# 119-hr-6166: Lowering Drug Costs for American Families Act

119-hr-6166, Lowering Drug Costs for American Families Act, is a 119th Congress bill sponsored by Rep. Pallone, Frank [D-NJ-6] (D-NJ); status introduced; PRIA reads it as touching household money (as of 2026-10-30).

- Canonical: https://policyrisk.com/legislation/119-hr-6166
- As of: 2026-10-30
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-6166
- Congress: 119
- Title: Lowering Drug Costs for American Families Act
- Status: introduced
- Introduced: 2025-11-20
- Sponsor: Rep. Pallone, Frank [D-NJ-6] (D-NJ)
- Cosponsors: 60
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-30

## Summary

**Expands federal drug price negotiation to 50 drugs** while adding international price benchmarks and creating new national limits on prescription cost sharing, including a specific insulin cap and a standardized out-of-pocket framework. - Families and people with coverage will see a new standardized essential health benefits and out-of-pocket framework that requires child-only coverage and ties future limits to an annual premium adjustment. These rules apply to plan years beginning January 1, 2027. - People who use insulin must get at least one covered product for each insulin type and face cost sharing no greater than the lesser of $35 per 30-day supply or 25% of the negotiated price. Cost sharing under the cap counts toward deductibles and out-of-pocket maximums. - Insurers, employers, and drugmakers face a bigger negotiation program that grows the pool from 20 to 50 drugs and requires the Secretary to consider an average international market price using six comparator countries. The bill also adds Part B and Part D style commercial-market inflation rebates and increased reporting requirements.

## Cosponsors (60)

- Rep. Balint, Becca [D-VT-At Large] (D-VT), 2026-10-26T00:00:00.000Z
- Rep. Hoyle, Val T. [D-OR-4] (D-OR), 2026-10-26T00:00:00.000Z
- Rep. Neal, Richard E. [D-MA-1] (D-MA), 2025-11-20T00:00:00.000Z
- Rep. Scott, Robert C. "Bobby" [D-VA-3] (D-VA), 2025-11-20T00:00:00.000Z
- Rep. Tonko, Paul [D-NY-20] (D-NY), 2025-11-21T00:00:00.000Z
- Rep. McClellan, Jennifer L. [D-VA-4] (D-VA), 2025-11-21T00:00:00.000Z
- Rep. Beatty, Joyce [D-OH-3] (D-OH), 2025-11-21T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-11-21T00:00:00.000Z
- Rep. Landsman, Greg [D-OH-1] (D-OH), 2025-11-21T00:00:00.000Z
- Rep. Mannion, John W. [D-NY-22] (D-NY), 2025-11-21T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2025-11-21T00:00:00.000Z
- Rep. Frankel, Lois [D-FL-22] (D-FL), 2025-11-21T00:00:00.000Z
- Rep. Matsui, Doris O. [D-CA-7] (D-CA), 2025-11-21T00:00:00.000Z
- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2025-11-21T00:00:00.000Z
- Rep. Wasserman Schultz, Debbie [D-FL-25] (D-FL), 2025-11-21T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2025-11-21T00:00:00.000Z
- Rep. Goldman, Daniel S. [D-NY-10] (D-NY), 2025-11-21T00:00:00.000Z
- Rep. Larson, John B. [D-CT-1] (D-CT), 2025-12-01T00:00:00.000Z
- Rep. Hoyer, Steny H. [D-MD-5] (D-MD), 2025-12-01T00:00:00.000Z
- Rep. Johnson, Julie [D-TX-32] (D-TX), 2025-12-01T00:00:00.000Z
- Rep. Simon, Lateefah [D-CA-12] (D-CA), 2025-12-01T00:00:00.000Z
- Rep. Riley, Josh [D-NY-19] (D-NY), 2025-12-01T00:00:00.000Z
- Rep. Costa, Jim [D-CA-21] (D-CA), 2025-12-01T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2025-12-01T00:00:00.000Z
- Rep. Chu, Judy [D-CA-28] (D-CA), 2025-12-01T00:00:00.000Z
- Rep. Underwood, Lauren [D-IL-14] (D-IL), 2025-12-01T00:00:00.000Z
- Rep. Dexter, Maxine [D-OR-3] (D-OR), 2025-12-01T00:00:00.000Z
- Rep. Courtney, Joe [D-CT-2] (D-CT), 2025-12-01T00:00:00.000Z
- Rep. McIver, LaMonica [D-NJ-10] (D-NJ), 2025-12-01T00:00:00.000Z
- Rep. Gillen, Laura [D-NY-4] (D-NY), 2025-12-01T00:00:00.000Z
- Rep. Schakowsky, Janice D. [D-IL-9] (D-IL), 2025-12-01T00:00:00.000Z
- Rep. Quigley, Mike [D-IL-5] (D-IL), 2025-12-02T00:00:00.000Z
- Rep. Omar, Ilhan [D-MN-5] (D-MN), 2025-12-02T00:00:00.000Z
- Rep. Deluzio, Christopher R. [D-PA-17] (D-PA), 2025-12-03T00:00:00.000Z
- Rep. Bonamici, Suzanne [D-OR-1] (D-OR), 2025-12-03T00:00:00.000Z
- Rep. Fletcher, Lizzie [D-TX-7] (D-TX), 2025-12-05T00:00:00.000Z
- Rep. Carson, André [D-IN-7] (D-IN), 2025-12-09T00:00:00.000Z
- Rep. Garcia, Robert [D-CA-42] (D-CA), 2025-12-10T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2025-12-10T00:00:00.000Z
- Rep. Grijalva, Adelita S. [D-AZ-7] (D-AZ), 2025-12-17T00:00:00.000Z
- Rep. Lieu, Ted [D-CA-36] (D-CA), 2025-12-17T00:00:00.000Z
- Rep. Ansari, Yassamin [D-AZ-3] (D-AZ), 2025-12-17T00:00:00.000Z
- Rep. Davids, Sharice [D-KS-3] (D-KS), 2025-12-17T00:00:00.000Z
- Rep. Randall, Emily [D-WA-6] (D-WA), 2025-12-17T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2025-12-18T00:00:00.000Z
- Rep. Waters, Maxine [D-CA-43] (D-CA), 2025-12-18T00:00:00.000Z
- Rep. Krishnamoorthi, Raja [D-IL-8] (D-IL), 2025-12-18T00:00:00.000Z
- Rep. Friedman, Laura [D-CA-30] (D-CA), 2026-01-21T00:00:00.000Z
- Rep. Pocan, Mark [D-WI-2] (D-WI), 2026-02-04T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2026-02-09T00:00:00.000Z
- Rep. McClain Delaney, April [D-MD-6] (D-MD), 2026-02-12T00:00:00.000Z
- Rep. Budzinski, Nikki [D-IL-13] (D-IL), 2026-04-02T00:00:00.000Z
- Rep. Jackson, Jonathan L. [D-IL-1] (D-IL), 2026-04-14T00:00:00.000Z
- Rep. Titus, Dina [D-NV-1] (D-NV), 2026-04-14T00:00:00.000Z
- Rep. Hayes, Jahana [D-CT-5] (D-CT), 2026-04-20T00:00:00.000Z
- Rep. DeSaulnier, Mark [D-CA-10] (D-CA), 2026-04-27T00:00:00.000Z
- Rep. Stevens, Haley M. [D-MI-11] (D-MI), 2026-06-04T00:00:00.000Z
- Rep. Frost, Maxwell [D-FL-10] (D-FL), 2026-07-23T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2026-08-24T00:00:00.000Z
- Rep. Wilson, Frederica S. [D-FL-24] (D-FL), 2026-08-24T00:00:00.000Z

