jack Kingston GA
R John Linder GA
R Tom Price GA
R Lynn Westmoreland GA
R Steve King IA
R Tom Latham IA
R Bill Sali ID
R Michael Simpson ID
R Judy Biggert IL
R Ray LaHood IL
R Donald Manzullo IL
R Peter Roskam IL
R John Shimkus IL
R Gerald Weller IL
R Mike Pence IN
R Mark Souder IN
R Todd Tiahrt KS
R Geoff Davis KY
R Ron Lewis KY
R Harold Rogers KY
R Ed Whitfield KY
R Rodney Alexander LA
R Richard Baker LA
R Charles Boustany LA
R Bobby Jindal LA
R James McCrery LA
R Roscoe Bartlett MD
R Wayne Gilchrest MD
R Dave Camp MI
R Vernon Ehlers MI
R Peter Hoekstra MI
R Joseph Knollenberg MI
R Thaddeus McCotter MI
R Candice Miller MI
R Mike Rogers MI
R Fred Upton MI
R Tim Walberg MI
R Michele Bachmann MN
R John Kline MN
R W. Akin MO
R Roy Blunt MO
R Sam Graves MO
R Kenny Hulshof MO
R Charles Pickering MS
R Roger Wicker MS
R Dennis Rehberg MT
R Howard Coble NC
R Virginia Foxx NC
R Robin Hayes NC
R Patrick McHenry NC
R Sue Myrick NC
R Jeff Fortenberry NE
R Adrian Smith NE
R Lee Terry NE
R Michael Ferguson NJ
R Rodney Frelinghuysen NJ
R Scott Garrett NJ
R H. Saxton NJ
R Stevan Pearce NM
R Heather Wilson NM
R Dean Heller NV
R Jon Porter NV
R Peter King NY
R John Kuhl NY
R Thomas Reynolds NY
R John Boehner OH
R David Hobson OH
R Jim Jordan OH
R Deborah Pryce OH
R Jean Schmidt OH
R Patrick Tiberi OH
R Michael Turner OH
R Tom Cole OK
R Mary Fallin OK
R Frank Lucas OK
R John Sullivan OK
R Greg Walden OR
R Charles Dent PA
R Philip English PA
R Jim Gerlach PA
R Tim Murphy PA
R John Peterson PA
R Joseph Pitts PA
R Bill Shuster PA
R James Barrett SC
R Henry Brown SC
R Bob Inglis SC
R Joe Wilson SC
R Marsha Blackburn TN
R David Davis TN
R John Duncan TN
R Joe Barton TX
R Kevin Brady TX
R Michael Burgess TX
R John Carter TX
R K. Conaway TX
R John Culberson TX
R Louie Gohmert TX
R Kay Granger TX
R Ralph Hall TX
R Jeb Hensarling TX
R Sam Johnson TX
R Kenny Marchant TX
R Michael McCaul TX
R Randy Neugebauer TX
R Ted Poe TX
R Pete Sessions TX
R Lamar Smith TX
R Mac Thornberry TX
R Rob Bishop UT
R Christopher Cannon UT
R Eric Cantor VA
R Thomas Davis VA
R Thelma Drake VA
R J. Forbes VA
R Virgil Goode VA
R Doc Hastings WA
R C. McMorris Rodgers WA
R David Reichert WA
R Paul Ryan WI
R F. Sensenbrenner WI
R Shelley Capito WV
R Barbara Cubin WY
Not Voting (10)
R Gary Miller CA
R George Radanovich CA
R Charles Norwood GA
D David Loebsack IA
R J. Hastert IL
R Mark Kirk IL
R Stephen Buyer IN
D Sander Levin MI
R John McHugh NY
R Paul Gillmor OH