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President Trump said Friday that all 50 states, Washington, D.C., and Puerto Rico have joined or applied to participate in the administration’s GENEROUS model, which aims to lower Medicaid prices for selected prescription drugs to rates paid in certain other wealthy countries [thehill.com][nypost.com][seattletimes.com]. The administration says the arrangements will save states billions of dollars annually, but experts cited by ABC News and Fortune said potential savings are difficult to calculate because agreements with drugmakers have not been made public [abc7news.com][fortune.com]. The plan follows agreements with pharmaceutical companies intended to align U.S. prices for some medicines with lower international prices. Medicaid beneficiaries generally pay only nominal prescription co-payments, and the coverage described state and federal budget savings as the primary financial effect [abc7news.com][fortune.com]. Trump promoted the announcement in the Oval Office ahead of the November midterm elections, saying, “This one thing alone should win us the midterms” [thehill.com]. Highlights: • Participation status: The Centers for Medicare and Medicaid Services said 40 states and Puerto Rico had signed agreements, while the remaining participants had applied and had until the end of September to sign [statnews.com]. • Drugmaker agreements: The administration says 26 pharmaceutical companies accepted lower prices for federal programs, while a Reuters report identified 17 large global drugmakers in agreements that began last year [nypost.com][arynews.tv]. • International benchmark: The model references prices in eight high-income countries, including Canada, Germany, Japan and the United Kingdom [nypost.com]. • Medicaid coverage: Medicaid is jointly funded by states and the federal government and covers roughly 70 million Americans, according to the New York Post [nypost.com]. Perspectives: President Trump: Trump said states that initially resisted the initiative joined after weighing the lower prices and argued that savings could be redirected to health care and other services. (New York Post) "This one thing alone should win us the midterms" — President Donald Trump Sources:Trump touts Medicaid drug savings - thehill.com • Trump’s ‘favored nations’ drug discount gets buy-in from all 50 states — and will save billions for Medicaid - nypost.com • Trump announces all 50 states joining Medicaid drug pricing model - seattletimes.com • Trump to announce all 50 states joining Medicaid drug pricing model - abc7news.com • Trump Promotes Program to Reduce Medicaid Drug Prices - nytimes.com • President Trump Announces Most Favored Nation Deals to Lower Prescription Drug Prices for Medicaid Nationwide 🇺🇸 🩺 - reddit.com • ترامب: جميع الولايات تنضم لخطة خفض أسعار الأدوية - skynewsarabia.com • STAT+: Trump touts pharma deals to offer cheaper drugs to state Medicaid programs - statnews.com • US plans Medicaid most-favored-nation pricing for some drugs in all states - arynews.tv • Trump amplía programa para reducir el precio de medicamentos en Estados Unidos - eleconomista.com.mx • ‘No one knows what is in these deals’: Trump set to announce new Medicaid drug pricing model amid affordability concerns - fortune.com --- 📰 Story aggregated by Kagi News

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