Contact Congress about S. 2447: Repealing the Trump Sick Tax Act

Some Medicaid patients and some rare-disease drugs would go back to the older rules. The bill erases recent changes made by Public Law 119-21 and cancels funding tied to one of those changes.

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Repealing the Trump Sick Tax Act is a Senate bill in committee. The latest recorded action: Read twice and referred to the Committee on Finance.

Latest action on S. 2447: Read twice and referred to the Committee on Finance.

Who this affects: This bill mainly affects people on Medicaid, because it changes which out-of-pocket payment rules apply to them. It also affects states and health care providers that run Medicaid under those rules. Medicare and drug companies that make rare-disease drugs would also feel the change, because the bill restores the older rule on which orphan drugs stay out of Medicare price negotiations.

Why this matters: This matters because it changes what rules patients, states, providers, Medicare, and drug companies would follow going forward. For Medicaid, the bill could change how easy it is for some low-income patients to afford care by restoring the older out-of-pocket rules. For Medicare, it could change whether some rare-disease drugs stay outside price negotiation. The bill also uses strong "as if never enacted" language, which could affect steps the government already took under the newer law.

Key provisions in S. 2447

• This bill wipes out section 71120 of Public Law 119-21. That puts Medicaid cost-sharing rules in Title XIX of the Social Security Act back to the older version.
• Courts and agencies would have to read the law as if the repealed Medicaid section never passed. In legal terms, that erases those changes rather than just ending them going forward.
• The bill takes back all money provided under section 71120(c) of Public Law 119-21. That money had been set aside to carry out the Medicaid cost-sharing changes that this bill repeals.
• This bill also removes section 71203 of Public Law 119-21. That section had changed the orphan-drug exclusion in Medicare's drug price negotiation program.
• The bill tells the government to apply Title XI of the Social Security Act as if section 71203 never passed. That restores the older rule for when orphan drugs for rare diseases are left out of Medicare price talks.

How Modern Action helps you take action on S. 2447

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about S. 2447

What is S. 2447?

Some Medicaid patients and some rare-disease drugs would go back to the older rules. The bill erases recent changes made by Public Law 119-21 and cancels funding tied to one of those changes.

How do I support or oppose S. 2447?

Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.

Who should I contact about S. 2447?

Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.

How does Modern Action help me act on S. 2447?

Modern Action gives you bill-specific context, lets you choose support, opposition, or changes, and drafts a message from your position and reasons.