Bill > HR2553

This bill, known as the "Capping Prescription Costs Act of 2025," aims to limit the amount individuals and families pay out-of-pocket for prescription drugs across different types of health plans. Starting in 2026, the bill caps annual prescription drug cost-sharing at $2,000 for an individual and $4,000 for a family under qualified health plans, group health plans, and health insurance coverage. The cost-sharing limit will be adjusted annually based on the medical care component of the consumer price index, with any increase rounded to the nearest $5. These caps will apply to health plans offered through the Affordable Care Act marketplace, employer-sponsored group health plans, and other health insurance offerings. The changes will take effect for plan years beginning on or after January 1, 2026, providing relief to consumers who face high prescription drug expenses by ensuring that their annual out-of-pocket costs for medications are predictable and more manageable.

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https://www.congress.gov/bill/119th-congress/house-bill/2553/all-info