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Capping Prescription Costs Act of 2025

USA119th CongressS-529| Senate 
| Updated: 2/11/2025
Raphael G. Warnock

Raphael G. Warnock

Democratic Senator

Georgia

Cosponsors (13)
Angela D. Alsobrooks (Democratic)Ruben Gallego (Democratic)Kirsten E. Gillibrand (Democratic)Ben Ray Luján (Democratic)Amy Klobuchar (Democratic)Martin Heinrich (Democratic)Patty Murray (Democratic)John Fetterman (Democratic)Andy Kim (Democratic)Tammy Baldwin (Democratic)Cory A. Booker (Democratic)Peter Welch (Democratic)Richard Blumenthal (Democratic)

Health, Education, Labor, and Pensions Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This bill aims to significantly limit the out-of-pocket expenses individuals and families pay for prescription drugs. It amends the Patient Protection and Affordable Care Act (ACA) to introduce specific caps on prescription drug cost-sharing for qualified health plans. Beginning with plan years in 2026, the legislation mandates that an individual's annual cost-sharing for prescription drugs cannot exceed $2,000 , while a family's limit is set at $4,000 . For subsequent years, these caps will be adjusted annually based on the medical care component of the Consumer Price Index to account for inflation. The bill extends these new cost-sharing limitations to cover group health plans and health insurance issuers by amending the Public Health Service Act, the Employee Retirement Income Security Act (ERISA), and the Internal Revenue Code. These provisions are set to take effect for all plan years starting on or after January 1, 2026, ensuring broader application of the prescription drug cost caps.
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Timeline

Bill from Previous Congress

S 117-3339
Capping Prescription Costs Act of 2021

Bill from Previous Congress

S 118-4671
Capping Prescription Costs Act of 2024
Feb 11, 2025
Introduced in Senate
Feb 11, 2025
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Apr 1, 2025

Latest Companion Bill Action

HR 119-2553
Introduced in House
  • Bill from Previous Congress

    S 117-3339
    Capping Prescription Costs Act of 2021


  • Bill from Previous Congress

    S 118-4671
    Capping Prescription Costs Act of 2024


  • February 11, 2025
    Introduced in Senate


  • February 11, 2025
    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.


  • April 1, 2025

    Latest Companion Bill Action

    HR 119-2553
    Introduced in House

Health

Related Bills

  • HR 119-2553: Capping Prescription Costs Act of 2025
Health care costs and insurancePrescription drugs

Capping Prescription Costs Act of 2025

USA119th CongressS-529| Senate 
| Updated: 2/11/2025
This bill aims to significantly limit the out-of-pocket expenses individuals and families pay for prescription drugs. It amends the Patient Protection and Affordable Care Act (ACA) to introduce specific caps on prescription drug cost-sharing for qualified health plans. Beginning with plan years in 2026, the legislation mandates that an individual's annual cost-sharing for prescription drugs cannot exceed $2,000 , while a family's limit is set at $4,000 . For subsequent years, these caps will be adjusted annually based on the medical care component of the Consumer Price Index to account for inflation. The bill extends these new cost-sharing limitations to cover group health plans and health insurance issuers by amending the Public Health Service Act, the Employee Retirement Income Security Act (ERISA), and the Internal Revenue Code. These provisions are set to take effect for all plan years starting on or after January 1, 2026, ensuring broader application of the prescription drug cost caps.
View Full Text

Suggested Questions

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

Timeline

Bill from Previous Congress

S 117-3339
Capping Prescription Costs Act of 2021

Bill from Previous Congress

S 118-4671
Capping Prescription Costs Act of 2024
Feb 11, 2025
Introduced in Senate
Feb 11, 2025
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Apr 1, 2025

Latest Companion Bill Action

HR 119-2553
Introduced in House
  • Bill from Previous Congress

    S 117-3339
    Capping Prescription Costs Act of 2021


  • Bill from Previous Congress

    S 118-4671
    Capping Prescription Costs Act of 2024


  • February 11, 2025
    Introduced in Senate


  • February 11, 2025
    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.


  • April 1, 2025

    Latest Companion Bill Action

    HR 119-2553
    Introduced in House
Raphael G. Warnock

Raphael G. Warnock

Democratic Senator

Georgia

Cosponsors (13)
Angela D. Alsobrooks (Democratic)Ruben Gallego (Democratic)Kirsten E. Gillibrand (Democratic)Ben Ray Luján (Democratic)Amy Klobuchar (Democratic)Martin Heinrich (Democratic)Patty Murray (Democratic)John Fetterman (Democratic)Andy Kim (Democratic)Tammy Baldwin (Democratic)Cory A. Booker (Democratic)Peter Welch (Democratic)Richard Blumenthal (Democratic)

Health, Education, Labor, and Pensions Committee

Health

Related Bills

  • HR 119-2553: Capping Prescription Costs Act of 2025
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Health care costs and insurancePrescription drugs