H.R. 4299In committeeHealth care
Medicare drug rebates replace direct price cuts for Part B
Data as of July 11, 2026
Instead of selling drugs at a lower price upfront, manufacturers could charge full price and pay Medicare back the difference later.50-second read · 5 questions answered below
Decoded
What does this do?
This bill changes how drug companies deliver price reductions on certain high-cost drugs, like cancer treatments given in a doctor's office or hospital. Instead of charging the lower negotiated price at the point of sale, manufacturers could charge their standard price and send the difference to Medicare as a rebate afterward. Patients would still pay out-of-pocket costs based on the lower negotiated price.
Who does it affect?
Drug manufacturers that take part in Medicare's drug price negotiation program are directly affected. Medicare patients who receive these high-cost drugs in clinical settings, such as cancer treatment, are also affected.
Why does it matter?
This changes when and how the government collects the savings from negotiated drug prices. The rebate money manufacturers pay would go into the Medicare trust fund.
What does it cost, and who pays?
- Manufacturers pay rebate to Medicare
- Rebate funds Medicare trust fund
Where does it stand?
- Introduced
- House committee — You are here
- House vote
- Senate
- President's desk
Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the President.
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Official title
Protecting Patient Access to Cancer and Complex Therapies Act
- Introduced:
- July 7, 2025
- Latest action:
- July 7, 2025
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.
Read the official bill on Congress.govMake the call
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