House Speaker Nancy Pelosi, faced with a united front of progressive Democrats pushing back against a drug pricing bill seen as insufficient, blinked on Tuesday and handed her party’s left flank a rare victory.

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“This is what happens when progressives in Congress, backed by the grassroots, use their power to push for real change,” political advocacy group Indivisible said on Twitter. 

The legislation now doubles the number of drugs whose prices will be negotiated under the plan from 25 to 50 in the second year of implementation and bans price-gouging on drug pricing for 150 million Americans with private healthcare plans, according to the Congressional Progressive Caucus (CPC). 

Pelosi, a California Democrat, relented on keeping progressive amendments out of H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act, after the CPC made clear it would stop the bill in committee and not let it reach the floor unless lefty fixes were allowed. 

“We need to flex our muscles,” Rep. Alexandria Ocasio-Cortez (D-N.Y.) told reporters as the compromise was still being hammered out.

According to Politico, the bill advanced Tuesday night:

Progressives in Congress welcomed the deal.

“This is a huge win, and it shows what we can do when we stick together and all push hard for the American people,” Rep. Pramila Jayapal (D-Wash.), co-chair of the CPC and author of one of the amendments reinserted into the bill, said in a statement.