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119TH CONGRESS · 2ND SESSION
SENATEROLL CALL #101BUDGET WAIVERBUDGETCLOSE · 11 SHORT
SENATE #101BUDGET WAIVERBUDGET

Senate rejects a budget waiver for the amendment to cap U.S. prescription drug prices at European and Canadian levels

On the Motion (Motion to Waive All Applicable Budgetary Discipline Re: Sanders Amdt. No. 5159)

APR 23, 2026 · 2:10 AM ET

FAILED
49–49
49 YEA · 49 NAY · 2 NOT VOTING11 SHORT
60 NEEDED
NEEDED 6011 SHORT

Party-line vote, except 3 Republicans who crossed. 11 votes short of the 60 needed.

49–49FAILED
45 DEM2 IND53 REP
YEANAYCROSSEDTAP A SEAT
WHAT WAS DECIDED

What the Senate was voting on

FROM THE SENATE CLERK AND CONGRESS.GOV
IN PLAIN WORDS

The Senate voted on whether to set aside budget rules for S.Amdt. 5159, which would allow budget adjustments for qualifying legislation to cut prescription drug prices. S.Con.Res. 33 sets the congressional budget for fiscal years 2026 through 2035 and provides instructions for legislation that increases the deficit. The motion was rejected, with supporters 11 votes short of the 60 needed.

A YES MEANT

Set aside the budget rules that would otherwise apply to S.Amdt. 5159.

A NO MEANT

Keep those budget rules in place for S.Amdt. 5159.

THE AMENDMENT · S.Amdt. 5159
Cap U.S. prescription drug prices at European and Canadian levels

Adds a deficit-neutral reserve fund allowing the Senate Budget chairman to adjust budget allocations and the pay-as-you-go ledger for legislation to cut prescription drug prices by more than 50%, including Most Favored Nation pricing.

WHERE IT STANDS · WHAT’S NEXT

Agreed to by both chambers on April 29, 2026. Concurrent resolutions do not go to the President.

APR 29POSTPONED PROCEEDINGS - The Chair put the question on agreeing to S.Con.Res. 33 and pursuant to clause 10 of rule XX, the yeas and nays are ordered.
APR 29Considered as unfinished business.
APR 29On agreeing to the resolution Agreed to by the Yeas and Nays: 215–211, 1 Present (Roll no. 143).
WHY IT NEEDED 600 VACANT · 100 SWORN
60is three-fifths of the 100 senators sworn in. Waiving a Budget Act limit takes three-fifths of sworn senators, not of those voting.
VP
The Vice President can break ties on simple-majority votes, not on 60-vote ones.
THE AMENDMENT · S.Amdt. 5159Cap U.S. prescription drug prices at European and Canadian levelsAdds a deficit-neutral reserve fund allowing the Senate Budget chairman to adjust budget allocations and the pay-as-you-go ledger for legislation to cut prescription drug prices by more than 50%, including Most Favored Nation pricing.
HOW EACH SIDE VOTED

Party line, with 3 Republicans crossing3 Republicans crossed. It wasn’t enough.

CROSSED = VOTED AGAINST MOST OF THEIR PARTY
BY PARTYYEA–NAY
DemocratsNONE CROSSED
Republicans3 CROSSED TO YEA
IndependentsCAUCUS WITH DEMOCRATS
THE ARITHMETICCOUNTS ONLY
46
yeas without the 3 who crossed
49
yeas with them
+11
more had to switch from nay to reach 60
THE 3 WHO CROSSEDHOW OFTEN THEY VOTE WITH PARTY
Dan Sullivan
R-AK · VOTED YEA
Susan M. Collins
R-ME · VOTED YEA
Josh Hawley
R-MO · VOTED YEA
BY STATEONE BAR PER SENATOR
YEANAYNOT VOTINGA SENATOR CROSSEDYOUR STATE
23RD
Party-line Senate vote in April
11 FAILED
Procedural votes that failed in the Senate in April
49–49
The tightest Senate tally in April
46
yeas without the 3
49
yeas with them
+11
needed for 60
THE 3 WHO CROSSED
23RDParty-line Senate vote in April
11 FAILEDProcedural votes that failed in the Senate in April
49–49The tightest Senate tally in April
THE FULL ROLL

All 100 senators, by stateAll 100 senators

2 NOT VOTING · 0 PRESENT · 0 VACANT
100 SHOWNTAP A NAME FOR DETAILS
100 SHOWN
THE JOURNEY

Every vote on S.Con.Res. 33, in both chambersFailed in the Senate. Passed the House.

ROLL CALLS, COMMITTEE AND FLOOR ACTIONS
HOUSE
SENATE

CHAMBER CONTRASTThe Senate rejected it 49–49 on April 23, 11 short of the 60 needed, with 3 Republicans voting yes. The House agreed to it 215–211 on April 29.

APR 29HOUSE#143On adoptionPASSED215–211APR 29HOUSE#141On the rule (H.Res. 1224)AGREED TO216–210APR 29HOUSE#140Previous question on the rule (H.Res. 1224)AGREED TO215–210APR 23SENATE#105On adoptionPASSED50–48
APR 23SENATE#101Budget waiver for the amendment to cap U.S. prescription drug prices at European and Canadian levelsTHIS VOTEFAILED49–49
APR 21SENATE#87Motion to proceedAGREED TO52–46
APR 21SENATE—Discharged from committeeDISCHARGED
HOUSE · APR 29
215–211
PASSED · NEEDED 214
SENATE · APR 23
49–49
FAILED · NEEDED 60
3 Republicans voted yes
IN THE SENATE · APR 21 – 23PASSED 50–48
  1. APR 21Discharged from committeeDISCHARGED
  2. APR 21#87Motion to proceedAGREED TO52–46
  3. APR 23#101THIS VOTEBudget waiver for the amendment to cap U.S. prescription drug prices at European and Canadian levelsFAILED49–4911 votes short of the 60 needed.
  4. APR 23#105On adoptionPASSED50–48
SENT TO THE HOUSE · 6 DAYS LATER
IN THE HOUSE · APR 29PASSED 215–211
  1. APR 29#140Previous question on the rule (H.Res. 1224)AGREED TO215–210
  2. APR 29#141On the rule (H.Res. 1224)AGREED TO216–210
  3. APR 29#143On adoptionPASSED215–211
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