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HR 4418 117th Congress House

SPIKE Act

Official title: To amend title XI of the Social Security Act to provide for drug manufacturer price transparency.

Introduced: July 13, 2021 Introduced by: Horsford, Steven Democratic · Nevada See on congress.gov
Health
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This bill died when the 117th Congress ended
It never became law before the 117th Congress (2021–2022) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 4 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jul 14, 2021
Referred to the Subcommittee on Health.
Jul 13, 2021
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 consideration of such provisions as fall within the jurisdiction of the committee concerned.
Jul 13, 2021
Introduced in House
Jul 13, 2021
Referred to the Subcommittee on Health.
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 Latest action July 14, 2021

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

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.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
 Cosponsors 7
All 7 Democratic 5
D
Neguse, Joe
Colorado · Sep 21, 2021
Cicilline, David
· Aug 10, 2021
 D
Houlahan, Chrissy
Pennsylvania · Aug 10, 2021
 D
Slotkin, Elissa
Michigan · Aug 10, 2021
 D
Norton, Eleanor Holmes
District of Columbia · Jul 13, 2021
 D
Raskin, Jamie
Maryland · Jul 13, 2021
Spanberger, Abigail
· Jul 13, 2021
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4418: SPIKE Act. 117th Congress. Open America. https://openamerica.io/bill/117-HR-4418/
MLA
"H.R. 4418: SPIKE Act." 117th Congress, 2026, Open America, https://openamerica.io/bill/117-HR-4418/.
Bluebook (legal)
H.R. 4418, 117th Cong. (2026), https://openamerica.io/bill/117-HR-4418/.
Markdown link
[H.R. 4418: SPIKE Act](https://openamerica.io/bill/117-HR-4418/)
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