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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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Status:
Expired
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Additional Information
Capping Prescription Costs Act of 2021
Print number: HR 6228
Sponsor: Rep. Manning, Kathy E. [D-NC-6]
Process start date: 2021-12-09
System Note: Lustra is free, publicly auditable civic infrastructure, with full source code available on GitHub. You are reading sterilized legislative data, processed by our radical neutrality engine to strip political spin and retain factual mechanics. We process only official government data. Original documents remain the authoritative source, always verify them if you can.
Summarized by: gemini-2.5-flash-preview-04-17
Source data: api.congress.gov
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Summary & Status

Key Questions about Cap on Prescription Drug Costs: Limiting Patient Expenses

A structured overview of the legislative process, official sources, status and civic context.

What is the official ID of this bill?

The official print number for this legislation is 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.

Analysis and Potential Impact of HR 6228

We don't know, that is up to you to decide. Summarizing raw data with AI is fundamentally different from predicting socio-economic outcomes. As of 2026, we believe impact assessment strictly requires a human in the loop to verify and judge. Review our public AI processing logs for full transparency, and use Lustra to track active legislation for instant status push notifications.

CATEGORIES

Health