H.R. 6401

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6401 Introduced in House (IH)]

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119th CONGRESS
1st Session
H. R. 6401

To require the Secretary of Health and Human Services to submit to 
Congress a report on the option to elect to pay cost-sharing under a 
prescription drug plan or MA-PD plan in monthly capped amounts.

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IN THE HOUSE OF REPRESENTATIVES

December 3, 2025

Mrs. Kiggans of Virginia (for herself and Mr. Krishnamoorthi) 
introduced the following bill; which was referred to the Committee on 
Energy and Commerce, and in addition to the Committee on Ways and 
Means, for a period to be subsequently determined by the Speaker, in 
each case for consideration of such provisions as fall within the 
jurisdiction of the committee concerned

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A BILL

To require the Secretary of Health and Human Services to submit to 
Congress a report on the option to elect to pay cost-sharing under a 
prescription drug plan or MA-PD plan in monthly capped amounts.

Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the ``Increasing Medication Access for 
Seniors Act of 2025''.

SEC. 2. REPORTS ON MEDICARE PART D MONTHLY CAPPED COST-SHARING OPTION.

(a) Reports.--Not later than the date that is 3 months after the 
date of the enactment of this section, not less frequently than every 3 
months thereafter until the date that is 1 year after the date of the 
enactment of this section, and not less frequently than annually 
thereafter until March 31, 2031, the Secretary of Health and Human 
Services (in this section referred to as the ``Secretary'') shall 
submit to Congress a report on the option to elect to pay cost-sharing 
under a prescription drug plan or MA-PD plan in monthly capped amounts 
under section 1860D-2(b)(2)(E)(i) of the Social Security Act (42 U.S.C. 
1395w-102(b)(2)(E)(i)), including, with respect to the 1-year period 
ending on the date that is 1 year before the date on which the report 
is required to be submitted--
(1) the number of Medicare part D enrollees who made such 
an election during such period, including--
(A) the number of such enrollees residing in each 
census region (as designated by the Bureau of the 
Census);
(B) the number of such enrollees who are enrolled 
in a prescription drug plan; and
(C) the number of such enrollees who are enrolled 
in an MA-PD plan;
(2) an estimate of the number of Medicare part D enrollees 
who did not make such an election and incurred out-of-pocket 
costs with respect to covered part D drugs during such period 
that make it likely such enrollees may benefit from making such 
an election, as determined by the Secretary;
(3) a description of any steps taken by the Secretary 
during such period to implement a mechanism to allow a Medicare 
part D enrollee to make such election at the point-of-sale of a 
covered part D drug, including information on how such a 
mechanism may be made available for every Medicare part D 
enrollee;
(4) a description of each method used by the Secretary 
during such period to facilitate making such an election, 
including--
(A) the Medicare.gov website;
(B) the notice distributed pursuant to section 
1804(a) of the Social Security Act (42 U.S.C. 1395b-
2(a)) (commonly known as the Medicare & You handbook);
(C) the toll-free telephone number 1-800-MEDICARE; 
and
(D) resources for health care providers; and
(5) a description of any other outreach efforts the 
Secretary conducted with respect to such option during such 
period, including outreach to--
(A) health care provider associations and 
societies;
(B) patient and consumer advocacy groups that 
represent Medicare part D enrollees;
(C) pharmacy benefit managers;
(D) pharmacies; and
(E) health insurance providers.
(b) Definitions.--In this section:
(1) Medicare part d enrollee.--The term ``Medicare part D 
enrollee'' means an individual enrolled in a prescription drug 
plan or MA-PD plan under part D of title XVIII of the Social 
Security Act (42 U.S.C. 1395w-101 et seq.).
(2) Medicare part d terms.--The terms ``covered part D 
drug'', ``prescription drug plan'', and ``MA-PD plan'' have the 
meanings given each such term in part D of title XVIII of the 
Social Security Act (42 U.S.C. 1395w-101 et seq.).
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