Bill > HR6171

This bill amends the Patient Protection and Affordable Care Act (ACA) to establish a cap on out-of-pocket spending for prescription drugs, which will take effect in 2027. Specifically, the bill limits annual cost-sharing for prescription drugs to $2,000 for self-only health plan coverage in 2027, with the amount indexed to increase annually based on premium adjustments. For non-self-only coverage (such as family plans), the limit will be double the self-only amount. After 2027, the dollar amount will be automatically adjusted each year by a premium adjustment percentage determined by the Secretary of Health and Human Services. The bill also makes conforming amendments to other sections of the ACA and the Public Health Service Act to ensure the new prescription drug out-of-pocket limit is properly integrated into existing healthcare regulations. The legislation aims to provide financial protection for patients by preventing excessive annual spending on prescription medications, potentially making healthcare more affordable for individuals and families.

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https://www.congress.gov/bill/119th-congress/house-bill/6171/all-info