Legis Daily

Cutting Copays Act

USA119th CongressHR-4139| House 
| Updated: 6/25/2025
Morgan McGarvey

Morgan McGarvey

Democratic Representative

Kentucky

Cosponsors (1)
Gus M. Bilirakis (Republican)

Ways and Means Committee, Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This legislation, titled the "Cutting Copays Act," aims to significantly reduce out-of-pocket prescription drug costs for low-income individuals enrolled in Medicare Part D . It achieves this by amending the Social Security Act to adjust cost-sharing reductions for eligible beneficiaries. A key provision establishes a $0 copayment for generic drugs for these individuals, effective for plan year 2026. For other non-generic drugs, the copayment amount will be set at the 2023 level for plan year 2026. In subsequent years, the copayment for these non-generic drugs will be adjusted annually based on the Consumer Price Index . These changes are designed to make essential medications more affordable and accessible for vulnerable Medicare beneficiaries.
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Timeline

Bill from Previous Congress

HR 118-5386
Cutting Copays Act
Jun 25, 2025
Introduced in House
Jun 25, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on 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 118-5386
    Cutting Copays Act


  • June 25, 2025
    Introduced in House


  • June 25, 2025
    Referred to the Committee on Energy and Commerce, and in addition to the Committee on 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

Cutting Copays Act

USA119th CongressHR-4139| House 
| Updated: 6/25/2025
This legislation, titled the "Cutting Copays Act," aims to significantly reduce out-of-pocket prescription drug costs for low-income individuals enrolled in Medicare Part D . It achieves this by amending the Social Security Act to adjust cost-sharing reductions for eligible beneficiaries. A key provision establishes a $0 copayment for generic drugs for these individuals, effective for plan year 2026. For other non-generic drugs, the copayment amount will be set at the 2023 level for plan year 2026. In subsequent years, the copayment for these non-generic drugs will be adjusted annually based on the Consumer Price Index . These changes are designed to make essential medications more affordable and accessible for vulnerable Medicare beneficiaries.
View Full Text

Suggested Questions

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

Timeline

Bill from Previous Congress

HR 118-5386
Cutting Copays Act
Jun 25, 2025
Introduced in House
Jun 25, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on 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 118-5386
    Cutting Copays Act


  • June 25, 2025
    Introduced in House


  • June 25, 2025
    Referred to the Committee on Energy and Commerce, and in addition to the Committee on 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.
Morgan McGarvey

Morgan McGarvey

Democratic Representative

Kentucky

Cosponsors (1)
Gus M. Bilirakis (Republican)

Ways and Means Committee, Energy and Commerce Committee

Health

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