S. 2447Senate119th Congress (2025-2027)In Committee

Repealing the Trump Sick Tax Act

Introduced July 24, 2025

AI-Generated Summary

Updated November 23, 2025 at 11:11 PM UTC

This bill undoes two parts of the so‑called “Trump Sick Tax Act.” It restores the previous Medicaid cost‑sharing rules by removing a 2022 amendment and cancels the money that had been set aside for that change. It also eliminates the rule that kept orphan drugs out of the Medicare drug‑price‑negotiation program, so those drugs will again be covered by the program’s negotiations. The changes affect Medicaid recipients, the Medicare drug‑price‑negotiation system, and pharmaceutical companies that make orphan drugs.

Key Provisions

  • Repeals the portion of the 2022 reconciliation law (Section 71120) that changed Medicaid cost‑sharing rules, restoring the original Medicaid cost‑sharing requirements under the Social Security Act.
  • Cancels any funding that had been appropriated under that repealed Medicaid provision.
  • Repeals the provision (Section 71203) that excluded orphan drugs from the Medicare Drug Price Negotiation Program, allowing orphan drugs to be subject to price negotiations under the original Medicare law.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

July 24, 2025

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SenateIntro Referral

Introduced in Senate

July 24, 2025

SenateIntro Referral

Read twice and referred to the Committee on Finance.

July 24, 2025

Floor Debate

6 members

What members said about S. 2447 on the floor

3 Republicans3 Democrats
Amy Klobuchar
Sen. Amy KlobucharD-MN · Sep 4, 2025

Mr. President, I rise today with my colleague Senator Smith because once again our State is in mourning. After a painful summer where we lost Leader Melissa Hortman and her husband Mark in a horrific…

Tina Smith
Sen. Tina SmithD-MN · Sep 4, 2025

Mr. President, I stand before this body trying to make sense of the terrible shooting at Annunciation Catholic School, just a couple of miles from where Archie and I live in Minneapolis, and I can't.…

Mike Crapo
Sen. Mike CrapoR-ID · Sep 4, 2025

Mr. President, reserving the right to object, the proposal that is sought to be adopted by unanimous consent on the floor today-- which means bypassing the committee of jurisdiction so that the…

Peter Welch
Sen. Peter WelchD-VT · Sep 4, 2025

Mr. President, I rise today to request unanimous consent to pass a bill I introduced with Senator Ron Wyden, the ranking member of the Senate Finance Committee. Our bill, the Repealing the Trump Sick…

John Barrasso
Sen. John BarrassoR-WY · Sep 4, 2025

The following Senators are necessarily absent: the Senator from Tennessee (Mrs. Blackburn), the Senator from West Virginia (Mrs. Capito), the Senator from Tennessee (Mr. Hagerty), the Senator from…

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Jerry Moran
Sen. Jerry MoranR-KS · Sep 4, 2025

Mr. President, I ask unanimous consent that all postcloture time be expired. Mr. President, I ask for the yeas and nays.

Bill Text

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Introduced in SenateIssued July 24, 2025

II

119th CONGRESS

1st Session

S. 2447

IN THE SENATE OF THE UNITED STATES

July 24, 2025

Mr. Welch (for himself and Mr. Wyden) introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To repeal changes to Medicaid cost sharing requirements and the exclusion for orphan drugs under the Medicare Drug Price Negotiation Program.

1.

Short title

This Act may be cited as the Repealing the Trump Sick Tax Act.

2.

Repeal of changes to Medicaid cost sharing requirements

(a)

Repeal

Section 71120 of the Act titled An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14 (Public Law 119–21) is repealed and title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) shall be applied as if such section and the amendments made by such section had not been enacted.

(b)

Rescission

The amounts appropriated under section 71120(c) of the Act titled An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14 (Public Law 119–21) are hereby rescinded.

3.

Repeal of changes to exclusion for orphan drugs under the Drug Price Negotiation Program

Section 71203 of the Act titled An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14 (Public Law 119–21) is repealed and title XI of the Social Security Act (42 U.S.C. 1301 et seq.) shall be applied as if such section and the amendments made by such section had not been enacted.