Ashley Hinson on Medicare: Drug Price Negotiation Delays, Medicare Savings Program Rules and Immigrant Eligibility
Ashley Hinson voted for a law that KFF says could mean close to $10 billion in additional Medicare spending on drugs, voting yes on final passage of the One Big Beautiful Bill Act on July 3, 2025 (Roll Call 190; KFF). The law delays or blocks Medicare price negotiation for several high-spending drugs, including cancer treatments.
The same law, which the Iowa congresswoman also backed at House passage on May 22, 2025 (Roll Call 145), pauses rules meant to help low-income Medicare enrollees get Medicaid help with premiums and ends Medicare eligibility for some lawfully present immigrants, according to KFF. Older Iowans on Medicare and those who also rely on Iowa Medicaid are the people these provisions reach.
Ashley Hinson's Votes on Medicare Drug Prices and Coverage
- Hinson Voted to Delay Medicare Negotiation for Some Cancer Drugs. On July 3, 2025, Ashley Hinson voted yes on the One Big Beautiful Bill Act (Roll Call 190), which changed the orphan drug exclusion. KFF says this will delay or exclude drugs with $17.5 billion in 2023 Medicare spending from negotiation, including Keytruda and Opdivo, and could mean close to $10 billion in additional Medicare spending and higher out-of-pocket costs.
- Hinson Voted to Pause Rules That Helped Low-Income Seniors Enroll in Medicaid Help. The law Hinson voted for imposes a moratorium on most of two rules meant to streamline enrollment in the Medicare Savings Programs and Medicaid for people who are older or have disabilities; earlier CBO analysis found delaying the rules would mean 1.3 million fewer Medicare enrollees with Medicaid in 2034, though KFF notes the number may be lower under the final law (KFF).
- Hinson Voted to End Medicare Eligibility for Some Lawfully Present Immigrants. The law prevents defined groups of lawfully present immigrants from becoming eligible for Medicare, according to KFF; Hinson voted for it at House passage on May 22, 2025, 215 to 214 (Roll Call 145), and at final passage.
- Hinson Voted for Limits That Reduce Medicaid Money for Nursing Homes. KFF says the law blocks the nursing home staffing rule, saving $23 billion, and limits provider taxes and state-directed payments that fund nursing facilities used by many Medicare enrollees (KFF). Hinson voted yes on July 3, 2025 (Roll Call 190).
What Ashley Hinson's Votes Mean for Iowa Seniors on Medicare
- Iowa seniors who take affected cancer drugs will wait longer for negotiated prices. Delaying negotiation for drugs like Keytruda and Opdivo keeps Medicare paying higher prices for at least a year, which KFF says raises out-of-pocket costs for people who take them (KFF).
- Iowa nursing homes face less Medicaid money. KFF warns cuts to provider taxes and state-directed payments could reduce Medicaid funds for nursing facilities and home care, services with waiting lists in many states (KFF); Iowa hospitals already expect about $4 billion less over 10 years (The Iowa Independent).
Frequently Asked Questions Ashley Hinson on Medicare
What is Ashley Hinson's record on Medicare under Trump?
Ashley Hinson voted for the One Big Beautiful Bill Act on May 22 and July 3, 2025 (Roll Call 190). KFF says the law's drug negotiation changes could mean close to $10 billion in additional Medicare spending, and it pauses rules that helped low-income seniors get Medicaid help with Medicare costs. Iowa seniors who rely on both programs are among those affected.
How did Ashley Hinson's vote affect Medicare drug prices?
Ashley Hinson voted for the 2025 law that changed Medicare's orphan drug exclusion, delaying negotiation for drugs such as Keytruda and Opdivo by at least a year, according to KFF.
What has Ashley Hinson done on nursing home funding?
Ashley Hinson voted for the 2025 law that blocks the federal nursing home staffing rule and limits provider taxes that help fund nursing facilities, according to KFF.
Last updated: 2026-10-28