Section 1 Short title
This Act may be cited as the “Cutting Copays Act”.
Cutting Copays Act
A BILL
To amend title XVIII of the Social Security Act to provide for adjustments to the Medicare part D cost-sharing reductions for low-income individuals.
Sec. 2 Adjustments to Medicare part D cost-sharing reductions for low-income individuals
in paragraph (1)(D)(ii), by striking “that does not exceed $1 for” and all that follows through the period at the end and inserting
“(I) for a plan year before 2026—
“(aa) for a generic drug or a preferred drug that is a multiple source drug (as defined in section 1927(k)(7)(A)(i)), $1 or, if less, the copayment amount applicable to an individual under clause (iii); and
“(bb) for any other drug, $3 or, if less, the copayment amount applicable to an individual under clause (iii); and
“(II) for plan year 2026 and each subsequent plan year—
“(aa) for a generic drug, $0;
“(bb) for a preferred drug that is a multiple source drug (as defined in section 1927(k)(7)(A)(i)), the dollar amount applied under this clause for such a drug for the preceding year, increased by the annual percentage increase in the consumer price index (all items; U.S. city average) as of September of such preceding year, or, if less, the copayment amount applicable to an individual under clause (iii); and
“(cc) for a drug not described in either item (aa) or (bb), the dollar amount applied under this clause for such a drug for the preceding year, increased in the manner specified in item (bb), or, if less, the copayment amount applicable to an individual under clause (iii).”
in paragraph (4)(A)(ii), by inserting “(before 2026)” after “a subsequent year”.