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Lowering Medicare Part D Prescription Drug Copays for Low-Income Individuals.

This bill aims to significantly reduce out-of-pocket costs for prescription drugs for low-income individuals enrolled in Medicare Part D. Starting in 2026, copayments for generic drugs will be eliminated entirely, while copayments for other drugs will be capped and adjusted annually based on inflation. This change provides substantial financial relief for seniors and disabled individuals needing essential medications.
Key points
Starting in 2026: Copayments for generic drugs under Medicare Part D for low-income individuals will be reduced to zero ($0).
Copayments for non-generic drugs will be adjusted annually based on the consumer price index (inflation), preventing large cost spikes.
Before 2026: Maximum copayments are set at $1 for generic/preferred multiple source drugs and $3 for all other drugs.
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Additional Information
Print number: 118_S_3951
Sponsor: Sen. Casey, Robert P., Jr. [D-PA]
Process start date: 2024-03-14