Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
The Every Dollar Counts Act of 2026 requires health insurance plans to count money that individuals spend out-of-pocket on prescription drugs toward their annual deductibles and out-of-pocket maximums, even when they choose to pay for the drugs without using their insurance benefits. The bill applies to group health plans and individual health insurance coverage offered through employers and on the private market. This change would help individuals reach their cost-sharing limits faster when they purchase medications directly without insurance, potentially lowering their overall healthcare costs. The legislation takes effect for plan years beginning on January 1, 2027, and includes conforming amendments to Medicaid drug pricing rules to ensure consistency with the new requirements.
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