[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 3339 Introduced in Senate (IS)]
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117th CONGRESS
1st Session
S. 3339
To limit cost sharing for prescription drugs, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
December 8, 2021
Mr. Warnock (for himself, Ms. Klobuchar, Mr. Menendez, Ms. Baldwin, Mr.
Reed, Mrs. Murray, Ms. Smith, Mr. Heinrich, Mr. Blumenthal, Ms. Hirono,
and Mr. Van Hollen) introduced the following bill; which was read twice
and referred to the Committee on Health, Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To limit cost sharing for prescription drugs, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Capping Prescription Costs Act of
2021''.
SEC. 2. CAP ON PRESCRIPTION DRUG COST-SHARING.
(a) Qualified Health Plans.--Section 1302(c) of the Patient
Protection and Affordable Care Act (42 U.S.C. 18022(c)) is amended--
(1) in paragraph (3)(A)(i), by inserting ``, including
cost-sharing with respect to prescription drugs covered by the
plan'' after ``charges''; and
(2) by adding at the end the following:
``(5) Prescription drug cost-sharing.--
``(A) 2023.--For plan years beginning in 2023, the
cost-sharing incurred under a health plan with respect
to prescription drugs covered by the plan shall not
exceed $250 per month for each enrolled individual, or
$500 for each family.
``(B) 2024 and later.--
``(i) In general.--In the case of any plan
year beginning in a calendar year after 2023,
the limitation under this paragraph shall be
equal to the applicable dollar amount under
subparagraph (A) for plan years beginning in
2023, increased by an amount equal to the
product of that amount and the medical care
component of the consumer price index for all
urban consumers (as published by the Bureau of
Labor Statistics) for that year.
``(ii) Adjustment to amount.--If the amount
of any increase under clause (i) is not a
multiple of $5, such increase shall be rounded
to the next lowest multiple of $5.''.
(b) Group Health Plans.--Section 2707(b) of the Public Health
Service Act (42 U.S.C. 300gg-6(b)) is amended--
(1) by striking ``annual''; and
(2) by striking ``paragraph (1) of section 1302(c)'' and
inserting ``paragraphs (1) and (5) of section 1302(c) of the
Patient Protection and Affordable Care Act''.
(c) Effective Date.--The amendments made by subsections (a) and (b)
shall take effect with respect to plans beginning after December 31,
2022.
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