Lowering Chronic Drug Costs for Seniors in Medicare Part D.
This law aims to reduce drug costs for seniors on Medicare Part D who use specific chronic care medications. Starting in 2027, if you pay a percentage of the drug price (coinsurance), it must be calculated based on the actual, lower price after manufacturer rebates are factored in. This change is designed to decrease out-of-pocket expenses for essential chronic treatments.
Key points
The change applies specifically to selected chronic care drugs, including certain heart medications, anticoagulants, respiratory agents, and non-insulin blood glucose regulators.
Coinsurance payments will be based on the "net price" of the drug—the price after all manufacturer rebates and concessions are deducted.
Effective January 1, 2027, this ensures seniors are not paying a percentage based on an inflated drug price.
Status:
Introduced
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