Bill Detail
H.R. 5197
Congress: 119
Title
Protect Beneficiaries from Middlemen Act
Summary
Protect Beneficiaries from Middlemen Act This bill limits cost-sharing for covered drugs under the Medicare prescription drug benefit and Medicare Advantage. Specifically, for costs above the deductible but below the annual out-of-pocket threshold, the bill limits cost-sharing to the average net price of the drug (i.e., the average amount paid less any rebates) or the cash price (i.e., the price charged to an individual without insurance), whichever is lower. The Government Accountability Office must report on the bill's implementation.
Sponsor
Rep. Nicole Malliotakis [R-NY-11]
Status
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.
Status as of Aug 5, 6:38 PM · synced 8d ago
Introduced
2025-09-08
Data source mode: congress-gov
Bill Engagement
Protect Beneficiaries from Middlemen Act This bill limits cost-sharing for covered drugs under the Medicare prescription drug benefit and Medicare Advantage.
Lobbyists on the case
- Chamber of Commerce of the U.S.A.2 filings · 54 lobs
- Kelly Anderson2026 Q1
- Neil Bradley2026 Q1
Prepared intelligence brief
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