Pharma and health care · SCONRES33
Most-favoured-nation drug prices
A 2026 budget motion to peg US drug prices to what other rich countries pay. Tied 49–49, so it failed.
Pharma and health care wanted a nay vote. Senate roll call, Apr 23, 2026
Took $10K+ from Pharma and health care
52%
voted its way (48 of 92 in the Senate)
Took less
0%
voted its way (0 of 5)
Average money, voted with
$191K
per member who voted Pharma and health care's way
Average money, voted against
$171K
per member who defied the industry
$9.2M of Pharma and health care's money sat with members who voted its way, against $8.4M with members who voted against it. Party explains a lot of that, which is why the tables below split both ways.
Senate · Apr 23, 2026
49–49, motion rejected
On the Motion. Democrats 44–0, Republicans 3–49, independents 2–0. Read through Pharma and health care's money.
Voted Pharma and health care's way
Took $10K+
52% of 92
Took less
0% of 5
Democrat
funded 0% of 40
unfunded 0% of 4
Republican
funded 94% of 51
unfunded 0% of 0
Paid, and voted with the industry
- Roger Marshall$490K
- Thom Tillis$454K
- Tim Scott$416K
- Mitch McConnell$411K
- John Curtis$391K
- Marsha Blackburn$360K
Paid, and defied it
- Catherine Cortez Masto$841K
- Lisa Blunt Rochester$655K
- John Fetterman$580K
- Susan Collins$526K
- Ron Wyden$419K
- Margaret Hassan$377K
K Street
79 clients paid lobbyists to work this bill
450 quarterly lobbying reports named it, 2025–2026. The money is what those clients paid their lobbyists in the quarters they listed the bill, across everything they lobbied on, so it is a ceiling, not a price tag.
- Chamber of Commerce of the U.S.A.$71M4 reports · 1 firm
- Pharmaceutical Research and Manufacturers of America (Phrma)Pharma and health care$39M44 reports · 9 firms
- Pfizer, INC.Pharma and health care$19M16 reports · 3 firms
- AARP$13M3 reports · 1 firm
- Merck & Co. INC.Pharma and health care$8.8M20 reports · 5 firms
- NovartisPharma and health care$8.5M14 reports · 5 firms
- Astrazeneca Pharmaceuticals LPPharma and health care$7.8M5 reports · 1 firm
- Vertex Pharmaceuticals IncorporatedPharma and health care$6.1M12 reports · 3 firms
- Sanofi US Services INC.Pharma and health care$5.9M15 reports · 3 firms
- Gsk (Fka Glaxosmithkline INC.)Pharma and health care$5.7M4 reports · 1 firm
- Novo Nordisk INC.Pharma and health care$5.3M10 reports · 3 firms
- Biotechnology Innovation OrganizationPharma and health care$5.3M10 reports · 5 firms
By industry
- Pharma and health care$132M
- Real estate and construction$163K
- Labor unions$60K
Every member's vote, biggest Pharma and health care money first
| Member | State | PAC checks | Super PAC help | Total | Vote |
|---|---|---|---|---|---|
| Catherine Cortez Masto | NV | $336K | $505K | $841K | Yea · against |
| Lisa Blunt Rochester | DE | $655K | $5 | $655K | Yea · against |
| John Fetterman | PA | $13K | $568K | $580K | Yea · against |
| Susan Collins | ME | $492K | $35K | $526K | Yea · against |
| Roger Marshall | KS | $430K | $61K | $490K | Nay · with industry |
| Mark Warner | VA | $485K | – | $485K | Present |
| Thom Tillis | NC | $297K | $157K | $454K | Nay · with industry |
| Ron Wyden | OR | $419K | – | $419K | Yea · against |
| Tim Scott | SC | $416K | $66 | $416K | Nay · with industry |
| Mitch McConnell | KY | $410K | $310 | $411K | Nay · with industry |
| John Curtis | UT | $391K | – | $391K | Nay · with industry |
| Margaret Hassan | NH | $296K | $81K | $377K | Yea · against |
| Patty Murray | WA | $308K | $54K | $363K | Yea · against |
| Marsha Blackburn | TN | $356K | $4K | $360K | Nay · with industry |
| Charles Schumer | NY | $359K | – | $359K | Yea · against |
| Bill Cassidy | LA | $356K | – | $356K | Nay · with industry |
| John Cornyn | TX | $292K | $59K | $351K | Nay · with industry |
| Jon Husted | OH | $243K | $89K | $331K | Nay · with industry |
| Ashley Moody | FL | $275K | $48K | $322K | Nay · with industry |
| John Thune | SD | $320K | $3 | $320K | Nay · with industry |
| Shelley Capito | WV | $313K | $1 | $313K | Nay · with industry |
| Todd Young | IN | $313K | $223 | $313K | Nay · with industry |
| John Barrasso | WY | $312K | – | $312K | Nay · with industry |
| Raphael Warnock | GA | $60K | $250K | $310K | Yea · against |
| Steve Daines | MT | $253K | $57K | $310K | Nay · with industry |
| Jacky Rosen | NV | $282K | $16K | $299K | Yea · against |
| Tammy Baldwin | WI | $170K | $120K | $290K | Yea · against |
| Mark Kelly | AZ | $47K | $237K | $284K | Yea · against |
| Christopher Coons | DE | $279K | $1K | $280K | Yea · against |
