Lower Drug Costs for Seniors: Medicare Part D Coinsurance Based on Actual Acquisition Price.
This bill aims to reduce prescription drug costs for individuals enrolled in Medicare Part D. It mandates that the coinsurance amount for covered drugs must be calculated based on the drug's actual acquisition cost, rather than the higher wholesale acquisition cost, whenever the acquisition cost is lower. This change, effective from January 1, 2026, is intended to result in lower out-of-pocket expenses for seniors.
Key points
Changes the calculation method for drug cost-sharing under Medicare Part D.
Coinsurance will be based on the actual acquisition cost of the drug, not the wholesale acquisition cost, if the acquisition cost is lower.
The goal is to reduce out-of-pocket costs for seniors purchasing prescription drugs.
These new rules apply to plan years beginning on or after January 1, 2026.
Introduced
Citizen Poll