What happened
Every state will participate in the GENEROUS program, but many of the details are unknown. Update (2026-09-22): STAT+: Did the Trump administration just cut Novo a huge financial win?. The White House's GENEROUS plan was designed to make drugs more affordable for Medicaid users. There's one glaring potential exception. Update (2026-09-24): STAT+: Trump boast on drug pricing policy overstated state-level interest in federal program. President Trump and his aides boasted that every U.S. state wanted to participate in a drug pricing initiative through Medicaid. Several states said they weren't sure yet.