H.R. 1476 (119th)Bill Overview

PLASMA Act

Health|Blood and blood diseasesDrug therapy
Cosponsors
Support
Lean Republican
Introduced
Feb 21, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for c…

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill amends Medicare Part D’s manufacturer discount rules to create a multi-year phase-in of specific manufacturer discount percentages for plasma-derived biological products marketed as of August 16, 2022. It defines “plasma-derived product,” sets year-by-year discount percentages for two beneficiary cost categories (those below and those at/above the out-of-pocket threshold), and excludes drugs dispensed to certain low-income subsidy beneficiaries and specified small manufacturers from the phase-in rules.

Why people may split

Progressives emphasize patient access and affordability benefits.

Watch point

Narrow, technical change with plausible bipartisan appeal, though pharmaceutical industry reactions and committee negotiations could slow action.

This bill amends Medicare Part D’s manufacturer discount rules to create a multi-year phase-in of specific manufacturer discount percentages for plasma-derived biological products marketed as of August 16, 2022.

It defines “plasma-derived product,” sets year-by-year discount percentages for two beneficiary cost categories (those below and those at/above the out-of-pocket threshold), and excludes drugs dispensed to certain low-income subsidy beneficiaries and specified small manufacturers from the phase-in rules.

Passage40/100

Technically narrow and administrable, but interacts with contentious drug-pricing interests and has fiscal implications lacking clear offsets.

CredibilityPartial

How solid the drafting looks.

Contention62/100

Progressives emphasize patient access and affordability benefits.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
ManufacturersManufacturers

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • ManufacturersPhases in manufacturer obligations, reducing an abrupt financial shock to plasma-product manufacturers.
  • Potential benefitAims to preserve stable supply of plasma-derived therapies and reduce risk of product withdrawals.
  • Potential benefitMay help sustain jobs in plasma collection and manufacturing by smoothing revenue impacts.
Likely burdened
  • ManufacturersCould increase Medicare Part D program spending if manufacturer discounts decline over time.
  • Potential burdenMay shift costs to Part D plans or beneficiaries, potentially raising premiums or cost-sharing.
  • Potential burdenCreates differential treatment for plasma-derived products versus other drugs, complicating administration.
03 · Why people split

Why the argument around this bill splits.

Progressives emphasize patient access and affordability benefits.
Progressive80%

Likely supportive because the bill aims to protect patient access to life‑saving plasma-derived medicines by mandating manufacturer discounts and phasing them in to limit disruptions.

May want stronger patient protections and monitoring of supply impacts.

Leans supportive
Centrist60%

Cautious support for a measured, phased approach balancing patient access and industry stability.

Wants evidence that the schedule avoids supply shocks and does not shift costs to plans or taxpayers.

Split reaction
Conservative20%

Likely opposed as additional mandates on manufacturers that act like price controls and could hinder innovation or supply.

The phase-in softens but does not eliminate concerns about federal intervention in drug markets.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood40/100

Technically narrow and administrable, but interacts with contentious drug-pricing interests and has fiscal implications lacking clear offsets.

Scope and complexity
24%
Scopenarrow
52%
Complexitymedium
Why this could stall
  • No CBO or cost estimate included
  • Pharmaceutical manufacturers' stance unknown
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Progressives emphasize patient access and affordability benefits.

Technically narrow and administrable, but interacts with contentious drug-pricing interests and has fiscal implications lacking clear offse…

Unlocked analysis

Pro readers get the full perspective split, passage barriers, legislative design review, stakeholder impact map, and lens-based policy tradeoff analysis for PLASMA Act.

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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