# 119-hr-5094: Protect Patients from Costly Care Act

119-hr-5094, Protect Patients from Costly Care Act, is a 119th Congress bill sponsored by Rep. Pappas, Chris [D-NH-1] (D-NH); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-5094
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-5094
- Congress: 119
- Title: Protect Patients from Costly Care Act
- Status: introduced
- Introduced: 2025-09-02
- Sponsor: Rep. Pappas, Chris [D-NH-1] (D-NH)
- Cosponsors: 9
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Repeals recent changes to Medicaid cost-sharing and the orphan-drug exclusion in the Medicare drug price negotiation program.** This bill would apply Title XIX and Title XI of the Social Security Act as if Sections 71120 and 71203 of Public Law 119-21 had never been enacted and would rescind the amounts appropriated under section 71120(c) of that law. - Families and Medicaid enrollees: Would restore the prior Medicaid cost-sharing rules, which could change out-of-pocket charges for eligible households. - Patients who use orphan drugs: Would restore the previous treatment of orphan drugs in Medicare's drug price negotiation program, reversing the amendment made by Section 71203. - Federal finances: Would rescind the appropriation created by section 71120(c) of Public Law 119-21, removing that funding tied to the repealed Medicaid change.

## Cosponsors (9)

- Rep. Jackson, Jonathan L. [D-IL-1] (D-IL), 2025-09-02T00:00:00.000Z
- Rep. Ruiz, Raul [D-CA-25] (D-CA), 2025-09-02T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-09-02T00:00:00.000Z
- Rep. Fields, Cleo [D-LA-6] (D-LA), 2025-09-02T00:00:00.000Z
- Rep. Larson, John B. [D-CT-1] (D-CT), 2025-09-02T00:00:00.000Z
- Rep. Carson, André [D-IN-7] (D-IN), 2025-09-02T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2025-09-02T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2025-09-02T00:00:00.000Z
- Rep. Goodlander, Maggie [D-NH-2] (D-NH), 2025-09-02T00:00:00.000Z

## Provisions PRIA read

- Roll back Medicaid cost-sharing changes: benefit, medium. The bill would undo recent Medicaid cost-sharing rules from Public Law 119-21. States would apply the prior Medicaid rules for copays and other charges. If you are on Medicaid, your out-of-pocket costs could be lower or stay the same versus those changes. The bill would also cancel the funding tied…
- Reverse Medicare drug negotiation rule change: mixed, low. The bill would undo a change to the Medicare Drug Price Negotiation Program involving orphan drugs. Agencies would apply the older rules instead. This mainly changes program policy and compliance. Any effect on drug prices for patients would be indirect and could vary. It would take effect upon ena…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-7973: Momnibus Act
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-5390: FAMILY Act
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-15: Equality Act

## Sources
- [119-hr-5094 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/5094)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-5390: FAMILY Act](https://policyrisk.com/legislation/119-hr-5390)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-15: Equality Act](https://policyrisk.com/legislation/119-hr-15)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-5094 (as of 2026-04-21).