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Prescription Drug Cost Cap: Lower Out-of-Pocket Expenses for Citizens

This act introduces monthly limits on out-of-pocket prescription drug costs for individuals covered by health plans. Starting in 2025, citizens will not pay more than $250 per month per individual or $500 per family for prescription drugs, aiming to reduce financial burdens related to healthcare expenses.
Key points
Beginning in 2025, the monthly out-of-pocket limit for prescription drugs will be $250 per individual and $500 per family.
The limit will be adjusted annually for inflation to maintain its real value.
These changes apply to both qualified health plans and group health plans, ensuring broader coverage.
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Expired
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Additional Information
Print number: 118_HR_6347
Sponsor: Rep. Manning, Kathy E. [D-NC-6]
Process start date: 2023-11-09
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Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Capping Prescription Costs Act of 2023

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_HR_6347.

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 2023-11-09.

What are the main provisions?

Key points include:

  • Beginning in 2025, the monthly out-of-pocket limit for prescription drugs will be $250 per individual and $500 per family.
  • The limit will be adjusted annually for inflation to maintain its real value.
  • These changes apply to both qualified health plans and group health plans, ensuring broader coverage.
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 2025-12-25.

CATEGORIES

Health