# 119-hr-3493: Global Fairness in Drug Pricing Act

119-hr-3493, Global Fairness in Drug Pricing Act, is a 119th Congress bill sponsored by Rep. Khanna, Ro [D-CA-17] (D-CA); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-3493
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-3493
- Congress: 119
- Title: Global Fairness in Drug Pricing Act
- Status: introduced
- Introduced: 2025-05-19
- Sponsor: Rep. Khanna, Ro [D-CA-17] (D-CA)
- Cosponsors: 7
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**This bill would lower U.S. prescription drug costs by making U.S. prices more like prices in comparably developed countries.** It pairs most-favored-nation price targets with selective importation and stronger antitrust tools to push down manufacturer prices. - Families and patients: Would aim to make what Americans pay for prescription drugs comparable to prices in similarly developed countries. It also directs HHS to describe when individuals can get case-by-case waivers to import drugs from low-cost developed countries and to certify that importation would be safe and significantly reduce costs. - Pharmaceutical manufacturers: Would authorize enforcement actions by the Attorney General and the Federal Trade Commission Chair under sections 1 and 2 of the Sherman Act and section 5 of the FTC Act against anticompetitive conduct by manufacturers. - Federal agencies and trade policy: Would require HHS to coordinate with CMS and other agencies to propose a rulemaking plan within 30 days after enactment to set most-favored-nation price targets, direct HHS to facilitate direct-to-consumer purchasing at those prices when legal, and ask Commerce and the U.S. Trade Representative to study manufacturer conduct with findings due to Congress within 180 days.

## Cosponsors (7)

- Rep. Luna, Anna Paulina [R-FL-13] (R-FL), 2025-05-19T00:00:00.000Z
- Rep. Kaptur, Marcy [D-OH-9] (D-OH), 2025-05-19T00:00:00.000Z
- Rep. Biggs, Andy [R-AZ-5] (R-AZ), 2025-05-19T00:00:00.000Z
- Rep. Crane, Elijah [R-AZ-2] (R-AZ), 2025-06-03T00:00:00.000Z
- Rep. Greene, Marjorie Taylor [R-GA-14] (R-GA), 2025-10-17T00:00:00.000Z
- Rep. Subramanyam, Suhas [D-VA-10] (D-VA), 2025-11-07T00:00:00.000Z
- Rep. Barrett, Tom [R-MI-7] (R-MI), 2026-02-24T00:00:00.000Z

## Provisions PRIA read

- Crack down on drug-maker collusion: benefit, high. The Justice Department and the FTC would target anti-competitive practices by drug makers, as allowed by law. They could use laws against price-fixing and monopolies. Stronger enforcement could help keep drug prices fair for many households.
- Allow safe personal drug importation: benefit, medium. HHS would need to certify to Congress that personal drug importation is safe and would significantly cut costs. HHS would explain when individuals could get case-by-case waivers to import from developed countries with lower prices. Only people who meet those rules could import. If approved, some pa…
- Global benchmarks for U.S. drug prices: benefit, medium. Within 30 days of enactment, HHS would propose a plan to set most-favored-nation price targets so U.S. patients pay prices similar to those in other developed countries. HHS would coordinate with Medicare, Medicaid, and other agencies. HHS could also help drug makers sell directly to patients at th…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act
- 119-hr-5401: Pay Our Troops Act of 2026
- 119-hr-2102: Major Richard Star Act
- 119-hr-5271: Pakistan Freedom and Accountability Act
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025

## Sources
- [119-hr-3493 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/3493)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act](https://policyrisk.com/legislation/119-hr-1993)
- [119-hr-5401: Pay Our Troops Act of 2026](https://policyrisk.com/legislation/119-hr-5401)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-5271: Pakistan Freedom and Accountability Act](https://policyrisk.com/legislation/119-hr-5271)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-3493 (as of 2026-04-21).