Legis Daily

Cancer Drug Parity Act of 2025

USA119th CongressHR-4101| House 
| Updated: 6/24/2025
Glenn Grothman

Glenn Grothman

Republican Representative

Wisconsin

Cosponsors (27)
Becca Balint (Democratic)John Garamendi (Democratic)Jonathan L. Jackson (Democratic)Chris Pappas (Democratic)Chrissy Houlahan (Democratic)Derek Schmidt (Republican)Eugene Simon Vindman (Democratic)Andrea Salinas (Democratic)Donald G. Davis (Democratic)Janelle S. Bynum (Democratic)Gus M. Bilirakis (Republican)Joe Wilson (Republican)Joseph D. Morelle (Democratic)Doris O. Matsui (Democratic)Kathy Castor (Democratic)Eleanor Holmes Norton (Democratic)Sharice Davids (Democratic)Timothy M. Kennedy (Democratic)Jamie Raskin (Democratic)Joe Neguse (Democratic)Julia Brownley (Democratic)Brian K. Fitzpatrick (Republican)Deborah K. Ross (Democratic)Suzanne Bonamici (Democratic)Robert P. Bresnahan (Republican)Gwen Moore (Democratic)Herbert C. Conaway (Democratic)

Education and Workforce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This legislation, titled the Cancer Drug Parity Act of 2025, amends the Employee Retirement Income Security Act of 1974 (ERISA) to mandate that group health plans provide equitable cost-sharing for oral anticancer drugs. Specifically, it requires that cost-sharing for prescribed, patient-administered oral anticancer medications, which are FDA-approved and medically necessary, be no less favorable than the cost-sharing applied to anticancer medications administered intravenously or by injection by a health care provider. These provisions are set to apply to plan years beginning on or after January 1, 2026. The bill includes safeguards to prevent plans from circumventing this parity, prohibiting changes that would increase out-of-pocket costs or reclassify benefits for anticancer medications. It clarifies that the act does not require the use of oral medications over others, allows for prior authorization, and does not supersede stronger state laws. Furthermore, it directs the Comptroller General of the United States to conduct a study within two years of enactment, assessing the impact of these changes on patient out-of-pocket costs for oral anticancer medications and providing recommendations to Congress.
View Full Text

Suggested Questions

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

Timeline

Bill from Previous Congress

HR 116-1730
Cancer Drug Parity Act of 2019

Bill from Previous Congress

HR 117-4385
Cancer Drug Parity Act of 2021

Bill from Previous Congress

HR 118-6301
Cancer Drug Parity Act of 2023
Jun 24, 2025
Introduced in House
Jun 24, 2025
Referred to the House Committee on Education and Workforce.
  • Bill from Previous Congress

    HR 116-1730
    Cancer Drug Parity Act of 2019


  • Bill from Previous Congress

    HR 117-4385
    Cancer Drug Parity Act of 2021


  • Bill from Previous Congress

    HR 118-6301
    Cancer Drug Parity Act of 2023


  • June 24, 2025
    Introduced in House


  • June 24, 2025
    Referred to the House Committee on Education and Workforce.

Health

Cancer Drug Parity Act of 2025

USA119th CongressHR-4101| House 
| Updated: 6/24/2025
This legislation, titled the Cancer Drug Parity Act of 2025, amends the Employee Retirement Income Security Act of 1974 (ERISA) to mandate that group health plans provide equitable cost-sharing for oral anticancer drugs. Specifically, it requires that cost-sharing for prescribed, patient-administered oral anticancer medications, which are FDA-approved and medically necessary, be no less favorable than the cost-sharing applied to anticancer medications administered intravenously or by injection by a health care provider. These provisions are set to apply to plan years beginning on or after January 1, 2026. The bill includes safeguards to prevent plans from circumventing this parity, prohibiting changes that would increase out-of-pocket costs or reclassify benefits for anticancer medications. It clarifies that the act does not require the use of oral medications over others, allows for prior authorization, and does not supersede stronger state laws. Furthermore, it directs the Comptroller General of the United States to conduct a study within two years of enactment, assessing the impact of these changes on patient out-of-pocket costs for oral anticancer medications and providing recommendations to Congress.
View Full Text

Suggested Questions

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

Timeline

Bill from Previous Congress

HR 116-1730
Cancer Drug Parity Act of 2019

Bill from Previous Congress

HR 117-4385
Cancer Drug Parity Act of 2021

Bill from Previous Congress

HR 118-6301
Cancer Drug Parity Act of 2023
Jun 24, 2025
Introduced in House
Jun 24, 2025
Referred to the House Committee on Education and Workforce.
  • Bill from Previous Congress

    HR 116-1730
    Cancer Drug Parity Act of 2019


  • Bill from Previous Congress

    HR 117-4385
    Cancer Drug Parity Act of 2021


  • Bill from Previous Congress

    HR 118-6301
    Cancer Drug Parity Act of 2023


  • June 24, 2025
    Introduced in House


  • June 24, 2025
    Referred to the House Committee on Education and Workforce.
Glenn Grothman

Glenn Grothman

Republican Representative

Wisconsin

Cosponsors (27)
Becca Balint (Democratic)John Garamendi (Democratic)Jonathan L. Jackson (Democratic)Chris Pappas (Democratic)Chrissy Houlahan (Democratic)Derek Schmidt (Republican)Eugene Simon Vindman (Democratic)Andrea Salinas (Democratic)Donald G. Davis (Democratic)Janelle S. Bynum (Democratic)Gus M. Bilirakis (Republican)Joe Wilson (Republican)Joseph D. Morelle (Democratic)Doris O. Matsui (Democratic)Kathy Castor (Democratic)Eleanor Holmes Norton (Democratic)Sharice Davids (Democratic)Timothy M. Kennedy (Democratic)Jamie Raskin (Democratic)Joe Neguse (Democratic)Julia Brownley (Democratic)Brian K. Fitzpatrick (Republican)Deborah K. Ross (Democratic)Suzanne Bonamici (Democratic)Robert P. Bresnahan (Republican)Gwen Moore (Democratic)Herbert C. Conaway (Democratic)

Education and Workforce Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted