United States 119th Congress Status: In Committee 14 D cosponsors

S 529 — Capping Prescription Costs Act of 2025

Last action — Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the Senate. Introduced February 11, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the Senate.

Prognosis

Stalled 26% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 14 sponsors

    1 primary, 13 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (14 D).

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

How this bill changes current law

6 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill establishes a cap on cost-sharing for prescription drugs in qualified health plans and group health plans, limiting it to $2,000 per individual and $4,000 per family starting in 2026.

  • 42 U.S.C. 18022(c)

    including cost-sharing with respect to prescription drugs covered by the plan

    The bill adds a specification that cost-sharing includes amounts for prescription drugs.

  • 42 U.S.C. 18022(c)

    (5) Prescription drug cost-sharing.-- (A) 2026.--For plan years beginning in 2026, the cost-sharing incurred under a health plan with respect to prescription drugs covered by the plan shall not exceed $2,000 per year for each enrolled individual, or $4,000 per year for each family.

    This establishes a maximum annual limit on prescription drug cost-sharing of $2,000 per individual and $4,000 per family starting in 2026.

  • 42 U.S.C. 18022(c)

    (B) 2027 and later.-- (i) In general.--In the case of any plan year beginning in a calendar year after 2026, the limitation under this paragraph shall be equal to the applicable dollar amount under subparagraph (A) for plan years beginning in 2026, increased by an amount equal to the product of that amount and the medical care component of the consumer price index for all urban consumers (as published by the Bureau of Labor Statistics) for that year.

    This provision adjusts the cost-sharing cap annually based on the Consumer Price Index, ensuring it keeps pace with medical cost inflation.

  • 42 U.S.C. 300gg-111 et seq.

    SEC. 2799A-6. CAP ON PRESCRIPTION DRUG COST-SHARING FOR GROUP HEALTH PLANS. A group health plan and health insurance issuer offering group health insurance coverage shall ensure that any cost-sharing imposed under the plan or coverage with respect to prescription drugs covered by the plan or coverage does not exceed the limitations provided for under paragraph (5) of section 1302(c) of the Patient Protection and Affordable Care Act.

    The bill enforces the prescription drug cost-sharing cap on group health plans, ensuring they adhere to the same limits as individual health plans.

  • 29 U.S.C. 1185 et seq.

    SEC. 721. CAP ON PRESCRIPTION DRUG COST-SHARING. A group health plan and health insurance issuer offering group health insurance coverage shall ensure that any cost-sharing imposed under the plan or coverage with respect to prescription drugs covered by the plan or coverage does not exceed the limitations provided for under paragraph (5) of section 1302(c) of the Patient Protection and Affordable Care Act.

    This amendment applies the prescription drug cost-sharing cap under the Employee Retirement Income Security Act (ERISA).

  • 26 U.S.C. 9820

    SEC. 9821. CAP ON PRESCRIPTION DRUG COST-SHARING. A group health plan shall ensure that any cost-sharing imposed under the plan with respect to prescription drugs covered by the plan does not exceed the limitations provided for under paragraph (5) of section 1302(c) of the Patient Protection and Affordable Care Act.

    This establishes the prescription drug cost-sharing cap under the Internal Revenue Code, affecting health savings accounts and similar plans.

Action History

  1. Introduced in Senate

  2. Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Sponsors

Sponsorship breakdown

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1 sponsors · 13 co-sponsors · 533 not signed on

Sponsors (1)

Co-sponsors (13)

Not signed on (533)

533 members have not signed on to this bill.

Show all 533 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors S 529?
S 529 is sponsored by Warnock, Raphael G. (Democratic), Baldwin, Tammy (Democratic), Booker, Cory A. (Democratic), Blumenthal, Richard (Democratic), Fetterman, John (Democratic), Gillibrand, Kirsten E. (Democratic), Heinrich, Martin (Democratic), Kim, Andy (Democratic), Klobuchar, Amy (Democratic), Murray, Patty (Democratic), Welch, Peter (Democratic), Alsobrooks, Angela D. (Democratic), Luján, Ben Ray (Democratic), and Gallego, Ruben (Democratic).
What is the current status of S 529?
This bill is in committee in the Senate. Introduced February 11, 2025. It must pass committee before a floor vote.
Where can I track S 529?
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