summary
Introduced
07/13/2021
07/13/2021
In Committee
07/13/2021
07/13/2021
Crossed Over
Passed
Dead
01/03/2023
01/03/2023
Introduced Session
117th Congress
Bill Summary
A BILL To amend title XVIII of the Social Security Act to provide for a Medicare part D modernization redesign and to establish a monthly out-of-pocket cost sharing maximum for enrollees who incur a significant portion of costs towards the annual out-of-pocket threshold under Medi- care part D.
AI Summary
This bill, the Seniors Prescription Drug Relief Act, proposes several key changes to Medicare Part D:
1. It redesigns the Part D benefit structure, including establishing a $0 annual deductible starting in 2024 and setting the annual out-of-pocket threshold at $3,100 for 2024, with annual increases thereafter. It also reduces beneficiary coinsurance from 25% to 20% starting in 2024.
2. It decreases the amount of reinsurance payments to Part D plan sponsors, phasing down to 20% and 40% for applicable drugs and non-applicable drugs, respectively, by 2026 and beyond.
3. It establishes a new manufacturer discount program during the initial and catastrophic phases of Part D coverage, requiring drug manufacturers to provide discounts for applicable drugs starting in 2024.
4. It creates a monthly out-of-pocket cost sharing maximum for certain Part D enrollees who incur a significant portion of costs towards the annual out-of-pocket threshold, allowing them to pay a capped monthly amount.
Overall, the bill aims to modernize and provide relief to Medicare beneficiaries' prescription drug costs through a redesign of the Part D benefit structure and the introduction of new cost-sharing protections.
Committee Categories
Budget and Finance
Sponsors (2)
Last Action
Read twice and referred to the Committee on Finance. (on 07/13/2021)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/117th-congress/senate-bill/2327/all-info |
| BillText | https://www.congress.gov/117/bills/s2327/BILLS-117s2327is.pdf |
| Bill | https://www.congress.gov/117/bills/s2327/BILLS-117s2327is.pdf.pdf |
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