Some Medicare Part D members could pay less for certain long-term medicines. Plans that charge a percentage of the drug price would have to base it on the lower price after manufacturer discounts. The rule would start in 2025 if the bill became law.
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Share the Savings with Seniors Act is a House bill in Congress.
Who this affects: This bill mainly affects Medicare Part D members who take covered medicines for long-term conditions. It matters most for people whose plans charge a percentage of the drug price instead of a flat copay. It also affects low-income Medicare members who get extra help paying for Part D drugs. Drug plans, Medicare Advantage drug plans, pharmacy benefit managers, manufacturers, and federal health officials would also need to adjust to the new pricing rule.
Why this matters: Many seniors pay for long-term medicines every month, and even small price changes can matter. This bill would move some patient costs away from higher sticker prices and toward prices after manufacturer discounts. That could lower pharmacy costs for some people with chronic illnesses. The larger effects are uncertain because plans, manufacturers, and pharmacy benefit managers could change prices, rebates, premiums, or drug coverage in response.
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