A bill to amend title XVIII of the Social Security Act to protect against high out-of-pocket expenditures for Medicare fee-for-service benefits, and to amend titles XVIII and XIX of the Social Security Act to enhance programs that protect low-income Medicare beneficiaries.
About This Bill
Committee
Latest Action · June 24, 2026
Read twice and referred to the Committee on Finance.
The Medicare Cost Cap Act of 2026 protects Medicare beneficiaries by imposing an annual cap on out-of-pocket costs starting in 2028, beginning at $5,000 per year and adjusting annually based on healthcare spending growth. Once a Medicare beneficiary enrolled in Part A or Part B reaches this annual limit, they pay nothing for additional covered medical services for the remainder of that year, with Medicare covering the full cost. The legislation also expands eligibility for programs that assist low-income Medicare beneficiaries by eliminating asset tests for the Low-Income Subsidy and Medicare Savings Program and raising income limits to 200 percent of the poverty line starting January 1, 2028. Additionally, the bill streamlines enrollment between these two programs so that individuals approved for one program are automatically considered eligible for the other, reducing administrative burdens. The bill was introduced on June 24, 2026, by Senator Blunt Rochester and multiple Democratic colleagues and was referred to the Senate Committee on Finance.
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