Proposed
Bill · 119th Congress · HR 5197
Protect Beneficiaries from Middlemen Act
Refreshed 6 h ago
Introduced 2025-09-08Topic: health care · social servicesSummary
AI-generated summary, report an errorThis bill changes Medicare Part D prescription drug coverage starting with plan years beginning on or after January 1, 2027. After a person meets the deductible and before reaching the yearly out-of-pocket limit, what they pay for a month's supply of a covered drug could not exceed the drug's average net price under their plan, or the pharmacy's cash price if that is lower. The average net price is what the plan pays for the drug, including the person's share, minus rebates and similar payments the plan receives. The same limit would apply to copayments for low-income individuals. The Government Accountability Office would report to Congress by January 1, 2029, on compliance, enforcement, and public awareness of these rules.
Sponsors
- Nicole Malliotakis Republican sponsor
- 0 cosponsors
Action history
| Date | Chamber | Action | Status effect |
|---|---|---|---|
| 2025-09-08 | House | 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. | refer |
| 2025-09-08 | House | 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. | refer |
| 2025-09-08 | Introduced in House | introduce | |
| 2025-09-08 | Introduced in House | introduce |