Out-of-pocket drug costs would count toward insurance deductibles
In committeeH.R. 8270Latest action
Sponsor: Gregory F. Murphy · Representative · NC
AIDecoded by AI · checked against the recordRead the official text
Official title: Every Dollar Counts Act of 2026
119th Congress
Topics: Health care
Introduced:
Read the official bill on Congress.govIn plain words
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Starting 2027, money you spend on prescription drugs out of pocket would count toward your deductible and yearly spending cap.
45-second read · 4 questions answered below
What does this do?
This bill says that if you pay the full price for a prescription drug yourself instead of using your insurance, that spending still counts toward your deductible and out-of-pocket maximum. It also changes how two Medicaid drug-price calculations work so that cash-pay discounts are not included in those formulas. These rules would start with insurance plan years beginning on or after January 1, 2027.
Who does it affect?
People covered by employer health plans or individual health insurance would be affected. Medicaid drug-pricing rules would also change for drug manufacturers.
Why does it matter?
People who pay cash for a drug could reach their deductible or out-of-pocket cap sooner in years when they buy a drug without using their insurance. The Medicaid pricing changes would affect how certain drug discounts are counted in government calculations.
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Where does it stand?
- IntroducedApr 14, 2026
- House committeeYou are here · Apr 14, 2026
- House vote
- Senate
- The 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.
Latest action: — Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and 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.