Medicare Cost Cap Act of 2026

This bill would set a yearly limit on what people in traditional Medicare (Parts A and B) pay out of pocket for covered services, starting at $5,000 in 2028 and rising each year with Medicare spending per person. Once a person reaches the limit, Medicare would pay the full approved amount for covered services for the rest of that year, and the person would no longer owe deductibles, coinsurance, or copays. Starting in 2028, the bill would also remove asset (resource) tests for the Medicare Savings Programs and the Part D Low-Income Subsidy and raise the income limit for both to 200 percent of the poverty line. People who qualify for one of these programs would be treated as qualifying for the other.

Full text and official record on Congress.gov

Sponsors

• Lisa Blunt Rochester Democrat sponsor
• 16 cosponsors