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Lower Drug Costs for Seniors: Coinsurance Based on Net Price

This bill aims to reduce drug costs for seniors enrolled in Medicare Part D. Instead of paying coinsurance based on the drug's list price, citizens will pay based on the actual negotiated price, potentially leading to lower out-of-pocket expenses for prescription medications.
Key points
Changes how drug costs are calculated in Medicare Part D: coinsurance will be based on the lower net price, not the list price.
Potential reduction in out-of-pocket spending on prescription drugs for seniors covered by Medicare Part D.
New rules will take effect starting January 1, 2026.
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Status: Introduced
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Additional Information
Print number: 119_S_2617
Sponsor: Sen. Rosen, Jacky [D-NV]
Process start date: 2025-07-31