119-hr4139

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4139 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 4139

 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.

_______________________________________________________________________

 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.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Cutting Copays Act''.

SEC. 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.''.
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