Affordable Inhalers and Nebulizers Act of 2025
Sponsored By: Representative Mfume
Introduced
Summary
Caps patient out-of-pocket costs for inhalers at $15 per 30-day supply. This bill would align private group plans, Medicare, and a new uninsured program around that uniform cap and would bar deductibles for these covered inhalers and related equipment starting in 2026.
Show full summary
- Families and patients with asthma or COPD would pay no more than $15 per 30-day supply for covered inhalers and devices. Plans could not apply a deductible for these products and any cost sharing would count toward the plan’s out-of-pocket maximum; private plan rules take effect for plan years beginning on or after January 1, 2026.
- Medicare beneficiaries would see deductible relief and lower cost sharing for inhalers. For Part B, provider payments would be adjusted to reflect a $15 reduction per 30-day supply and the Part B deductible would not apply starting in 2026; for Part D, deductibles would be waived for specified inhalers and cost sharing would be capped at $15 per month.
- Uninsured individuals would gain access through a new federal payment program that requires registered providers to furnish specified inhalers at no more than $15 per month, with providers reimbursed by the Secretary subject to appropriations.
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 4 benefits, 0 costs, 0 mixed.
Lower inhaler costs in private plans
If enacted, most group and individual plans would have to cover specified inhalers and related gear like spacers and nebulizers. No deductible could apply, and your share would be capped at $15 for a 30-day supply. What you pay would still count toward your plan’s out-of-pocket max and toward any deductible. These rules would start for plan years on or after Jan 1, 2026. HDHPs could keep HSA status when waiving the deductible, and catastrophic plans would be covered by a safe harbor.
Medicare Part B inhalers cost less
For inhalers furnished on or after Jan 1, 2026, Medicare Part B would not apply the deductible. Medicare would pay the usual amount or the actual charge, whichever is less, minus $15 per 30-day supply. Because the payment would be lower, your Part B coinsurance could be lower too. This would apply only when the inhaler is furnished under Part B.
Medicare Part D $15 inhalers
Starting in plan year 2026, Medicare Part D plans would not apply the deductible to specified inhalers. Your cost for a month’s supply would be no more than $15. If you get the low-income subsidy, your copay would also be capped at $15. You must be enrolled in Part D to get these rules.
Help for uninsured to get inhalers
Beginning Jan 1, 2026, HHS would run a program paying registered providers for specified inhalers given to uninsured people. When the program pays, providers could not charge the patient over $15 for a month’s supply. You must be uninsured under the bill’s definition. Payments would depend on funds approved by Congress.
Sponsors & CoSponsors
Sponsor
Mfume
MD • D
Cosponsors
Johnson (GA)
GA • D
Sponsored 9/10/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 9/10/2025
Thanedar
MI • D
Sponsored 9/10/2025
Elfreth
MD • D
Sponsored 9/10/2025
McIver
NJ • D
Sponsored 9/10/2025
Fields
LA • D
Sponsored 9/10/2025
Davis (IL)
IL • D
Sponsored 9/10/2025
Figures
AL • D
Sponsored 9/10/2025
Olszewski
MD • D
Sponsored 9/10/2025
Ivey
MD • D
Sponsored 9/10/2025
McClain Delaney
MD • D
Sponsored 9/10/2025
Foushee
NC • D
Sponsored 9/26/2025
Lynch
MA • D
Sponsored 10/10/2025
Roll Call Votes
No roll call votes available for this bill.
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