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HR 5197 · in committee · significant

Protect Beneficiaries from Middlemen Act

What this bill does

  • This bill caps what Medicare patients pay for prescription drugs at the lower of the average net price or cash price.
  • Medicare beneficiaries and Medicare Advantage enrollees are affected by the cost-sharing changes.
  • The Government Accountability Office must report on how the bill is implemented.

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Community Threads

Started by Cosponsor

  1. 01

    How would capping patient costs at the lower of average net price or cash price affect pharmaceutical companies' pricing strategies and drug development incentives?

  2. 02

    Which Medicare beneficiaries would see the most significant savings under this bill, and could it create disparities between different enrollment types?

  3. 03

    What unintended consequences might arise if patients pay less than insurers' negotiated prices, and how could this affect the overall Medicare drug market?

Cosponsor writes these to seed civic discussion — they aren't user posts. Sign in to reply.

Sponsor · R-NY-11

Nicole Malliotakis

Citizen cosponsors

0

In Congress

0/ 435

House Reps cosponsoring

Introduced 2025-09-08

Legislative timeline

  1. 2025-09-08 · house · IntroReferral

    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.

  2. 2025-09-08 · house · IntroReferral

    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.

  3. 2025-09-08 · IntroReferral

    Introduced in House

  4. 2025-09-08 · IntroReferral

    Introduced in House

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