BioCentury
ARTICLE | Politics, Policy & Law

Biopharma industry confident of IRA fix, hoping to dodge MFN

GOP appears willing to fix the ‘pill penalty,’ Trump is pushing for Medicaid most favored nation also

May 2, 2025 11:58 PM UTC

Biopharma CEOs and lobbyists are confident that the budget reconciliation bill will include relief from the Inflation Reduction Act’s so-called “pill penalty,” but are scrambling to fend off White House efforts to insert “most favored nation” drug pricing provisions.

Even if MFN is excluded from the reconciliation bill, the push to ensure that some U.S. drug prices fall below those in other industrialized nations isn’t going away. Industry leaders expect the Trump administration to pursue MFN through other means — legislation, executive action, or a combination of the two...