# 119-s-2447: Repealing the Trump Sick Tax Act

119-s-2447, Repealing the Trump Sick Tax Act, is a 119th Congress bill sponsored by Sen. Welch, Peter [D-VT] (D-VT); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-s-2447
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-2447
- Congress: 119
- Title: Repealing the Trump Sick Tax Act
- Status: introduced
- Introduced: 2025-07-24
- Sponsor: Sen. Welch, Peter [D-VT] (D-VT)
- Cosponsors: 7
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2025-12-21

## 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. - 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.

## Cosponsors (7)

- Sen. Wyden, Ron [D-OR] (D-OR), 2025-07-24T00:00:00.000Z
- Sen. Smith, Tina [D-MN] (D-MN), 2025-07-29T00:00:00.000Z
- Sen. Luján, Ben Ray [D-NM] (D-NM), 2025-07-29T00:00:00.000Z
- Sen. Van Hollen, Chris [D-MD] (D-MD), 2025-07-30T00:00:00.000Z
- Sen. Sanders, Bernard [I-VT] (I-VT), 2025-09-02T00:00:00.000Z
- Sen. Cortez Masto, Catherine [D-NV] (D-NV), 2025-09-03T00:00:00.000Z
- Sen. Merkley, Jeff [D-OR] (D-OR), 2025-09-09T00:00:00.000Z

## Provisions PRIA read

- Restore old Medicaid cost rules: mixed, medium. 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 The bill would also rescind the money that was appropriated under the repealed section. T…
- Restore orphan drug rules for Medicare: mixed, medium. 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 effe…

## Related bills

- 119-s-3990: PrEP Access and Coverage Act of 2026
- 119-s-51: Washington, D.C. Admission Act
- 119-s-5108: Right to IVF Act of 2026
- 119-s-1503: Equality Act
- 119-s-2819: Head Start for America's Children Act
- 119-s-2295: Child Care for Working Families Act

## Sources
- [119-s-2447 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/2447)

## Related
- [119-s-3990: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-s-3990)
- [119-s-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-s-51)
- [119-s-5108: Right to IVF Act of 2026](https://policyrisk.com/legislation/119-s-5108)
- [119-s-1503: Equality Act](https://policyrisk.com/legislation/119-s-1503)
- [119-s-2819: Head Start for America's Children Act](https://policyrisk.com/legislation/119-s-2819)
- [119-s-2295: Child Care for Working Families Act](https://policyrisk.com/legislation/119-s-2295)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-2447 (as of 2025-12-21).