# Trump Announces All-States Medicaid Drug Pricing Plan

> Trump's new Medicaid drug pricing model unites all 50 states as Democrats target healthcare affordability in midterms.
- Title: Trump Announces All-States Medicaid Drug Pricing Plan
- Summary: Trump's new Medicaid drug pricing model unites all 50 states as Democrats target healthcare affordability in midterms. Trump announced all 50 states will…
- Keywords: prescription drug pricing, medicaid, trump, midterm elections, healthcare affordability, republican party, democratic party, drug pricing model, medicaid rebate program, prescription drug costs, Announces, All-States
- Source: Newsweek — https://newsweek.com/trump-medicaid-drug-pricing-plan-all-50-states-midterm-election-12460592
- Published: 2026-09-18T21:45:13+00:00
- Read time: 2 min
- Topics: prescription drug pricing, medicaid, trump, midterm elections, healthcare affordability, republican party, democratic party, drug pricing model, medicaid rebate program, prescription drug costs
## Trump Announces All-States Medicaid Drug Pricing Plan
President Donald Trump announced Friday that all 50 states will participate in the administration's Medicaid GENEROUS drug-pricing model to lower prescription medicine costs through international reference pricing.
## Republicans Target Healthcare Affordability
The announcement gives Republicans a new healthcare policy achievement to promote as Democrats seek to make healthcare affordability and prescription drug costs key issues in November's midterm elections.
## Trump's Midterm Strategy
Trump told reporters in the Oval Office that this one thing alone should win them the midterms, though he noted the press doesn't report it.
## How the GENEROUS Model Works
The GENEROUS model, short for 'GENErating cost Reductions fOr U.S. Medicaid,' uses international price benchmarks to negotiate lower prescription drug costs for Medicaid programs.
## International Price Benchmarking
CMS calculates an MFN price using manufacturer-reported pricing data from eight countries: the United Kingdom, France, Germany, Italy, Canada, Japan, Denmark and Switzerland.
## State Participation Details
States can choose which eligible drugs they want covered under the model but must adopt standardized coverage criteria negotiated by CMS and manufacturers.
## Savings Estimates and Uncertainties
The White House previously estimated a Medicaid MFN framework could save $64.3 billion over 10 years, though analysts say savings depend on which drugs and manufacturers participate.
## Voter Concerns on Healthcare
66 percent of Americans worry about healthcare affordability, while 55 percent report increased healthcare costs over the previous year.
## Party Trust in Healthcare
Democrats hold a 13-point advantage over Republicans on which party voters trust more to handle healthcare costs.
## Prescription Drug Trust Split
Voters are nearly evenly divided on which party they trust more to address prescription drug prices, with 35 percent choosing Democrats and 30 percent selecting Republicans.
## Republican Response
Arkansas Governor Sarah Huckabee Sanders praised the effort, telling Trump, 'You're the only person who could have gotten this done' and described it as a potential 'generational change in our country's health care.'

> You're the only person who could have gotten this done
## Midterm Election Outlook
Democrats lead Republicans by 8.6 percentage points in mid-September generic congressional ballot surveys, though the GENEROUS model provides Republicans a tangible healthcare initiative to highlight.
## Key takeaway

Trump announced all 50 states will adopt his Medicaid drug pricing model to lower prescription costs, a move Republicans hope boosts their midterm election prospects.