Pharmacy Receipt The Trump administration's rule would take safe harbor protections away from PBMs and pass drug rebates to customers at the pharmacy counter. (Photo: Shutterstock)

The Senate's release of its bipartisan infrastructure plan signals that lawmakers are poised to throw former President Donald Trump's belated bid to lower Medicare drug prices under the bus — not to mention trains, bridges, tunnels and broadband connections.

That's because the massive spending bill is the first of two likely to at least delay the so-called Medicare rebate rule released at the end of the Trump administration, which has yet to take effect. Congress would use the projected costs of that rule to help pay for more than half a trillion dollars in new spending on infrastructure.

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