- Record: Senate Floor
- Section type: Amendments
- Chamber: Senate
- Date: March 20, 2026
- Congress: 119th Congress
- Why this source matters: This section came from the Senate floor portion of the record.
SA 4733. Mr. WARNOCK submitted an amendment intended to be proposed by him to the bill S. 1383, to establish the Veterans Advisory Committee on Equal Access, and for other purposes; which was ordered to lie on the table; as follows:
Strike all after the enacting clause and insert the
following:
SECTION 1. SHORT TITLE.
This Act may be cited as the “Capping Prescription Costs
Act of 2026”.
SEC. 2. CAP ON PRESCRIPTION DRUG COST-SHARING.
(a) Qualified Health Plans.—Section 1302(c) of the Patient
Protection and Affordable Care Act (42 U.S.C. 18022(c)) is
amended—
(1) in paragraph (3)(A)(i), by inserting “, including
cost-sharing with respect to prescription drugs covered by
the plan” after “charges”; and
(2) by adding at the end the following:
“(5) Prescription drug cost-sharing.—
“(A) 2027.—For plan years beginning in 2027, the cost-
sharing incurred under a health plan with respect to
prescription drugs covered by the plan shall not exceed
$2,000 per year for each enrolled individual, or $4,000 per
year for each family.
“(B) 2028 and later.—
“(i) In general.—In the case of any plan year beginning
in a calendar year after 2027, the limitation under this
paragraph shall be equal to the applicable dollar amount
under subparagraph (A) for plan years beginning in 2027,
increased by an amount equal to the product of that amount
and the medical care component of the consumer price index
for all urban consumers (as published by the Bureau of Labor
Statistics) for that year.
“(ii) Adjustment to amount.—If the amount of any increase
under clause (i) is not a multiple of $5, such increase shall
be rounded to the next lowest multiple of $5.”.
(b) Group Health Plans.—
(1) Public health service act.—Part D of title XXVII of
the Public Health Service Act (42 U.S.C. 300gg-111 et seq.)
is amended by inserting after section 2799A-5 (42 U.S.C.
300gg-115) the following:
“SEC. 2799A-6. CAP ON PRESCRIPTION DRUG COST-SHARING FOR
GROUP HEALTH PLANS.
“A group health plan and health insurance issuer offering
group health insurance coverage shall ensure that any cost-
sharing imposed under the plan or coverage with respect to
prescription drugs covered by the plan or coverage does not
exceed the limitations provided for under paragraph (5) of
section 1302(c) of the Patient Protection and Affordable Care
Act.”.
(2) Employee retirement income security act.—
(A) In general.—Subpart B of part 7 of subtitle B of title
I of the Employee Retirement Income Security Act (29 U.S.C.
1185 et seq.) is amended by inserting after section 720 (29
U.S.C. 1185i) the following:
“SEC. 721. CAP ON PRESCRIPTION DRUG COST-SHARING.
“A group health plan and health insurance issuer offering
group health insurance coverage shall ensure that any cost-
sharing imposed under the plan or coverage with respect to
prescription drugs covered by the plan or coverage does not
exceed the limitations provided for under paragraph (5) of
section 1302(c) of the Patient Protection and Affordable Care
Act.”.
(B) Clerical amendment.—The table of contents in section 1
of the Employee Retirement Income Security Act of 1974 (29
U.S.C. 1001 note) is amended by inserting after the item
relating to section 720 the following:
“Sec. 721. Cap on prescription drug cost-sharing”.
(3) Internal revenue code of 1986.—
(A) In general.—Subchapter B of chapter 100 of the
Internal Revenue Code of 1986 is amended by inserting after
section 9820 the following:
“SEC. 9821. CAP ON PRESCRIPTION DRUG COST-SHARING.
“A group health plan shall ensure that any cost-sharing
imposed under the plan with respect to prescription drugs
covered by the plan does not exceed the limitations provided
for under paragraph (5) of section 1302(c) of the Patient
Protection and Affordable Care Act.”.
(B) Clerical amendment.—The table of sections for
subchapter B of chapter 100 of
the Internal Revenue Code of 1986 is amended by inserting
after the item relating to section 9820 the following:
“Sec. 9821. Cap on prescription drug cost-sharing”.
(c) Effective Date.—The amendments made by subsections (a)
and (b) shall take effect with respect to plan years
beginning on or after January 1, 2027.