Democrats hope to pass the bill with only a simple majority under a process called “reconciliation,” bypassing a filibuster rule requiring 60 votes in the 100-seat chamber to advance mo…
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But they were unable to muster the votes necessary to retain a provision to cap soaring insulin costs at $35 a month on the private health insurance market, which fell outside the reconciliation rules. The proposal failed by three votes, despite support from seven Republicans. Democrats said the legislation would still cap insulin costs for those on Medicare.
Another Republican proposal would have set into law a Trump administration policy stemming from the COVID-19 pandemic that effectively closed down the U.S. asylum system. The Biden administration has been in a legal tussle to replace the “Title 42” policy with what it described as a more humane and orderly system for migrants crossing the southwestern border with Mexico.
This medical part of the wide-ranging bill, negotiated over several months by Democrats, would allow Medicare to begin negotiating in 2026 with the pharmaceutical industry over prices on a limited number of prescription drugs as a way of reducing costs. It also would place a $2,000-per-year cap on out-of-pocket medication costs under a Medicare drug program.
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