summary
Introduced
09/10/2025
09/10/2025
In Committee
09/10/2025
09/10/2025
Crossed Over
Passed
Dead
Introduced Session
119th Congress
Bill Summary
A BILL To amend title XXVII of the Public Health Service Act, the Internal Revenue Code of 1986, and the Employee Retirement Income Security Act of 1974 to reduce patient cost sharing for prescription drug inhaler products used to treat breathing disorders such as asthma and chronic obstructive pulmonary disease, and for other purposes.
AI Summary
This bill aims to reduce patient costs for inhalers and nebulizers used to treat breathing disorders like asthma and chronic obstructive pulmonary disease (COPD). The legislation would require private health insurance plans, Medicare Part B and Part D, and other health coverage to provide specified inhaler products with no deductible and a maximum cost-sharing of $15 per 30-day supply, starting January 1, 2026. The bill defines "specified inhaler products" broadly to include various types of inhalation drugs (like aerosols, metered dose inhalers, dry powder inhalers) and related administration equipment (such as masks, spacers, and nebulizers). Additionally, the bill establishes a new payment program for uninsured individuals, where healthcare providers can submit claims to the government for inhaler products dispensed to patients who are not covered by existing health insurance plans, ensuring that uninsured individuals would not be charged more than $15 for a month's supply of these critical respiratory medications.
Committee Categories
Business and Industry
Sponsors (13)
Kweisi Mfume (D)*,
Danny Davis (D),
Sarah Elfreth (D),
Cleo Fields (D),
Shomari Figures (D),
Valerie Foushee (D),
Glenn Ivey (D),
Hank Johnson (D),
April McClain-Delaney (D),
LaMonica McIver (D),
Eleanor Holmes Norton (D),
Johnny Olszewski (D),
Shri Thanedar (D),
Last Action
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. (on 09/10/2025)
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/119th-congress/house-bill/5278/all-info |
| BillText | https://www.congress.gov/119/bills/hr5278/BILLS-119hr5278ih.pdf |
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