Safety-net drug providers get lower prices upfront, not later.
H.R. 10919 — Safety Net Provider Drug Pricing Protection Act · Filed by Jack Bergman (R-MI) · 13 cosponsors · Introduced Oct 29, 2026 · Referred to committee
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What it does
This bill changes how drug makers sell to safety-net providers. These providers serve poor and uninsured people. Right now, drug makers charge a high price upfront. Then they give money back later. The bill says drug makers must charge the lowest allowed price at the time of sale. They cannot charge more upfront and take money back later.
Who it affects
Safety-net providers serve uninsured and low-income patients. They include federally qualified health centers, disproportionate-share hospitals, Ryan White clinics, and sole community hospitals. Lower drug costs help these providers spend money on patient care instead of drugs.
One thing to notice
The bill requires drug makers to charge the lowest price upfront. Drug makers might tighten payment terms or change rebate programs instead.
From the analysis of the bill text, linked under Primary records below.
Where it stands
13 cosponsors: 10 Democrats, 3 Republicans.
- Oct 29, 2026 — Introduced · Congress.gov: “Introduced in House”
- Oct 29, 2026 — Referred to House Committee on Energy and Commerce · Congress.gov: “Referred to the House Committee on Energy and Commerce”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Words to know
- safety-net providers — Hospitals and clinics that serve uninsured and low-income patients.
- federally qualified health centers — Clinics that get federal money to serve poor and uninsured people.
- disproportionate-share hospitals — Hospitals that treat many poor and uninsured patients.
- rebate — Money a drug maker gives back after a sale is complete.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (2,281 characters) on Oct 31, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 16,778 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
As of — page rendered 2026-10-31.
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