H.R. 4881 · 118th Congress · House

To amend title XVIII of the Social Security Act to limit cost sharing for drugs under the Medicare program.

Active· Referred to the Subcommittee on Health.
Introduced
Jul 25, 23
Passed House
Pending
Passed Senate
Pending
Sent to President
Pending
Signed into Law
Pending

Executive Summary

This bill limits cost-sharing for covered drugs under the Medicare prescription drug benefit and Medicare Advantage.

Specifically, for costs above the deductible but below the annual out-of-pocket threshold, the bill limits cost-sharing to the average net price of the drug (i.e., the average amount paid less any rebates) or the cash price (i.e., the price charged to an individual without insurance), whichever is lower. 

The Government Accountability Office must report on the bill's implementation.

Action Timeline

11
  1. DEC 17, 2024Committee

    Referred to the Subcommittee on Health.

  2. DEC 06, 2023Committee

    Committee Consideration and Mark-up Session Held

  3. DEC 06, 2023Committee

    Ordered to be Reported (Amended) by the Yeas and Nays: 45 - 0.

    45Yea
    0Nay
    0NV
  4. DEC 05, 2023Committee

    Committee Consideration and Mark-up Session Held

  5. NOV 15, 2023Committee

    Subcommittee Consideration and Mark-up Session Held

  6. NOV 15, 2023Committee

    Forwarded by Subcommittee to Full Committee by Voice Vote.

  7. JUL 28, 2023Committee

    Referred to the Subcommittee on Health.

  8. JUL 25, 2023IntroReferral

    Introduced in House

  9. JUL 25, 2023IntroReferral

    Introduced in House

  10. JUL 25, 2023IntroReferral

    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.

  11. JUL 25, 2023IntroReferral

    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.

Committees

8

Health Subcommittee

hswm02

Referred: Dec 17, 2024

Active

Energy and Commerce Committee

hsif00

Referred: Dec 6, 2023

Active

Energy and Commerce Committee

hsif00

Referred: Dec 5, 2023

Active

Health Subcommittee

hsif14

Referred: Nov 15, 2023

Active

Health Subcommittee

hsif14

Referred: Nov 15, 2023

Active

Health Subcommittee

hsif14

Referred: Jul 28, 2023

Active

Ways and Means Committee

hswm00

Referred: Jul 25, 2023

Active

Energy and Commerce Committee

hsif00

Referred: Jul 25, 2023

Active