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S 529119th CongressIntroduced
Capping Prescription Costs Act of 2025
Introduced: Oct 28, 2025
Standard Summary
Comprehensive overview in 1-2 paragraphs
The Capping Prescription Costs Act limits annual out-of-pocket prescription drug costs for health plan enrollees.
Key Points
- 1Caps individual prescription drug cost-sharing at $2,000 per year starting in 2026
- 2Caps family prescription drug cost-sharing at $4,000 per year starting in 2026
- 3Adjusts caps annually based on medical care CPI
- 4Applies to qualified health plans, group health plans, and ERISA plans
- 5Rounds annual adjustments to nearest $5 increment
- 6Effective for plan years beginning January 1, 2026
Impact Areas
Health insurancePrescription drug costsConsumer out-of-pocket expensesHealthcare affordabilityMedicare and private plans
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