S. 1930

119 S1930 IS: Small Biotech Innovation Act
 U.S. Senate
 2025-06-03
 text/xml
 EN
 Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
  II
  119th CONGRESS
  1st Session
  S. 1930
  IN THE SENATE OF THE UNITED STATES
  June 3, 2025
  Mr. Cassidy  introduced the following
  bill; which was read twice and referred to the  Committee on Finance
  A BILL
To amend title XI of the Social Security Act to establish a research and
  development-intensive small biotech manufacturer exception from the Medicare drug price
  negotiation program.
1.
Short title
This Act may be cited as the   Small Biotech Innovation Act  .
2.
Research and development-intensive small biotech manufacturer exception from
  Medicare drug price negotiation program
Section 1192(d)(2) of the Social Security Act ( 42 U.S.C. 1320f–1(d)(2) ) is amended by adding at the end the following new subparagraph:
(D)
Research and development-intensive small biotech manufacturer exception
  for 2029 and subsequent years
(i)
In general
With respect to initial price applicability years (beginning with initial price applicability year 2029), subject to the succeeding provisions of this subparagraph, the term  negotiation eligible drug  shall not include a qualifying single source drug (as defined in subsection (e)) of a research and development-intensive small biotech manufacturer (as defined in clause (ii)).
(ii)
Definitions
In this subparagraph:
(I)
Applicable percent
The term  applicable percent  means—
(aa)
in the case of a small biotech manufacturer that has 1 qualifying single source drug, 30 percent;
(bb)
in the case of a small biotech manufacturer that has 2 qualifying single source drugs, 40 percent;
(cc)
in the case of a small biotech manufacturer that has 3 qualifying single source drugs, 50 percent;
(dd)
in the case of a small biotech manufacturer that has 4 qualifying single source drugs, 60 percent; and
(ee)
in the case of a small biotech manufacturer that has 5 qualifying single source drugs, 70 percent.
(II)
Small biotech manufacturer defined
The term  small biotech manufacturer  means a manufacturer that—
(aa)
has 5 or less qualifying single source drugs; and
(bb)
is not owned by, controlled by, or subject to the jurisdiction or direction of a government of a foreign country, or organized under the laws of a foreign country that is a covered nation (as defined in section 4872(f) of title 10, United States Code).
(III)
Research and development-intensive small biotech manufacturer
  defined
The term  research and development-intensive small biotech manufacturer  means a small biotech manufacturer that invests at least the applicable percent of their net revenue from the average of the previous three years in research and development (determined based on generally accepted accounting principles).
(iii)
Treatment in case of acquisition
A drug shall not be considered to be a qualifying single source drug of a research and development-intensive small biotech manufacturer if the manufacturer of such drug is acquired after 2029 by another manufacturer that does not meet the definition of a research and development-intensive small biotech manufacturer, effective at the beginning of the plan year immediately following such acquisition.
(iv)
Annual application
In order for a qualifying single source drug of a research and development-intensive small biotech manufacturer to be eligible for the exception under this subparagraph with respect to an initial price applicability year (beginning with initial price applicability year 2029), the manufacturer shall submit an application to the Secretary (at a time specified by the Secretary) containing—
(I)
information on the net product revenue and research and development expenditures of the manufacturer during the relevant time period;
(II)
a certification that the information submitted by the manufacturer under subclause (I) is accurate and complete to the best of the manufacturer’s knowledge; and
(III)
such other information as the Secretary may specify.
(v)
Dispute Resolution
The Secretary shall develop a process under which a manufacturer may appeal a determination by the Secretary that the manufacturer is not a research and development-intensive small biotech manufacturer. Such process shall conclude, with respect to a manufacturer, not later than the selected drug publication date with respect to the initial price applicability year for which the manufacturer submitted an application under clause (iv).
  .