| Gary Peters | MI | $221K | $42K | $263K | Yea · against |
| Michael Crapo | ID | $254K | – | $254K | Nay · with industry |
| Charles Grassley | IA | $246K | $139 | $246K | Present |
| Jim Banks | IN | $237K | – | $237K | Nay · with industry |
| Lindsey Graham | SC | $166K | $63K | $229K | Nay · with industry |
| James Lankford | OK | $227K | $3 | $227K | Nay · with industry |
| Ruben Gallego | AZ | $168K | $50K | $218K | Yea · against |
| John Boozman | AR | $215K | – | $215K | Nay · with industry |
| Timothy Kaine | VA | $214K | $4 | $214K | Yea · against |
| Joni Ernst | IA | $171K | $29K | $200K | Nay · with industry |
| Lisa Murkowski | AK | $177K | $14K | $190K | Nay · with industry |
| Bill Hagerty | TN | $181K | $194 | $181K | Nay · with industry |
| Jerry Moran | KS | $177K | $16 | $177K | Nay · with industry |
| Tina Smith | MN | $156K | $401 | $157K | Yea · against |
| Alejandro Padilla | CA | $149K | – | $149K | Yea · against |
| Dan Sullivan | AK | $139K | $10K | $149K | Yea · against |
| Richard Durbin | IL | $131K | – | $131K | Yea · against |
| Roger Wicker | MS | $129K | – | $129K | Nay · with industry |
| Katie Britt | AL | $74K | $56K | $129K | Nay · with industry |
| Jeanne Shaheen | NH | $127K | $474 | $128K | Yea · against |
| Tammy Duckworth | IL | $124K | – | $124K | Yea · against |
| Martin Heinrich | NM | $121K | $6 | $121K | Yea · against |
| Mike Rounds | SD | $114K | $6 | $114K | Nay · with industry |
| Mike Lee | UT | $110K | $3K | $113K | Nay · with industry |
| Deb Fischer | NE | $102K | $11K | $112K | Nay · with industry |
| Rand Paul | KY | $108K | $834 | $109K | Nay · with industry |
| Tom Cotton | AR | $103K | $9 | $103K | Nay · with industry |
| Bernie Moreno | OH | $51K | $51K | $102K | Nay · with industry |
| Jon Ossoff | GA | $8K | $92K | $100K | Yea · against |
| Peter Welch | VT | $99K | – | $99K | Yea · against |
| Ted Cruz | TX | $8K | $86K | $93K | Nay · with industry |
| Cindy Hyde-Smith | MS | $88K | $455 | $88K | Nay · with industry |
| Pete Ricketts | NE | $85K | $4K | $88K | Nay · with industry |
| John Reed | RI | $87K | – | $87K | Yea · against |
| Tim Sheehy | MT | $34K | $47K | $81K | Nay · with industry |
| Adam Schiff | CA | $77K | $1K | $78K | Yea · against |
| Ben Luján | NM | $77K | $39 | $77K | Yea · against |
| Angus King | ME | $76K | $8 | $76K | Yea · against |
| Rick Scott | FL | $62K | $13K | $75K | Nay · with industry |
| John Hoeven | ND | $72K | $38 | $72K | Nay · with industry |
| Edward Markey | MA | $71K | – | $71K | Yea · against |
| Ted Budd | NC | $65K | $4K | $69K | Nay · with industry |
| Andy Kim | NJ | $66K | $1K | $67K | Yea · against |
| John Hickenlooper | CO | $60K | $2K | $62K | Yea · against |
| Dave McCormick | PA | $43K | $19K | $61K | Nay · with industry |
| Eric Schmitt | MO | $42K | $19K | $61K | Nay · with industry |
| Richard Blumenthal | CT | $60K | – | $60K | Yea · against |
| Mazie Hirono | HI | $53K | – | $53K | Yea · against |
| Michael Bennet | CO | $49K | $2K | $51K | Yea · against |
| Elissa Slotkin | MI | $30K | $20K | $50K | Yea · against |
| Amy Klobuchar | MN | $44K | – | $44K | Yea · against |
| James Risch | ID | $41K | $3 | $41K | Nay · with industry |
| Kevin Cramer | ND | $37K | $3K | $40K | Nay · with industry |
| Chris Van Hollen | MD | $40K | – | $40K | Yea · against |
| Cynthia Lummis | WY | $35K | $4K | $39K | Nay · with industry |
| John Kennedy | LA | $34K | – | $34K | Nay · with industry |
| Jim Justice | WV | $33K | – | $33K | Nay · with industry |
| Angela Alsobrooks | MD | $27K | $263 | $27K | Yea · against |
| Joshua Hawley | MO | $10K | $17K | $27K | Yea · against |
| Jeff Merkley | OR | $22K | – | $22K | Yea · against |
| Ron Johnson | WI | $20K | $1K | $21K | Nay · with industry |
| Sheldon Whitehouse | RI | $21K | – | $21K | Yea · against |
| Tommy Tuberville | AL | $16K | $4K | $19K | Nay · with industry |
| Kirsten Gillibrand | NY | $19K | – | $19K | Yea · against |
| Brian Schatz | HI | $18K | – | $18K | Yea · against |
| Maria Cantwell | WA | $8K | – | $8K | Yea · against |
| Christopher Murphy | CT | $6K | – | $6K | Yea · against |
| Cory Booker | NJ | $5K | – | $5K | Yea · against |
| Bernard Sanders | VT | – | – | – | Yea · against |
| Elizabeth Warren | MA | – | – | – | Yea · against |
Money is the member's PAC checks from Pharma and health care plus super PAC support credited in proportion to the industry's share of each group's traced donors, added up across every run in this site (2020–2026). “With industry” means the vote the industry lobbied for. None of this proves a quid pro quo. See About the data.