Lower Drug Costs Today Act

H.R. 5924 · 118th Congress · Oct 11, 2023 · Lineage

A BILL

To amend title XVIII of the Social Security Act with respect to the timing of changes to the annual out-of-pocket threshold for the Medicare prescription drug benefit, and to amend title XI of such Act with respect to the timing of the Medicare drug price negotiation program.

Section 1 Short title

This Act may be cited as the “Lower Drug Costs Today Act”.

Sec. 2 Timing of changes to annual out-of-pocket threshold for Medicare prescription drug benefit

(a)

In general— Section 1860D–2(b)(4)(B)(i) of the Social Security Act (42 U.S.C. 1395w–102(b)(4)(B)(i)) is amended—

(1)

in subclause (VI), by striking “2024” and inserting “2023”; and

(2)

in subclause (VII), by striking “2025” and inserting “2024”.

(b)

Conforming amendments—

(1)

Section 1860D–2 of the Social Security Act (42 U.S.C. 1395w–102) is amended—

(A)

in subsection (a)(2)(A)(i)(I), by striking “2025” and inserting “2024”;

(B)

in subsection (b)—

(i)

in paragraph (2)—

(I)

in subparagraph (A), by striking “2025” each place it appears and inserting “2024”;

(II)

in subparagraph (C)—

(aa)

in clause (i), by striking “2025” and inserting “2024”; and

(bb)

in clause (ii)(III), by striking “2024” and inserting “2023”;

(III)

in subparagraph (D)—

(aa)

in clause (i)—

(AA)

in the matter preceding subclause (I), by striking “2025” and inserting “2024”; and

(BB)

in subclause (I)(bb), by striking “2024” and inserting “2023”; and

(bb)

in clause (ii)(V), by striking “2024” and inserting “2023”; and

(IV)

in subparagraph (E)(i), by striking “2025” and inserting “2024”;

(ii)

in paragraph (3)(A)—

(I)

in the matter preceding clause (i), by striking “2025” and inserting “2024”; and

(II)

in clause (ii), by striking “2024” and inserting “2023”; and

(iii)

in paragraph (4)—

(I)

in subparagraph (C)—

(aa)

in clause (i), by striking “2025” and inserting “2024”; and

(bb)

in clause (iii)(II), by striking “2025” and inserting “2024”; and

(II)

in subparagraph (E), by striking “2024” and inserting “2023”;

(C)

in subsection (c)(1)(C)—

(i)

in the matter preceding clause (i), by striking “2025” each place it appears and inserting “2024”; and

(ii)

in clause (i), by striking “2025” each place it appears and inserting “2024”; and

(D)

in subsection (d)(1)(A), by striking “2025” and inserting “2024”.

(2)

Section 1860D–4(a)(4)(B)(i) of the Social Security Act (42 U.S.C. 1395w–104(a)(4)(B)(i)) is amended by striking “2025” and inserting “2024”.

(3)

Section 1860D–14(a)(1)(C) of the Social Security Act (42 U.S.C. 1395w–114(a)(1)(C)) is amended by striking “2025” and inserting “2024”.

(4)

Section 1860D–15(b) of the Social Security Act (42 U.S.C. 1395w–115(b)) is amended—

(A)

in paragraph (1)—

(i)

in subparagraph (A), by striking “2025” and inserting “2024”; and

(ii)

in subparagraph (B), in the matter preceding clause (i), by striking “2025” and inserting “2024”; and

(B)

in paragraph (3), by striking “2025” and inserting “2024”.

(5)

Section 1860D–22(a)(2)(A) of the Social Security Act (42 U.S.C. 1395w–132(a)(2)(A)) is amended—

(A)

in clause (i), by striking “2025” and inserting “2024”; and

(B)

in clause (ii), by striking “2025” and inserting “2024”.

(6)

Section 1860D–41(a)(6) of the Social Security Act (42 U.S.C. 1395w–151(a)(6)) is amended by striking “2025” and inserting “2024”.

Sec. 3 Timing of Medicare drug price negotiation program

(a)

In general— Part E of title XI of the Social Security Act (42 U.S.C. 1320f et seq.) is amended—

(1)

in section 1191—

(A)

in subsection (b)(1), by striking “2026” and inserting “2024”; and

(B)

in subsection (d)—

(i)

in the subsection heading, by striking “2026” and inserting “2024”; and

(ii)

in the matter preceding paragraph (1), by striking “2026” and inserting “2024”;

(2)

in section 1192—

(A)

in subsection (a)—

(i)

in paragraph (1), by striking “2026” and inserting “2024”;

(ii)

in paragraph (2), by striking “2027” and inserting “2025”;

(iii)

in paragraph (3), by striking “2028” and inserting “2026”; and

(iv)

in paragraph (4), by striking “2029” and inserting “2027”;

(B)

in subsection (b)(2)—

(i)

in the paragraph heading, by striking “2026 and 2027” and inserting “2024 and 2025”;

(ii)

by striking “2026” and inserting “2024”; and

(iii)

by striking “2027” and inserting “2025”;

(C)

in subsection (d)—

(i)

in paragraph (1), by striking “2026 or 2027” and inserting “2024 or 2025”;

(ii)

in paragraph (2)(A), by striking “2026, 2027, and 2028” and inserting “2024, 2025, and 2026”; and

(iii)

in paragraph (3)(A)(ii), by striking “2026, 2027, and 2028” and inserting “2024, 2025, and 2026”; and

(D)

in subsection (e)(3)(B)—

(i)

in clause (i), by striking “2026” and inserting “2024”; and

(ii)

in clause (ii), by striking “2027” and inserting “2025”; and

(3)

in section 1194—

(A)

in subsection (c)(1)(C)—

(i)

in clause (i)—

(I)

in the clause heading, by striking “2026” and inserting “2024”; and

(II)

by striking “2026” and inserting “2024”; and

(ii)

in clause (ii)—

(I)

in the clause heading, by striking “2027” and inserting “2025”; and

(II)

in the matter preceding subclause (I), by striking “2027” and inserting “2025”;

(B)

in subsection (d), by striking “2029 or 2030” and inserting “2027 or 2028”; and

(C)

in subsection (f)(3), by striking “2028” and inserting “2026”.

(b)

Conforming amendment to part D— Section 1860D–4(b)(3)(I)(i) of the Social Security Act (42 U.S.C. 1395w–104(b)(3)(I)(i)) is amended by striking “2026” and inserting “2024”.

Lower Drug Costs Today Act

Section 1 Short title

Sec. 2 Timing of changes to annual out-of-pocket threshold for Medicare prescription drug benefit

Sec. 3 Timing of Medicare drug price negotiation program

Cite this provision

Incoming references