S. 3430 · 118th Congress

Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023

Introduced on Dec 7, 2023 by Ron Wyden (D-OR). Latest action (Dec 7, 2023): Placed on Senate Legislative Calendar under General Orders. Calendar No. 265.

Stage
Reported by committee
Introduced
Dec 7, 2023
Cosponsors
0
Policy area
Health
Open in the Congress explorerCongress.govAlert me

Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

An original bill to amend titles XVIII and XIX of the Social Security Act to expand the mental health care workforce and services, reduce prescription drug costs, and extend certain expiring provisions under Medicare and Medicaid, and for other purposes.

Subjects

  • Aging
  • Child health
  • Civil actions and liability
  • Community life and organization
  • Congressional oversight
  • Contracts and agency
  • Correctional facilities and imprisonment
  • Drug safety, medical device, and laboratory regulation
  • Drug, alcohol, tobacco use
  • Foreign language and bilingual programs
  • Freedom of information
  • Government information and archives
  • Government studies and investigations
  • Health care costs and insurance
  • Health care coverage and access
  • Health information and medical records
  • Health personnel
  • Health programs administration and funding
  • Health promotion and preventive care
  • Health technology, devices, supplies
  • Home and outpatient care
  • Hospital care
  • Intergovernmental relations
  • Licensing and registrations
  • Long-term, rehabilitative, and terminal care
  • Medicaid
  • Medical tests and diagnostic methods
  • Medicare
  • Mental health
  • Poverty and welfare assistance
  • Prescription drugs
  • Retail and wholesale trades
  • Rural conditions and development
  • Social work, volunteer service, charitable organizations
  • State and local government operations
  • Veterans' medical care

Summary

The Congressional Research Service has not summarized this measure yet.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Ron WydenD-ORSponsor

No cosponsors.

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Dec 7, 2023Introduced in Senate
  2. Dec 7, 2023Committee on Finance. Original measure reported to Senate by Senator Wyden. With written report No. 118-121.
  3. Dec 7, 2023 · SenateCommittee on Finance. Original measure reported to Senate by Senator Wyden. With written report No. 118-121.
  4. Dec 7, 2023 · SenatePlaced on Senate Legislative Calendar under General Orders. Calendar No. 265.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. EISAI INC.10 reports
    $3.1M reported (all issues)Federal contractor: EISAI INC.AI match · 100%
  2. PHARMACEUTICAL RESEARCH & MANUFACTURERS OF AMERICA10 reports
    $7.6M reported (all issues)
  3. NATIONAL ASSOCIATION OF SOCIAL WORKERS INC.9 reports
    $194.9K reported (all issues)
  4. PRIME THERAPEUTICS LLC8 reports
    $370K reported (all issues)
  5. AMGEN INC.7 reports
    $8.3M reported (all issues)Federal contractor: AMGEN INC.AI match · 99%
  6. EMD SERONO, INC.7 reports
    $1.9M reported (all issues)
  7. American Psychological Association Services Inc.(FKA American Psychological Assn6 reports
    $2.6M reported (all issues)Federal contractor: AMERICAN PSYCHOLOGICAL ASSOCIATION$710.8K in contracts, FY2026AI match · 99%
  8. Veda Data Solutions, Inc.6 reports
    $120K reported (all issues)
  9. AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)5 reports
    $14.2M reported (all issues)
  10. AMERICAN ACADEMY OF OPHTHALMOLOGY5 reports
  11. AMERICAN ASSOCIATION OF NURSE PRACTITIONERS5 reports
    $2M reported (all issues)
  12. AMERICAN COLLEGE OF EMERGENCY PHYSICIANS5 reports
    $2.3M reported (all issues)Federal contractor: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS$92K in contracts, FY2026AI match · 100%
  13. AMERICAN PHARMACIES, INC.5 reports
    $300K reported (all issues)
  14. AMERICAN PSYCHIATRIC ASSOCIATION5 reports
    $1.2M reported (all issues)Federal contractor: AMERICAN PSYCHIATRIC ASSOCIATION$645K in contracts, FY2026AI match · 100%
  15. Amazon.com Services LLC5 reports
    $22.3M reported (all issues)Federal contractor: AMAZON.COM SERVICES LLC$285.9K in contracts, FY2026AI match · 100%
  16. American Association for Homecare (AAHomecare)5 reports
    $300K reported (all issues)
  17. American Pharmacy Cooperative, Inc.5 reports
    $150K reported (all issues)
  18. BRISTOL-MYERS SQUIBB COMPANY5 reports
    Federal contractor: BRISTOL-MYERS SQUIBB COMPANY$8.8M in contracts, FY2026AI match · 100%
  19. BayCare Health System5 reports
  20. Blue Cross and Blue Shield of Florida, Inc.5 reports
    $960K reported (all issues)
  21. Boston Medical Center5 reports
    $300K reported (all issues)Federal contractor: BOSTON MEDICAL CENTER CORPORATION$1.6M in contracts, FY2026AI match · 100%
  22. CAMBIA HEALTH SOLUTIONS INC.5 reports
    $3.2M reported (all issues)
  23. CHRISTUS Health System5 reports
    $550K reported (all issues)Federal contractor: CHRISTUS HEALTH$160.1M in contracts, FY2026AI match · 99%
  24. CVS HEALTH5 reports
    $11M reported (all issues)
  25. Cambia Health Solutions (formerly known as The Regence Group)5 reports
    $400K reported (all issues)
  26. FOOD MARKETPLACE INC.5 reports
    $1.7M reported (all issues)
  27. Included Health (Formerly Grand Rounds Health)5 reports
    $100K reported (all issues)
  28. KAISER FOUNDATION HEALTH PLAN INC.5 reports
    $2.9M reported (all issues)Federal contractor: KAISER FOUNDATION HEALTH PLAN OF WASHINGTONAI match · 97%
  29. MERCK & CO., INC.5 reports
    Federal contractor: MERCK SHARP & DOHME LLC$445.3K in contracts, FY2026AI match · 100%
  30. NATIONAL ASSOCIATION OF CHAIN DRUG STORES, INC.5 reports
    $4.2M reported (all issues)
  31. NATIONAL COMMUNITY PHARMACISTS ASSOCIATION5 reports
    $1.8M reported (all issues)Federal contractor: NATIONAL COMMUNITY PHARMACISTS ASSOCIATIONAI match · 100%
  32. National Alliance on Mental Illness5 reports
    $50K reported (all issues)
  33. National Association of Children's Hospitals (NACHRI)5 reports
    $490K reported (all issues)
  34. Pharmaceutical Care Management Association (PCMA)5 reports
    $350K reported (all issues)
  35. Physicians Advocacy Institute5 reports
    $200K reported (all issues)
  36. SANOFI US SERVICES INC5 reports
  37. TAKEDA PHARMACEUTICALS AMERICA, INC.5 reports
    Federal contractor: TAKEDA PHARMACEUTICALS AMERICA, INC.$1.6M in contracts, FY2026AI match · 100%
  38. The American Occupational Therapy Association, Inc. (AOTA)5 reports
    $945K reported (all issues)
  39. Trust for America's Health5 reports
    $215.3K reported (all issues)
  40. WAKEFERN FOOD CORP.5 reports

Reports filed in 2023, 2024, 2025.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 6, 2026 · loaded Oct 6, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 6, 2026 · loaded Oct 6, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.