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H.R. 3493
U.S. House•In House Committee
Summary
H.R. 3493, the Global Fairness in Drug Pricing Act, was introduced in the House on May 19, 2025 by Rep. Ro Khanna (D) with 7 co-sponsors. It was referred to Energy And Commerce, and last saw action on May 19, 2025: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Record
Text
H.R. 3493 has 7 co-sponsors.
hb3493/introduced-in-house.txt119 HR 3493 IH: Global Fairness in Drug Pricing ActU.S. House of Representatives2025-05-19text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I119th CONGRESS 1st SessionH. R. 3493IN THE HOUSE OF REPRESENTATIVESMay 19, 2025Mr. Khanna (for himself, Mrs. Luna , Ms. Kaptur , and Mr. Biggs of Arizona ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committees on Ways and Means , and the Judiciary , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concernedA BILLTo reduce prescription drug prices by aligning U.S. prices with international benchmarks.1.Short titleThis Act may be cited as the Global Fairness in Drug Pricing Act .2.Drug pricing(a)Most-favored nation price targetsNot later than 30 days after the date of enactment of this Act, the Secretary of Health and Human Services shall, in coordination with the Administrator of the Centers for Medicare & Medicaid Services and other heads of relevant Federal agencies—propose a rulemaking plan to impose most-favored-nation price targets to pharmaceutical manufacturers to ensure that prices for pharmaceutical products paid by patients in the United States are comparable to the prices for such products paid by comparably developed countries.(b)Importation by individualsThe Secretary of Health and Human Services shall certify to Congress that importation under section 804(j) of the Federal Food, Drug, and Cosmetic Act ( 21 U.S.C. 384(j) ) will pose no risk to the health and safety of the public and will result in a significant reduction in the cost of prescription drugs to the American patients in the United States; and the Secretary of Health and Human Services shall take action under section 804(j)(2)(B) of such Act to describe circumstances under which waivers will be consistently granted to individuals to import prescription drugs, on a case-by-case basis, from developed countries with low-cost prescription drugs.(c)Enforcement actionsThe Attorney General and the Chair of the Federal Trade Commission shall, to the extent consistent with law, undertake enforcement action against any anticompetitive practices by pharmaceutical manufacturers, including through enforcement of sections 1 and 2 of the Sherman Act ( 15 U.S.C. 1 , 2) and section 5 of the Federal Trade Commission Act ( 15 U.S.C. 45 ), as appropriate.(d)Programs enabling direct-to-Consumer purchasesTo the extent permitted by law, the Secretary of Health and Human Services shall facilitate direct-to-consumer purchasing programs for pharmaceutical manufacturers that sell their pharmaceutical products to patients in the United States at the prices determined through the rulemaking under subsection (a).(e)Study of unreasonable or discriminatory behaviors of manufacturersThe Secretary of Commerce and the United States Trade Representative shall conduct a study to determine whether any act, policy, or practice by pharmaceutical manufacturers constitutes unreasonable or discriminatory behavior that—(1)impairs national security;(2)forces patients in the United States to subsidize global pharmaceutical research and development; or(3)involves suppression of drug prices in foreign markets below fair market value.The findings of such a study shall be submitted in a report to Congress not later than 180 days after the date of the enactment of this Act.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-05-19
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
To reduce prescription drug prices by aligning U.S. prices with international benchmarks.
Sponsors
Rep. Ro Khanna (D) sponsors H.R. 3493, and 7 members have co-sponsored it, 3 of them from the day it was introduced.

