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118-hr-4881Committee
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To amend title XVIII of the Social Security Act to limit cost sharing for drugs under the Medicare program.

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Summary

Official CRS summary

This bill limits cost-sharing for covered drugs under the Medicare prescription drug benefit and Medicare Advantage. Specifically, for costs above the deductible but below the annual out-of-pocket threshold, the bill limits cost-sharing to the average net price of the drug (i.e., the average amount paid less any rebates) or the cash price (i.e., the price charged to an individual without insurance), whichever is lower. The Government Accountability Office must report on the bill's implementation.

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Bill details

Congress
118
Bill type
hr
Introduced
July 25, 2023
Sponsor
Not yet available
Last action
December 17, 2024— Referred to the Subcommittee on Health.

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