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Transcript: President Trump Remarks on Healthcare, Sep. 18, 2026

EDITOR’S NOTE: President Trump delivered remarks at the White House on September 18, 2026, announcing the extension of most favored nation prescription drug pricing agreements to state Medicaid programs in all 50 states, Washington, D.C., and Puerto Rico. He was joined by HHS Secretary Robert F. Kennedy Jr., CMS Administrator Dr. Mehmet Oz, CMS Deputy Administrator Abe Sutton, and Governors Sarah Huckabee Sanders, Larry Rhoden, and Tate Reeves, who spoke about the program’s projected savings before the president took questions from reporters on a range of other topics.

TRANSCRIPT:

Opening Remarks

TRUMP: Hello, everybody. So a few things, maybe before we start. This is such an important meeting. We’re talking about favored nations on prescription drugs, so it’s very, very important. Amazing numbers just come out.

Child poverty falls to the lowest rate ever recorded. Just put a — that’s this one here. I’m sure you’ll have to receive that. And real change in median household income by presidential term.

Trump is number one and number two ever. And here’s just a little quick chart on that. That’s a Trump. And then you have the real change in the average 401k balance by term. As you can see, we’re way up.

That’s the red is Biden administration, and the two blues are rocket ships. And the one, that we’re currently involved with, which is this second term or my third term, depending on the way you want to think about it. But the second term is going to be much higher than that. The red is Biden. They lost their shirts.

Everybody lost their shirt. So they just came out. I thought I’d show up there. You’d be happy to see. The other thing that just came out is that the first ever midterm RNC, if you look at the convention that we just had, it was just announced, we had over 100 million livestream views.

Everyone is amazed because the NFL was our opponent on that one, and the NFL had 25 million. So we had for the convention 100 million livestream views, which is a record, and the NFL had 25. That’s from Breitbart. So that was really great, and I think it had a big impact on things.

Most Favored Nation Drug Pricing for Medicaid

And thank you all for being here today as we take historic action to officially extend the benefits of our most favored nation agreements on prescription drug prices to state Medicaid programs all across the nation. They’re going into the states, and the states are going to look very good because we did something that nobody could have possibly done. They — I don’t know if they tried. I think they didn’t try because they didn’t think it was possible. This will save states billions and billions of dollars per year on drugs and allow them to invest those savings in providing better health care and higher quality service for the American people.

I mean, this one thing alone should win us the midterm. It won’t because the press doesn’t report it. But this one thing alone, think of it, the biggest drug reduction, prescription drug in history times maybe 10. Nobody’s ever seen anything like it. Over the past year, my administration has reached unprecedented agreements with 26 of the world’s largest pharmaceutical companies, and the rest are all coming in very rapidly, to provide their drugs to Americans at discounts of 60, 70, 80, and even 90% discount.

For decades, Americans paid the highest drug prices anywhere in the world by far. It wasn’t even close. We were like a laughing stock. We’re a whipping post. But now under these agreements, we pay the lowest prices ever paid by our country.

We pay the lowest prices in the world. So we went from paying the highest drug prices in the world to paying the lowest drug prices in the world. Can’t say it any different than that, Bobby. Right? What do you think?

KENNEDY: Not bad. Right? Pretty great, Mr. President.

TRUMP: Oz, would you say?

OZ: 100%.

TRUMP: Something that nobody thought would even be possible. If they sell the drugs cheaper in Europe, as an example, they sell it cheaper in America. So if a specific country is the lowest in the world, that’s the price we pay. Nobody thought it could happen. This has resulted in the largest drop in prescription drug prices by far in the history of our country, by far.

Many of these massive discounts are already available to all consumers on TrumpRx.gov. But today, we’re launching the program that will provide the most favored nation discounts to state Medicaid programs covering nearly 70 million Americans. What we’re doing is we’re providing those tremendous discounts in prices to the states directly. Many left wing critics predicted that the states would not participate in our most favored nation initiative, and some of the blue states tried not to, but they couldn’t help it. When you’re getting your drugs for 70, 80, 90% less, they all succumbed to the dollar.

But I’m pleased to announce that we’re launching this program with the participation of all 50 states, red and blue. Every Democrat state, if you want to call it that, every Republican state, everyone came in, as well as the District of Columbia and Puerto Rico, two places that the Democrats would love to see become states so they could pick up four senators, etcetera. I want to thank Secretary Robert F. Kennedy Jr. for doing a fantastic job. The administrator of the Centers for Medicare and Medicaid Services, Dr. Mehmet Oz, who’s another one. Well, that’s a great team.

Never been a better team. And Deputy CMS Administrator Abe Sutton. Thank you very much. Thanks as well to Governors Sarah Huckabee Sanders, Tate Reeves, Larry Rhoden. All friends of mine, fantastic people.

The Council of Economic Advisers estimate that the most favored nation deals that we’re extending to states today will save Medicaid over $64 billion, and that’s over a relatively short period of time.