S1186119th CongressWALLET

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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