Drug Pricing Initiatives: The pathway to Senate passage of H.R. 5376 (the Build Back Better Act, or BBBA) remains unclear. President Biden has suggested splitting up the BBBA and individually passing those provisions that have the support of the full Democratic caucus. Meanwhile, some Democratic Senators are pressing for passage of the bulk of such provisions in advance of President Biden’s State of the Union address on March 1, 2022. House Speaker Nancy Pelosi has said she expects efforts to focus on a single, but scaled-back BBBA bill. The BBBA’s drug pricing measures are reportedly backed by the full Democratic caucus, making it likely they will be included in efforts at passage. The BBBA, in its current form, is an approximately $2.2 trillion social safety net, climate, and tax bill that includes measures related to drug pricing and healthcare. The House of Representatives passed the BBBA on Nov. 19, 2021.