Rep. · D–CA-17 · Sponsor
Introduced May 19, 2025

Rep. · R–AZ-5 · Co-sponsor
Joined May 19, 2025 · Original

Rep. · D–OH-9 · Co-sponsor
Joined May 19, 2025 · Original

Rep. · R–FL-13 · Co-sponsor
Joined May 19, 2025 · Original

Rep. · R–AZ-2 · Co-sponsor
Joined Jun 3, 2025

Rep. · R–GA-14 · Co-sponsor
Joined Oct 17, 2025

Rep. · D–VA-10 · Co-sponsor
Joined Nov 7, 2025

Rep. · R–MI-7 · Co-sponsor
Joined Feb 24, 2026
Committees
H.R. 3493 went before 3 committees: Judiciary, Ways and Means and Energy and Commerce.
Actions
H.R. 3493 has taken 2 actions since May 19, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
May 19, 2025 | House | Introduced in House | ||
May 19, 2025 | House | Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.Energy and Commerce Committee |
Votes
H.R. 3493 has not gone to a roll call.
Titles
H.R. 3493 goes by 3 titles, 1 of them short titles.
- Global Fairness in Drug Pricing Act — Display Title
- Global Fairness in Drug Pricing Act — Short Title(s) as Introduced
- To reduce prescription drug prices by aligning U.S. prices with international benchmarks. — Official Title as Introduced
Lobbying
3 clients hired 3 firms and 34 registered lobbyists who named H.R. 3493 in 9 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Health Issues, Medicare/Medicaid, Taxation/Internal Revenue Code, Insurance, Pharmacy, Budget/Appropriations, Copyright/Patent/Trademark, Homeland Security.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | — | District of Columbia | 1 | 5 | — |
| BIOTECHNOLOGY INNOVATION ORGANIZATION | — | District of Columbia | 1 | 2 | — |
| GRIFOLS SHARED SERVICES NORTH AMERICA INC | — | District of Columbia | 1 | 2 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 1 | 5 | — |
| BIOTECHNOLOGY INNOVATION ORGANIZATION | 1 | 2 | — |
| GRIFOLS SHARED SERVICES NORTH AMERICA, INC. | 1 | 2 | — |
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 34.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ADAM BECK | 1 | 1 | 5 |
| ANDREW SHINE | 1 | 1 | 5 |
| ANNA DUNBAR-HESTER | 1 | 1 | 5 |
| ANTHONY MITCHELL | 1 | 1 | 5 |
| ARON GRIFFIN | 1 | 1 | 5 |
| GARY BECK | 1 | 1 | 5 |
| JEANETTE THORNTON | 1 | 1 | 5 |
| MARK HAMELBURG | 1 | 1 | 5 |
| MICHAEL TUFFIN | 1 | 1 | 5 |
| SEAN DICKSON | 1 | 1 | 5 |
| SEAN DUGAN | 1 | 1 | 5 |
| SHANE HAND | 1 | 1 | 5 |
| SOHINI GUPTA | 1 | 1 | 5 |
| KELLEY SCHULTZ | 1 | 1 | 4 |
| KARA JONES | 1 | 1 | 3 |
| MARCY BUCKNER | 1 | 1 | 3 |
| MEGHAN STRINGER | 1 | 1 | 3 |
| AIKEN HACKETT | 1 | 1 | 2 |
| AMBER MANKO | 1 | 1 | 2 |
| BAILEY MCCUE | 1 | 1 | 2 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2026 first_quarter | $5.3M | 1st Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2025 third_quarter | $4.2M | 3rd Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2025 fourth_quarter | $4.1M | 4th Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2025 second_quarter | $4.1M | 2nd Quarter - Report |
| AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) | AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP) | 2026 second_quarter | $3M | 2nd Quarter - Report |
| BIOTECHNOLOGY INNOVATION ORGANIZATION | BIOTECHNOLOGY INNOVATION ORGANIZATION | 2025 second_quarter | $1.8M | 2nd Quarter - Report |
| BIOTECHNOLOGY INNOVATION ORGANIZATION | BIOTECHNOLOGY INNOVATION ORGANIZATION | 2025 third_quarter | $1.4M | 3rd Quarter - Report |
| GRIFOLS SHARED SERVICES NORTH AMERICA INC | GRIFOLS SHARED SERVICES NORTH AMERICA, INC. | 2025 third_quarter | $450K | 3rd Quarter - Report |
| GRIFOLS SHARED SERVICES NORTH AMERICA INC | GRIFOLS SHARED SERVICES NORTH AMERICA, INC. | 2025 second_quarter | $390K | 2nd Quarter - Report |
Classification
The Congressional Research Service files H.R. 3493 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 3493’s is Health.
hr3493/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 3493, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 84 (Monday, May 19, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. KHANNA:H.R. 3493.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8[Page H2147]
Source: congress.gov · legiscan.com