Repealing the Trump Sick Tax Act
Sponsored By: Senator Peter Welch
Introduced
Summary
Repeals changes to Medicaid cost sharing and the orphan drug exclusion made by Public Law 119-21. This bill would restore the prior rules for Medicaid cost sharing and return the orphan drug exemption in Medicare’s drug price negotiation program to its earlier scope.
Show full summary
- Families and Medicaid enrollees: Restores Medicaid cost sharing rules to how they worked before the 119-21 changes, reversing new cost-sharing provisions that had been added.
- Seniors and Medicare drug policy: Restores the prior orphan drug exclusion for the Medicare Drug Price Negotiation Program, narrowing which drugs would be subject to federal price negotiations.
- Federal funding and administration: Rescinds the amounts appropriated under section 71120(c) of Public Law 119-21 tied to the cost-sharing changes.
Your PRIA Score
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
2 provisions identified: 0 benefits, 0 costs, 2 mixed.
Restore old Medicaid cost rules
If enacted, this bill would repeal a recent change to Medicaid cost-sharing and treat title XIX as if that change never happened. It would return the old rules about out-of-pocket costs for Medicaid enrollees. The bill would also rescind the money that was appropriated under the repealed section. These changes would take effect upon enactment.
Restore orphan drug rules for Medicare
If enacted, this bill would repeal a change to the Medicare Drug Price Negotiation Program and return the prior treatment of orphan drugs. That would change which orphan drugs can be subject to negotiation. This could change prices or access for some Medicare patients. These changes would take effect upon enactment.
Sponsors & CoSponsors
Sponsor
Peter Welch
VT • D
Cosponsors
Ron Wyden
OR • D
Sponsored 7/24/2025
Tina Smith
MN • D
Sponsored 7/29/2025
Sen. Luján, Ben Ray [D-NM]
NM • D
Sponsored 7/29/2025
Chris Van Hollen
MD • D
Sponsored 7/30/2025
Bernie Sanders
VT • I
Sponsored 9/2/2025
Catherine Cortez Masto
NV • D
Sponsored 9/3/2025
Jeff Merkley
OR • D
Sponsored 9/9/2025
Roll Call Votes
No roll call votes available for this bill.
View on Congress.govTake It Personal
Get Your Personalized Policy View
Start a Free Government Policy Watch to see how policy affects your household, then upgrade to PRIA Full Coverage for year-round monitoring.
Already have an account? Sign in