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Cap on Prescription Drug Costs: Limiting Patient Expenses

This act introduces a monthly limit on out-of-pocket costs for prescription drugs for individuals with health insurance. Starting in 2023, the maximum cost for prescription drugs will be 250 USD per month per individual or 500 USD per family, with annual adjustments possible.
Key points
Monthly limit on prescription drug costs: 250 USD per individual, 500 USD per family starting in 2023.
The limit will be adjusted annually based on the Consumer Price Index (CPI) starting in 2024.
Changes apply to health plans covered by the Patient Protection and Affordable Care Act and group health plans.
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Additional Information
Print number: 117_HR_6228
Sponsor: Rep. Manning, Kathy E. [D-NC-6]
Process start date: 2021-12-09
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Summarized by: gemini-2.5-flash-preview-04-17
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Capping Prescription Costs Act of 2021

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 117_HR_6228.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2021-12-09.

What are the main provisions?

Key points include:

  • Monthly limit on prescription drug costs: 250 USD per individual, 500 USD per family starting in 2023.
  • The limit will be adjusted annually based on the Consumer Price Index (CPI) starting in 2024.
  • Changes apply to health plans covered by the Patient Protection and Affordable Care Act and group health plans.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Manning, Kathy E. [D-NC-6].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-28.

CATEGORIES

Health