Financial aid for drug costs would count towards health plan deductibles and out-of-pocket limits.
This bill would make sure that financial help for prescription drugs, like from non-profits or drug makers, counts towards health insurance deductibles and out-of-pocket limits. This means individuals could reach their cost-sharing limits faster, potentially lowering their personal out-of-pocket costs. These changes would apply to plans starting on or after January 1, 2026.
Today, health insurance plans (even high-deductible ones) may not count financial help from non-profit groups or drug makers. This aid may not apply towards a person's deductible, copayment, or out-of-pocket limit. If this bill becomes law, group health plans and health insurance coverage would be required to count this financial assistance towards cost-sharing requirements. This includes high-deductible health plans. These changes would start with plan years on or after January 1, 2026.
HR 6423 · 119th Congress · AI Summary by gemini-2.5-flash · 9/10
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25 filings mentioned this bill
Amounts reflect total quarterly lobbying spend reported to the Senate, not bill-specific spending. Source: Senate LDA filings.