Lower Drug Costs for Families Act
Sponsored By: Senator Catherine Cortez Masto
Introduced
Summary
Applies Medicare inflation-based drug rebates to drugs sold under private health insurance and resets the rebate baseline to 2016. The bill extends certain Medicare rebate rules into the commercial market and changes how rebate amounts and units are calculated.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
New Medicare Part B rebate rules
This bill would change how Medicare Part B drug rebates are calculated. It would count drugs that would be payable under Part B, including commercial-market sales. It would replace old unit counts with a billing-unit method using NDC reports and subtract units paid by State Medicaid. It would move the rebate baseline dates back to 2015–2016. These rules would apply to calendar quarters starting on or after January 1, 2026.
Changes to Medicare Part D unit counts
This bill would change how Medicare Part D counts drug units for AMP and rebates. It would use manufacturer and State reports to define total units. It would exclude units paid by State Medicaid and units with Part B rebates, and it would exclude 340B-discounted units beginning in plan year 2026. It would move baseline dates back to 2016. These rules would apply to applicable periods starting on or after October 1, 2025.
Sponsors & CoSponsors
Sponsor
Catherine Cortez Masto
NV • D
Cosponsors
Amy Klobuchar
MN • D
Sponsored 3/27/2025
Ron Wyden
OR • D
Sponsored 3/27/2025
Tammy Baldwin
WI • D
Sponsored 3/27/2025
John Reed
RI • D
Sponsored 3/27/2025
Tina Smith
MN • D
Sponsored 3/27/2025
Richard Blumenthal
CT • D
Sponsored 3/27/2025
Angus King
ME • I
Sponsored 3/27/2025
Peter Welch
VT • D
Sponsored 3/27/2025
John Hickenlooper
CO • D
Sponsored 3/27/2025
Elissa Slotkin
MI • D
Sponsored 3/27/2025
Ruben Gallego
AZ • D
Sponsored 3/27/2025
Sen. Luján, Ben Ray [D-NM]
NM • D
Sponsored 4/1/2025
Roll Call Votes
No roll call votes available for this bill.
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