Requires the Secretary of Health and Human Services to submit a report to Congress regarding the option for Medicare Part D enrollees to pay cost-sharing in monthly capped amounts.
The first report is due by March 31, 2026, with annual reports required until March 31, 2031.
Reports must include:
The number of enrollees who elected to pay in capped amounts.
An estimate of enrollees who did not elect this option but incurred significant out-of-pocket costs.
Steps taken to implement a mechanism for enrollees to make this election at the point-of-sale for covered drugs.
Methods used to facilitate the election, including resources like the Medicare.gov website and the Medicare & You handbook.
Outreach efforts conducted to inform various stakeholders, including healthcare providers and advocacy groups.
Defines “Medicare part D enrollee” as individuals enrolled in a prescription drug plan or MA-PD plan under Medicare.