H.R. 4139
119th CONGRESS 1st Session
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 · Sponsor: Mr. McGarvey
Table of contents
SEC. 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 () is amended in paragraph (1)(D)(ii)— 42 U.S.C. 1395w–114(a)
- by striking and all that follows through the period at the end and inserting
- that does not exceed—
- for plan years before plan year 2026—
- 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
- for any other drug, $3 or, if less, the copayment amount applicable to an individual under clause (iii); and
- for plan year 2026—
- for a generic drug, $0; and
- 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
- 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.
- by adding at the end the following new subclauses:
- by striking and all that follows through the period at the end and inserting