Congressional Voices — 3 of 5 · Republican · Missouri
Sen. Josh Hawley (R-MO)
U.S. Senate · S.3822 Co-Author · Break Up Big Medicine Act · Introduced February 10, 2026
The Warren-Hawley Signal
When a progressive Democrat and a conservative Republican co-author the same structural reform bill, it means the problem has escaped partisan framing. S.3822 is not a left bill or a right bill. It is a response to a documented market failure that is costing patients their health and taxpayers their money — regardless of who they voted for.
Hawley is not proposing regulation of the existing system. He is proposing its structural demolition.
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Sen. Josh Hawley is the Republican co-author of S.3822, the Break Up Big Medicine Act — introduced February 10, 2026 alongside Sen. Elizabeth Warren (D-MA). Hawley has been one of the most vocal Senate voices on healthcare vertical integration, naming the mechanism directly: insurers acquiring PBMs, pharmacies, physician practices, and hospitals to eliminate competition and extract profit at every point in the care chain.
The Warren-Hawley pairing is one of the most unusual bipartisan alliances in recent Senate history — a progressive Democrat and a conservative Republican arriving at identical structural conclusions from opposite ends of the political spectrum. That convergence is the signal that this is not ideology. It is math.
"Health insurance companies are buying up PBMs, pharmacies, doctors' practices, and — in some cases — even hospitals. They're killing competition and making healthcare unaffordable. It's time to put patients first."
— Sen. Josh Hawley (R-MO), co-author S.3822
What S.3822 Does — In Hawley's Terms
The Break Up Big Medicine Act prohibits parent companies from simultaneously owning insurers or PBMs alongside medical providers or pharmacies. It mandates divestiture within one year, with automatic profit disgorgement for non-compliance. It empowers the FTC, DOJ, state AGs, and private citizens to bring civil actions — including treble damages — against companies that maintain or recreate prohibited ownership structures.
Cross-reference: DocSchmidt
DocSchmidt partnered with Sen. Warren to explain what S.3822 addresses through the Cardinal Health / GI Alliance merger — the same vertical structure Hawley names here at the Senate level.
Read DocSchmidt's vertical integration explainer →Why bipartisan co-authorship changes the legislative calculus:
Bills with Warren-only authorship can be framed as progressive overreach. Bills with Hawley-only authorship can be framed as populist theater. A bill with both is neither. The Warren-Hawley pairing structurally removes the partisan escape hatch. Any senator who votes against S.3822 is voting against both a progressive Democrat and a conservative Republican on the same issue — a politically exposed position that becomes harder to defend as the harm to constituents becomes more visible.
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