# 119-s-3019: No Big Blockbuster Bailouts Act

119-s-3019, No Big Blockbuster Bailouts 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 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-3019
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3019
- Congress: 119
- Title: No Big Blockbuster Bailouts Act
- Status: introduced
- Introduced: 2025-10-21
- Sponsor: Sen. Welch, Peter [D-VT] (D-VT)
- Cosponsors: 2
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Would raise the sales threshold for orphan drugs in Medicare's drug-price negotiation to $400 million.** The change would apply only to drugs designated for one or more rare diseases whose only approved indication or indications are for those diseases and would cover initial price-applicability years beginning on or after January 1, 2028. - Manufacturers of orphan drugs approved only for rare diseases would be less likely to face initial Medicare price negotiation until annual U.S. sales exceed $400 million. - The pool of orphan drugs subject to initial negotiation would be smaller for years starting January 1, 2028, narrowing which rare-disease medicines the program targets.

## Cosponsors (2)

- Sen. Wyden, Ron [D-OR] (D-OR), 2025-10-21T00:00:00.000Z
- Sen. Cortez Masto, Catherine [D-NV] (D-NV), 2025-10-21T00:00:00.000Z

## Provisions PRIA read

- Higher drug price threshold for Medicare: cost, medium. This bill would raise the sales threshold for certain orphan drugs from $200 million to $400 million. That threshold helps decide which drugs enter Medicare price negotiations. If enacted, it would apply to initial price years starting on or after January 1, 2028. Medicare patients who use those or…

## Related bills

- 119-s-3990: PrEP Access and Coverage Act of 2026
- 119-s-2231: GLOBE Act of 2025
- 119-s-51: Washington, D.C. Admission Act
- 119-s-5108: Right to IVF Act of 2026
- 119-s-1503: Equality Act
- 119-s-891: Bipartisan Health Care Act

## Sources
- [119-s-3019 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3019)

## Related
- [119-s-3990: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-s-3990)
- [119-s-2231: GLOBE Act of 2025](https://policyrisk.com/legislation/119-s-2231)
- [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-891: Bipartisan Health Care Act](https://policyrisk.com/legislation/119-s-891)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3019 (as of 2026-04-21).