H.R. 2554
119th CONGRESS 1st Session
To amend title XVIII of the Social Security Act to apply prescription drug inflation rebates to drugs furnished in the commercial market and to change the base year for rebate calculations.
IN THE HOUSE OF REPRESENTATIVES · April 1, 2025 · Sponsor: Mr. Horsford
Table of contents
- SEC. 1. Short title
- SEC. 2. Application of prescription drug inflation rebates to drugs furnished in the commercial market
SEC. 1. Short title
This Act may be cited as the "Lower Drug Costs for Families Act".
SEC. 2. Application of prescription drug inflation rebates to drugs furnished in the commercial market
(a) Part B drugs
(1) Section 1847A(i) of the Social Security Act (42 U.S.C. 1395w–3a(i)) is amended— (A) in paragraph (1)(A)(i), by striking "units" and inserting "billing units" ; (B) in paragraph (2)(A), by striking "for which payment is made under this part" and inserting "that would be payable under this part if such drug were furnished to an individual enrolled under this part" ; (C) in paragraph (3)— (i) in subparagraph (A)(i), by striking "units" and inserting "billing units" ; and (ii) by striking subparagraph (B) and inserting the following:
(2) Section 1847A(i) of the Social Security Act (42 U.S.C. 1395w–3a(i)) is amended— (A) in paragraph (3)— (i) in subparagraph (D), by striking "July 1, 2021" and inserting "July 1, 2016" ; and (ii) in subparagraph (E), by striking "January 2021" and inserting "January 2016" ; and (B) in paragraph (4)— (i) in subparagraph (A)— (I) by striking "December 1, 2020" and inserting "December 31, 2015" ; and (II) by striking "January 2021" and inserting "January 2016" ; (ii) in subparagraph (B), by striking "December 1, 2020" and inserting "December 31, 2015" ; and (iii) in subparagraph (C), by striking "January 2021" and inserting "January 2016" .
(3) The amendments made by this subsection shall apply with respect to calendar quarters beginning on or after January 1, 2026.
(b) Covered part D drugs
(1) Section 1860D–14B of the Social Security Act (42 U.S.C. 1395w–114b) is amended— (A) in subsection (b)— (i) in paragraph (1)— (I) in subparagraph (A)(i), by striking "the total number of units" and all that follows through the semicolon and inserting the following: ; and (II) by striking subparagraph (B) and inserting the following: (ii) in paragraph (6), by striking "information" and all that follows through and inserting the following: ; and (B) by striking subsection (d) and inserting the following:
(d) Information For purposes of carrying out this section, the Secretary shall use information submitted by manufacturers under section 1927(b)(3) and information submitted by States under section 1927(b)(2)(A)..
(2) Section 1860D–14B of the Social Security Act (42 U.S.C. 1395w–114b) is amended— (A) in subsection (b)(5)— (i) in subparagraph (A)— (I) by striking "October 1, 2021" and inserting "October 1, 2016" ; and (II) by striking "January 2021" and inserting "January 2016" ; and (ii) in subparagraph (C), by striking "January 2021" and inserting "January 2016" ; and (B) in subsection (g)— (i) in paragraph (3)— (I) by striking "January 1, 2021" and inserting "January 1, 2016" ; and (II) by striking "October 1, 2021" and inserting "October 1, 2016" ; and (ii) in paragraph (4), by striking "January 2021" and inserting "January 2016" .
(3) The amendments made by this subsection shall take apply with respect to applicable periods (as defined in section 1860D–14B(g)(7) of the Social Security Act (42 U.S.C. 1395w–114b(g)(7))) beginning on or after October 1, 2025.