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Limiting Drug Costs in Medicare Program

This bill aims to limit the amounts individuals in the Medicare Part D program have to pay for their medications. Starting in 2027, monthly drug costs will not exceed the average net price of the drug or the lower cash price at the pharmacy. This is intended to reduce financial burdens for patients.
Key points
Beginning in 2027, monthly drug costs under Medicare Part D will be capped at the average net price or lower cash price.
The change is designed to lower medication expenses for low-income individuals enrolled in Medicare.
A government report is planned to assess compliance and enforcement of the new provisions.
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Additional Information
To amend title XVIII of the Social Security Act to limit cost sharing for drugs under the Medicare program.
Print number: HR 4881
Sponsor: Rep. Malliotakis, Nicole [R-NY-11]
Process start date: 2023-07-25