Drug Pricing Initiatives: President Biden referred to some of the drug price reform measures originally part of H.R. 5376 (the Build Back Better Act, or BBBA) in his State of the Union address on March 1, 2022. Senator Manchin, one of the Democratic Senators who previously opposed the BBBA, responded to the President’s speech by issuing his views of drug price reform and other BBBA measures. Discussions continue among Senators and stakeholders, but there appears to be no clear path to passage of comprehensive drug price reform measures in Congress.