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Prescription Drug Cost Cap: Limiting Out-of-Pocket Spending for Citizens.

This new law introduces annual limits on out-of-pocket spending for prescription drugs for individuals covered by health plans. Starting in 2026, the maximum drug cost will be $2,000 per year per individual or $4,000 per family, aiming to protect citizens from high drug bills. These limits will be adjusted annually for inflation, providing long-term financial relief.
Key points
Annual cap on prescription drug costs: Starting 2026, a maximum of $2,000 per individual and $4,000 per family.
The cap applies to all health plans, including group health plans and qualified health plans.
Limits will be adjusted annually based on medical care cost increases to maintain their real value.
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Status:
Introduced
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Additional Information
Capping Prescription Costs Act of 2025
Print number: S 529
Sponsor: Sen. Warnock, Raphael G. [D-GA]
Process start date: 2025-02-11