Trump Touts GENEROUS Model; CMS Says 40 States Signed — SkimNews
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- Trump announced Friday that all 50 states, Washington D.C., and Puerto Rico would participate in the GENEROUS model, a program intended to give state Medicaid programs access to lower drug prices
- CMS contradicted the scope of the announcement later that day, saying only 40 states and Puerto Rico had signed actual participation agreements while the remaining states had only applied
- States have until the end of the month to sign their GENEROUS model agreements, per CMS
- STAT reported the announcement left many questions unanswered about how the program will operate in practice
Why it matters: The gap between Trump's 'all 50 states' headline and CMS's '40 signed, others applied' reality undercuts the political win the announcement was designed to deliver. With a month-end signing deadline, the final participation count will determine how broadly Medicaid programs gain access to the negotiated pricing — and whether Trump's claim of universal buy-in holds up.
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