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Capping Prescription Costs Act of 2025

USA119th CongressHR-2553| House 
| Updated: 4/1/2025
Steven Horsford

Steven Horsford

Democratic Representative

Nevada

Cosponsors (9)
Shomari Figures (Democratic)Gabe Vasquez (Democratic)Melanie A. Stansbury (Democratic)Henry C. "Hank" Johnson (Democratic)Sheila Cherfilus-McCormick (Democratic)Jahana Hayes (Democratic)Eleanor Holmes Norton (Democratic)Maxine Waters (Democratic)Bennie G. Thompson (Democratic)

Ways and Means Committee, Energy and Commerce Committee, Education and Workforce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This legislation aims to significantly limit the financial burden of prescription drug costs for consumers by establishing annual caps on out-of-pocket spending. It mandates that health plans ensure individuals and families face predictable expenses for covered prescription drugs. Specifically, for plan years beginning in 2026, the bill sets a maximum cost-sharing limit of $2,000 per year for each enrolled individual and $4,000 per year for each family . These limits will be adjusted annually for inflation in subsequent years, based on the medical care component of the consumer price index. The provisions apply broadly to qualified health plans under the Affordable Care Act, as well as to group health plans and health insurance issuers regulated under the Public Health Service Act, ERISA, and the Internal Revenue Code, taking effect for plan years beginning on or after January 1, 2026.
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Timeline

Bill from Previous Congress

HR 117-6228
Capping Prescription Costs Act of 2021

Bill from Previous Congress

HR 118-6347
Capping Prescription Costs Act of 2023
Feb 11, 2025

Latest Companion Bill Action

S 119-529
Introduced in Senate
Apr 1, 2025
Introduced in House
Apr 1, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  • Bill from Previous Congress

    HR 117-6228
    Capping Prescription Costs Act of 2021


  • Bill from Previous Congress

    HR 118-6347
    Capping Prescription Costs Act of 2023


  • February 11, 2025

    Latest Companion Bill Action

    S 119-529
    Introduced in Senate


  • April 1, 2025
    Introduced in House


  • April 1, 2025
    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Health

Related Bills

  • S 119-529: Capping Prescription Costs Act of 2025
Health care costs and insurancePrescription drugs

Capping Prescription Costs Act of 2025

USA119th CongressHR-2553| House 
| Updated: 4/1/2025
This legislation aims to significantly limit the financial burden of prescription drug costs for consumers by establishing annual caps on out-of-pocket spending. It mandates that health plans ensure individuals and families face predictable expenses for covered prescription drugs. Specifically, for plan years beginning in 2026, the bill sets a maximum cost-sharing limit of $2,000 per year for each enrolled individual and $4,000 per year for each family . These limits will be adjusted annually for inflation in subsequent years, based on the medical care component of the consumer price index. The provisions apply broadly to qualified health plans under the Affordable Care Act, as well as to group health plans and health insurance issuers regulated under the Public Health Service Act, ERISA, and the Internal Revenue Code, taking effect for plan years beginning on or after January 1, 2026.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

HR 117-6228
Capping Prescription Costs Act of 2021

Bill from Previous Congress

HR 118-6347
Capping Prescription Costs Act of 2023
Feb 11, 2025

Latest Companion Bill Action

S 119-529
Introduced in Senate
Apr 1, 2025
Introduced in House
Apr 1, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  • Bill from Previous Congress

    HR 117-6228
    Capping Prescription Costs Act of 2021


  • Bill from Previous Congress

    HR 118-6347
    Capping Prescription Costs Act of 2023


  • February 11, 2025

    Latest Companion Bill Action

    S 119-529
    Introduced in Senate


  • April 1, 2025
    Introduced in House


  • April 1, 2025
    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Steven Horsford

Steven Horsford

Democratic Representative

Nevada

Cosponsors (9)
Shomari Figures (Democratic)Gabe Vasquez (Democratic)Melanie A. Stansbury (Democratic)Henry C. "Hank" Johnson (Democratic)Sheila Cherfilus-McCormick (Democratic)Jahana Hayes (Democratic)Eleanor Holmes Norton (Democratic)Maxine Waters (Democratic)Bennie G. Thompson (Democratic)

Ways and Means Committee, Energy and Commerce Committee, Education and Workforce Committee

Health

Related Bills

  • S 119-529: Capping Prescription Costs Act of 2025
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Health care costs and insurancePrescription drugs