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Bill

Bill

HB 5144

Relating to wholesale importation of prescription drugs

2026 Regular Session Introduced by Kayla Young

HB 5144 permits West Virginia to import lower-cost prescription drugs from Canada and approved nations, potentially reducing medication expenses but facing federal regulatory and pharmaceutical industry opposition.

To House Health and Human Resources
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Bill Summary · HB 5144

Legislative bill overview

HB 5144 authorizes West Virginia to establish a wholesale importation program for prescription drugs, allowing the state to import medications from Canada and other approved countries at lower costs. The bill enables state entities to purchase drugs through this program and distribute them to residents, potentially reducing prescription medication expenses for consumers.

Why is this important

Prescription drug costs remain a significant burden for many Americans and West Virginians. This legislation represents a state-level attempt to leverage bulk purchasing power and international price differentials to lower drug costs, which could improve medication access and affordability for residents while potentially generating savings for state programs like Medicaid.

Potential points of contention

  • Federal regulatory conflict: Federal law (PDUFA) currently restricts drug importation; this bill may conflict with FDA authority and face legal challenges regarding interstate commerce and federal drug approval processes
  • Pharmaceutical industry opposition: Drug manufacturers typically oppose importation programs as they reduce profit margins and could affect research and development investment incentives
  • Safety and authenticity concerns: Critics worry about counterfeit drugs, supply chain integrity, and liability issues when medications originate outside the standard U.S. approval and oversight system
  • Implementation costs: Establishing regulatory infrastructure, quality assurance systems, and legal compliance mechanisms could be expensive and administratively complex

Compiled from official sources — confirm details with the bill’s official record.

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