Bills · S 529
IN COMMITTEE· 119TH CONGRESS
Senate BillS 529Health care costs and insurancePrescription drugs
Capping Prescription Costs Act of 2025
INTRO FEB 11· LAST ACTION FEB 11
READING
4MIN
COSPONSORS
13
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed Senate
Passed House
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because the cost of prescription drugs is a major financial burden for many American families. Without limits, people with chronic illnesses or unexpected medical conditions can face thousands of dollars in out-of-pocket drug costs annually, sometimes leading them to skip doses or avoid filling prescriptions altogether.
If this bill becomes law, it would provide financial predictability and protection against catastrophic drug costs, making essential medications more accessible and affordable. If it doesn't pass, patients will continue to face potentially unlimited out-of-pocket expenses for their prescriptions, which can lead to medical debt, poorer health outcomes, and significant stress for those requiring costly treatments.
KEY PROVISIONS
4AI-extractedPROVISION 01
Establishes a yearly cap on prescription drug cost-sharing: For plan years starting in 2026, individuals will not pay more than $2,000 and families will not pay more than $4,000 per year for covered prescription drugs.
This sets a maximum financial burden for patients' prescription drug costs, preventing unlimited out-of-pocket expenses.
PROVISION 02
Applies the prescription drug cost-sharing cap to Qualified Health Plans (ACA marketplace plans).
Ensures that individuals purchasing insurance through the ACA marketplace receive the same protection against high drug costs.
PROVISION 03
Extends the prescription drug cost-sharing cap to Group Health Plans, including employer-sponsored coverage.
Covers a wide range of privately insured Americans, ensuring broad protection across different types of health plans.
PROVISION 04
Mandates that the prescription drug cost-sharing cap be adjusted for inflation in 2027 and subsequent years.
Ensures the cap remains relevant and appropriate over time, reflecting changes in healthcare costs.
SPONSORSHIP
1 + 13
D· Georgia
YRS IN OFFICE
5
BILLS LED
27
COSPONSOR BREAKDOWNBIPARTISAN · 0%
DEM 13 REP 0 IND 0
ACTION TIMELINE
2 EVENTSFEB 11
Introduced in Senate
FEB 11
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
BILL INFO
TypeSenate Bill
NumberS 529
Congress119th
StatusIn Committee
IntroducedFeb 11, 2025
Last actionFeb 11, 2025
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IN COMMITTEE· 119TH CONGRESS · HEALTH, EDUCATION, LABOR, AND PENSIONS COMMITTEE · INTRODUCED FEB 11, 2025
Senate BillS 529Health care costs and insurancePrescription drugs
Capping Prescription Costs Act of 2025
INTRODUCED FEB 11, 2025· LAST ACTION FEB 11, 2025
PASSAGE CHANCES
—%
READING
4 min
COSPONSORS
13
COMPLEXITY
Moderate
