Trump Touts GENEROUS Medicaid Drug Pricing Deal — SkimNews

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- President Trump announced Friday that all 50 states, Washington, D.C., and Puerto Rico will participate in the GENEROUS model, intended to give lower drug prices to Medicaid programs.
- Centers for Medicare and Medicaid Services later clarified that 40 states and Puerto Rico had signed agreements to participate, while the others have applied — a notable gap from Trump's 'all 50 states' claim.
- States have until the end of the month to sign agreements, leaving the final participation count undecided at the time of the announcement.
- The announcement left many questions unanswered, per the source's own framing, with no details provided on how the GENEROUS model achieves lower prices or which drugs it covers.
Why it matters: The gap between Trump's claim that all 50 states are participating and CMS's clarification that only 40 have signed agreements exposes the announcement as more promotional than substantive. States still have until month's end to sign, so the real count of participating Medicaid programs — and which beneficiaries actually see lower drug prices — remains unsettled.
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