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Lower Drug Costs for Seniors: Medicare Part D Coinsurance Based on Net Price.

This bill aims to reduce prescription drug costs for seniors enrolled in Medicare Part D. The change mandates that coinsurance payments will be calculated based on the drug's lower net price, rather than the higher list price. This means older adults may pay less out-of-pocket for their medications, directly impacting their personal finances.
Key points
Change in Fee Calculation: Coinsurance for drugs under Medicare Part D will be based on the net price (after rebates) instead of the list price.
Savings for Seniors: If the net price is lower than the list price, seniors will pay a smaller coinsurance amount, reducing their medication expenses.
Effective Date: These changes are scheduled to take effect for plan years beginning on or after January 1, 2025.
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Additional Information
Print number: 118_S_4229
Sponsor: Sen. Rosen, Jacky [D-NV]
Process start date: 2024-05-01