H.R. 4139

119 HR 4139 IH: Cutting Copays Act
 U.S. House of Representatives
 2025-06-25
 text/xml
 EN
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 I  119th CONGRESS  1st Session  H. R. 4139  IN THE HOUSE OF REPRESENTATIVES   June 25, 2025   Mr. McGarvey  (for himself and  Mr. Bilirakis ) introduced the following bill; which was referred to the  Committee on Energy and Commerce , and in addition to the Committee on  Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned   A BILL
To amend title XVIII of the Social Security Act to provide for adjustments to the Medicare part D cost-sharing reductions for low-income individuals.
1.
Short title
This Act may be cited as the   Cutting Copays Act  .
2.
Adjustments to Medicare part D cost-sharing reductions for low-income individuals
Section 1860D–14(a) of the Social Security Act ( 42 U.S.C. 1395w–114(a) ) is amended in paragraph (1)(D)(ii)—
(1)
by striking  that does not exceed $1 for  and all that follows through the period at the end and inserting
that does not exceed—
(I)
for plan years before plan year 2026—
(aa)
for a generic drug or a preferred drug that is a multiple source drug (as defined in section 1927(k)(7)(A)(i)), $1 or, if less, the copayment amount applicable to an individual under clause (iii); and
(bb)
for any other drug, $3 or, if less, the copayment amount applicable to an individual under clause (iii); and
   ; and
(2)
by adding at the end the following new subclauses:
(II)
for plan year 2026—
(aa)
for a generic drug, $0; and
(bb)
for any other drug, the dollar amount applied under this clause (after application of paragraph (4)(A)) for plan year 2023 for a drug described in subclause (I)(bb); and
(III)
for a subsequent year, the dollar amount applied under this clause for the previous year for the drug, increased by the annual percentage increase in the consumer price index (all items; U.S. city average) as of September of such previous year.
  .