× Expand Michael Brochstein/Sipa USA via AP Images Representative Anthony Brindisi (D-NY) took the lead in authoring a letter encouraging the U.S. trade representative to keep pharmaceutical exclusivity provisions in the USMCA.

On Tuesday, AFL-CIO president Richard Trumka insisted to Progressive Caucus members that the Democratic leadership would not hold a vote on the U.S.-Mexico-Canada Agreement (USMCA), the update of NAFTA, without enforceable labor standards. That’s the position of House progressives, too. “If labor doesn’t sign off, we’re not signing off,” Representative Jan Schakowsky (D-IL) told The Intercept.

House Speaker Nancy Pelosi had been wavering in recent weeks, repeatedly stating that her caucus was “on a path to yes” in negotiations on the deal with U.S. trade representative Robert Lighthizer. Cheri Bustos (D-IL), the head of the Democratic Congressional Campaign Committee (DCCC), has been pressuring leadership to hold a vote on USMCA, arguing that it’s needed for swing-seat Democrats to show their ability to work with Republicans. Bustos has reportedly talked up the agreement at corporate fundraisers, saying that unions and progressives “will have to get over it.”

More brazenly, at the same time that a Democratic working group is negotiating with Lighthizer, members from the Blue Dog and New Democrat coalitions have written directly to the U.S. trade representative, asking him to preserve a key sticking point in the deal.

The letter, which has not been previously reported, encourages Lighthizer to keep the pharmaceutical exclusivity provisions in USMCA. Several of those on the letter are the kind of first-term frontline members that Bustos wants to protect. More than simply wanting to pass USMCA as a political show of “getting things done,” the letter reveals that these conservative Democrats actively want to export to Mexico and Canada the broken monopoly patent system that has generated such high drug prices in America.

A freshmen member, Representative Anthony Brindisi (D-NY), who is a chair of the Blue Dog Coalition, took the lead in authoring the letter. Ten other members have signed on, all of them from the right flank of the caucus. Six of them belong to both the Blue Dogs and the New Dems: Lou Correa (D-CA), Henry Cuellar (D-TX), Joe Cunningham (D-SC), Josh Gottheimer (D-NJ), Kendra Horn (D-OK), and Ben McAdams (D-UT). Jeff Van Drew (D-NJ ) is a Blue Dog, while Al Lawson (D-FL), Scott Peters (D-CA), and Kathleen Rice (D-NY) are New Dems. Cunningham, Horn, McAdams, and Van Drew are freshmen.

Six of these members (Peters, Brindisi, Horn, Cunningham, McAdams, and Correa) previously signed a letter supporting bringing USMCA to the floor this year. But this effort specifically takes a stance on the drug provisions opposed by most of their fellow House Democrats. That obviously strengthens the White House’s hand in negotiations.

While the letter begins with words of support for the working group that is attempting to resolve “outstanding concerns” with USMCA, it then goes into the pharmaceutical provisions. Currently, USMCA includes a 10-year data exclusivity period for new biologic drugs, which are complex manufactured drug therapies that come from living entities like cells or tissues. These drugs would be protected from “biosimilar” generic versions for those 10 years. The USMCA also expands the definition of a biologic, giving more drugs this exclusivity period.

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Biologics happen to be the most expensive drugs on the market: Despite being 2 percent of all prescriptions, they represent 37 percent of all net consumer spending on drugs. Nearly all of the growth in net prescription drug spending since 2014 comes from biologics.

The 10-year data exclusivity period, which means that biosimilars could not be tested during this time, is actually shorter than the current 12-year period in the U.S. But Canada currently has an eight-year exclusivity law, and Mexico’s is five years. So the USMCA provision would increase patent monopoly periods throughout North America, and threaten affordability for expensive life-saving medications, particularly in Mexico. Similar protectionist provisions in a U.S. trade agreement with Chile increased unit prices for biologics in that country.

Moreover, locking in a 10-year exclusivity period in a trade agreement could pre-empt future congressional efforts to change the length of exclusivity in the United States. The other signatories to the agreement would be able to sue over violations arising from such changes in law.

In the letter, the authors write: “While we all have concerns with high drug prices, it is also clear that trade deals should not be designed to inherently undermine U.S.-based industries, but rather to raise standards abroad … we hope this provision will be used to push Canada and Mexico to shoulder their share of the burden in paying for innovation.” So Brindisi and his Blue Dog and New Democrat colleagues explicitly want to export these longer patent protections to Mexico and Canada, threatening access to drug treatments in those nations.

Most Democrats are opposed to the pharmaceutical provisions. Over 110 members wrote to Lighthizer in July requesting that the biologic provision be dumped out of the trade deal. Many first-term members in swing districts, such as Max Rose (D-NY), Jared Golden (D-ME), and Elaine Luria (D-VA), signed that letter; they clearly believe that lowering drug prices is a political win for Democrats in tight races, as well as the right policy choice.

The Brindisi letter nods to the idea that the USMCA “must not diminish Congress’s ability to enact subsequent legislation in the areas of intellectual property and pharmaceuticals.” They reference a “counter-proposal that would effectively address this concern.” That was reported by Politico last month; it would stipulate that if Congress pushed down its biologic exclusivity period to five or seven years, that would be binding on Canada and Mexico as well. While Canada and Mexico didn’t ask for biologics changes and would presumably be unconcerned with such a ratcheting down to a level closer to their current law, other countries with large pharmaceutical manufacturers, like in Europe, may not accept that as a template.

The authors even suggest that keeping the biologics component of the USMCA is critical to passing the signature Democratic drug-price legislation, H.R. 3. That bill would allow Medicare to directly negotiate prices on 25 prescription drugs per year. “Protecting the biologics data exclusivity component of USMCA in a manner that preserves our ability to legislate to lower the cost of prescription drugs without undermining American innovation is essential for the agreement’s prospects,” the letter states.

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The conservative Democrats’ push to maintain the drug provisions in USMCA is occurring while a working group composed of a broad cross-section of the—Blue Dog Mike Thompson (D-CA) and New Democrat Terri Sewell (D-AL) are part of it – works with the Trump administration on the very same issues. Earl Blumenauer (D-OR) and Jan Schakowsky (D-IL) have taken the lead on the drug pricing issue. Neither responded to a request for comment. Representative Brindisi also declined to respond.

Representative Ro Khanna (D-CA), one of the more outspoken members on the issue, gave this statement to the Prospect: “Big Pharma drafted this provision of the USMCA to lock in an extra decade of their price-gouging monopolies. I stand with more than 100 of my fellow members of Congress opposing these sweetheart giveaways to the drug companies that are responsible for bankrupting countless sick Americans.”

Industry analysts suggest the votes already exist to pass USMCA out of the House, and Mexican officials have said publicly they expect approval soon. With lobbying teams plucked from Congress to defend corporate interests—including former Democratic leadership member Joe Crowley and former Senator Heidi Heitkamp, along with former officials from the U.S. trade representative’s office under President Obama—the full-court press is on. And the corporate wing of House Democrats, attempting to undermine negotiations on the drug provisions, is pitching in.