## Provisions PRIA read

- Nationwide insulin cost cap: benefit, high. If enacted, many group and individual plans would have to cover selected insulin with no deductible and cap your cost for a 30-day supply. Your cost would be the lesser of $35 or 25% of the negotiated net price for a 30-day supply. Any payments you make under this cap would count toward your deduct…
- New annual drug out-of-pocket limits: benefit, high. If enacted, individual and small-group plans (and many employer plans) would have new out-of-pocket rules starting for plan years on or after January 1, 2027. Prescription drug out-of-pocket limits would be $2,000 a year for self-only coverage and $4,000 for other-than-self-only coverage in 2027. T…
- Extend drug negotiation to private plans: mixed, high. If enacted, private group health plans and many individual market plans could be treated as having drug-price agreements when they cover a selected drug. Plans could opt out through a Secretary-specified process. When a plan is treated as having an agreement, the same program rules would apply and…
- Bigger negotiation pool and benchmarks: mixed, high. If enacted, the Drug Price Negotiation Program could select up to 50 drugs instead of 20. For negotiations starting January 1, 2028, the Secretary would have to consider the average price of the drug in Australia, Canada, France, Germany, Japan, and the United Kingdom. The bill would also repeal a…
- Change drug rebate and unit reporting: mixed, medium. If enacted, Medicare Part B rebate rules would count 'billing units' instead of raw units and use reported data from two quarters earlier, excluding Medicaid-paid units. Part D rebate rules would use units reported for Average Manufacturer Price (AMP), exclude Medicaid and Part B rebate units, and,…

## Related bills

- 119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025
- 119-hr-15: Equality Act
- 119-hr-1589: American Dream and Promise Act of 2025
- 119-hr-17: Paycheck Fairness Act
- 119-hr-1810: Safe Schools Improvement Act
- 119-hr-999: Right to Contraception Act

## Sources
- [119-hr-6166 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/6166)

## Related
- [119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025](https://policyrisk.com/legislation/119-hr-20)
- [119-hr-15: Equality Act](https://policyrisk.com/legislation/119-hr-15)
- [119-hr-1589: American Dream and Promise Act of 2025](https://policyrisk.com/legislation/119-hr-1589)
- [119-hr-17: Paycheck Fairness Act](https://policyrisk.com/legislation/119-hr-17)
- [119-hr-1810: Safe Schools Improvement Act](https://policyrisk.com/legislation/119-hr-1810)
- [119-hr-999: Right to Contraception Act](https://policyrisk.com/legislation/119-hr-999)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-6166 (as of 2026-10-30).