PolicyBrief
H.RES. 928
119th CongressDec 4th 2025
Affirming support for most-favored-Nation drug pricing for United States patients.
IN COMMITTEE

This resolution affirms support for lowering U.S. prescription drug prices to match the lowest prices paid in other developed nations.

Debbie Dingell
D

Debbie Dingell

Representative

MI-6

LEGISLATION

House Resolution Affirms Support to Match U.S. Drug Prices to Lowest International Rates

This resolution expresses the House of Representatives' official support for a major policy goal: ensuring that U.S. patients stop paying more for prescription drugs than people in any other developed country. Essentially, it backs the idea of "Most-Favored-Nation" (MFN) drug pricing, where the U.S. price for a drug would be pegged to the lowest price available internationally.

Why We're Talking About This

If you've ever had sticker shock at the pharmacy counter, you know why this is necessary. The resolution lays out the grim facts: U.S. drug prices are nearly 2.78 times higher than in comparable countries. This isn't just an abstract number; it translates directly into real-life hardship. The resolution cites that because of cost, 21% of U.S. adults haven't filled a prescription, and 1 in 7 have had to dangerously cut pills in half or skip doses in the last year. This isn't just about saving money; it’s about making sure people can actually take the medicine they need to stay healthy or alive.

The Plan: Aligning Prices and Expanding Negotiation

The resolution affirms a commitment to lowering costs by supporting two main strategies. First, it supports policies that directly align U.S. drug prices with those in other developed nations. Think of it as a global price check: if a drug company sells an essential medication for $10 in Germany and $100 in the U.S., this policy aims to force that U.S. price down toward the $10 mark. Second, it supports expanding Medicare's ability to negotiate drug prices and promoting market competition, which are other proven ways to bring costs down.

This isn't a new idea, either. The resolution notes that this goal has bipartisan support, aligns with previous Executive Orders, and has been the subject of legislation in recent Congresses. It’s aiming to solidify political support behind a policy that could dramatically reduce the over $1,400 per person the U.S. currently spends on prescriptions annually.

The Trade-Offs: Innovation vs. Access

While this resolution is great news for patients and consumers—imagine your monthly insulin or asthma inhaler bill dropping significantly—it raises immediate questions for the pharmaceutical industry. If mandated price matching severely cuts the revenue companies earn from the massive U.S. market, critics argue it could reduce the incentive to invest in the risky, expensive research and development (R&D) needed to create the next generation of life-saving drugs. For the everyday person, this is the core trade-off: Do we prioritize immediate, affordable access to existing medications, or do we risk slower innovation in the future?

Because this is a resolution, it’s a statement of intent, not a law that changes pricing tomorrow. However, it signals strong legislative support for future bills that would actually implement MFN pricing or expand Medicare negotiation. If that legislation moves forward, it would be a fundamental shift in how the U.S. pays for medicine, potentially saving Americans billions but requiring careful consideration of how to maintain a robust R&D sector.