S. 529, the Capping Prescription Costs Act of 2025, would limit what patients have to pay out-of-pocket for prescription drugs covered by their health insurance plans. Starting in 2026, individuals would pay no more than $2,000 per year in prescription drug costs, while families would be capped at $4,000 per year. The limit would apply to all types of health plans, including those offered through employers and individual insurance marketplaces. In subsequent years, the caps would increase annually based on inflation in medical care costs, rounded to the nearest five-dollar increment. The bill affects millions of Americans with health insurance and takes effect for plan years beginning on or after January 1, 2026.
Take Action
Your position
Add a comment
to comment on this bill.
Annotate the text
Highlight any passage on the Summary or Full Text tab to attach a note. Annotations appear on the Annotations tab.