New Report Finds Pharma-Backed Provision in Tax Law Likely to Cost Far More than Previously Estimated

September 9, 2025

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The Campaign for Sustainable Drug Pricing (CSRxP) recently spotlighted a report by the The Wall Street Journal (WSJ) that a pharma-supported policy in the One Big Beautiful Bill Act is likely to cost seniors and taxpayers far more than previously estimated. The policy was based on a bill called “The Optimizing Research Progress Hope And New (ORPHAN) Cures Act,” which helps brand-name drug manufacturers keep prices high on a whole category of their products.

The nonpartisan Congressional Budget Office (CBO) previously estimated this policy would cost $4.8 billion in higher prescription drug spending, but the WSJ notes that the CBO missed certain drugs (including Keytruda) when calculating the impact. But according to The Wall Street Journal, “The true tally of the new provisions could be far higher because CBO plans to re-evaluate its analysis.”

The article flagged several other blockbuster brand name drugs that would become exempt from solutions designed to lower drug prices because of this provision. CSRxP urges Congress to act to protect seniors and taxpayers from billions of dollars in higher prescription drug prices by repealing this harmful provision.

legislation

Virginia and Hawaii Introduce PDAB Legislation

The Virginia Senate introduced a bill to establish a Prescription Drug Affordability Board (PDAB) to review drugs with a wholesale acquisition cost (WAC) of $60,000 or more per year or a WAC increase of $3,000 or more in any 12-month period. For drugs deemed to cause an affordability challenge, the legislation authorizes the PDAB to […]
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February 12, 2026

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Solutions

AHIP Shares Update on Plan Progress to Simplify Prior Authorization

AHIP shared progress on the voluntary, multi-year commitments made by AHIP, BCBSA, and leading health plans (including Cigna Healthcare) to streamline and simplify prior authorization. Health plans serving nearly 270 million Americans are participating in this initiative. The 2026 commitments took effect on Jan. 1 and include: reducing the scope of claims subject to prior […]
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February 12, 2026

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legislation

DOL Issues Proposed Rule on Improving Transparency into PBM Fees

Pursuant to President Trump’s Executive Order “Lowering Drug Prices by Once Again Putting Americans First,” the Department of Labor’s (DOL’s) Employee Benefits Security Administration (EBSA) issued a proposed rule that would require providers of PBM services and affiliated entities of brokerage and consulting services to disclose direct and indirect compensation to their self-funded ERISA fiduciary […]
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February 12, 2026

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