Legis Daily

PLASMA Act

USA119th CongressS-694| Senate 
| Updated: 2/24/2025
Thomas Tillis

Thomas Tillis

Republican Senator

North Carolina

Cosponsors (3)
Alex Padilla (Democratic)Mark Kelly (Democratic)Ted Budd (Republican)

Finance Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This bill amends Title XVIII of the Social Security Act to introduce a new phase-in for certain plasma-derived products under the Medicare Part D manufacturer discount program. This provision specifically targets biological products derived from human whole blood or plasma that were marketed as of August 16, 2022, modifying the calculation of their discounted price. Beginning in 2026, the legislation establishes a gradual reduction in the manufacturer discount percentage for these products over several years. For beneficiaries who have not yet met their annual out-of-pocket threshold, the discount percentage starts at 99% in 2026 and decreases to 90% by 2030. For beneficiaries who have exceeded their out-of-pocket threshold, the discount also begins at 99% in 2026 but further decreases to 80% by 2032. This phase-in does not apply to drugs dispensed to low-income subsidy beneficiaries or those from specified small manufacturers, maintaining existing exclusions.
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Timeline

Bill from Previous Congress

S 118-4741
PLASMA Act
Feb 21, 2025

Latest Companion Bill Action

HR 119-1476
Introduced in House
Feb 24, 2025
Introduced in Senate
Feb 24, 2025
Read twice and referred to the Committee on Finance.
  • Bill from Previous Congress

    S 118-4741
    PLASMA Act


  • February 21, 2025

    Latest Companion Bill Action

    HR 119-1476
    Introduced in House


  • February 24, 2025
    Introduced in Senate


  • February 24, 2025
    Read twice and referred to the Committee on Finance.

Health

Related Bills

  • HR 119-1476: PLASMA Act
Blood and blood diseasesDrug therapyHealth care costs and insuranceManufacturingMedicarePrescription drugs

PLASMA Act

USA119th CongressS-694| Senate 
| Updated: 2/24/2025
This bill amends Title XVIII of the Social Security Act to introduce a new phase-in for certain plasma-derived products under the Medicare Part D manufacturer discount program. This provision specifically targets biological products derived from human whole blood or plasma that were marketed as of August 16, 2022, modifying the calculation of their discounted price. Beginning in 2026, the legislation establishes a gradual reduction in the manufacturer discount percentage for these products over several years. For beneficiaries who have not yet met their annual out-of-pocket threshold, the discount percentage starts at 99% in 2026 and decreases to 90% by 2030. For beneficiaries who have exceeded their out-of-pocket threshold, the discount also begins at 99% in 2026 but further decreases to 80% by 2032. This phase-in does not apply to drugs dispensed to low-income subsidy beneficiaries or those from specified small manufacturers, maintaining existing exclusions.
View Full Text

Suggested Questions

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

Timeline

Bill from Previous Congress

S 118-4741
PLASMA Act
Feb 21, 2025

Latest Companion Bill Action

HR 119-1476
Introduced in House
Feb 24, 2025
Introduced in Senate
Feb 24, 2025
Read twice and referred to the Committee on Finance.
  • Bill from Previous Congress

    S 118-4741
    PLASMA Act


  • February 21, 2025

    Latest Companion Bill Action

    HR 119-1476
    Introduced in House


  • February 24, 2025
    Introduced in Senate


  • February 24, 2025
    Read twice and referred to the Committee on Finance.
Thomas Tillis

Thomas Tillis

Republican Senator

North Carolina

Cosponsors (3)
Alex Padilla (Democratic)Mark Kelly (Democratic)Ted Budd (Republican)

Finance Committee

Health

Related Bills

  • HR 119-1476: PLASMA Act
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Blood and blood diseasesDrug therapyHealth care costs and insuranceManufacturingMedicarePrescription drugs