SPIKE Act
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Stopping the Pharmaceutical Industry from Keeping drugs Expensive Act or the SPIKE Act
This bill requires the Centers for Medicare & Medicaid Services (CMS) to determine at least annually whether certain covered drugs under Medicare were subject to a price increase that exceeded specified thresholds. Drug manufacturers must submit justifications for such price increases to the CMS, subject to civil penalties. The bill's requirements do not apply to low-cost drugs, as identified by the CMS.
Subcommittee Hearings Held.
- Introduced in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 2069: SPIKE Act. 116th Congress. Open America. https://openamerica.io/bill/116-HR-2069/
"H.R. 2069: SPIKE Act." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-HR-2069/.
H.R. 2069, 116th Cong. (2026), https://openamerica.io/bill/116-HR-2069/.
[H.R. 2069: SPIKE Act](https://openamerica.io/bill/116-HR-2069/)