,,ii  #aaith ,,congress  #ast ,session  
,s4 #ebi  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,february #aa1      
#bjbe,mr4 ,warnock 7for himself1 ,ms4   
,baldwin1 ,mr4 ,booker1 ,mr4            
,blumenthal1 ,mr4 ,fetterman1 ,mrs4     
,gillibrand1 ,mr4 ,heinrich1 ,mr4 ,kim1 
,ms4 ,klobuchar1 ,mrs4 ,murray1 and ,mr4
 ,welch7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions  ,a ,,bill  ,to   
limit cost-sharing for prescription     
drugs1 and for other purposes4  #a4     
,short title ,this ,act may be cited as 
the ,capping ,prescription ,costs ,act  
of #bjbe4  #b4 ,cap on prescription drug
 cost-sharing  7a7 ,qualified health    
plans ,section #acjb7;c7 of the ,patient
 ,protection and ,affordable ,care ,act 
7#db ,u4,s4,c4 #ahjbb7;c77 is amended-- 
7#a7 in paragraph 7#c77;,a77i71 by      
inserting 1 including cost-sharing with 
respect to prescription drugs covered by
 the plan after charges2 and  7#b7 by   

adding at the end the following3  7#e7  
,prescription drug cost-sharing  7,a7   
#bjbf ,for plan years beginning in      
#bjbf1 the cost-sharing incurred under a
 health plan with respect to            
prescription drugs covered by the plan  
shall not exceed #b1jjj per year for    
each enrolled individual1 or #d1jjj per 
year for each family4  7,b7 #bjbg and   
later  7i7 ,in general ,in the case of  
any plan year beginning in a calendar   
year after #bjbf1 the limitation under  
this paragraph shall be equal to the    
applicable dollar amount under          
subparagraph 7,a7 for plan years        
beginning in #bjbf1 increased by an     
amount equal to the product of that     
amount and the medical care component of
 the consumer price index for all urban 
consumers 7as published by the ,bureau  
of ,labor ,statistics7 for that year4   
7ii7 ,adjustment to amount ,if the      
amount of any increase under clause 7i7 
is not a multiple of #e1 such increase  
shall be rounded to the next lowest     

multiple of #e4  4  7b7 ,group health   
plans  7#a7 ,public ,health ,service    
,act ,part ,d of title ,,xxvii of the   
,public ,health ,service ,act 7#db      
,u4,s4,c4 #cjj;gg-#aaa et seq47 is      
amended by inserting after section      
#bgii;,a-#e 7#db ,u4,s4,c4 #cjj;gg-#aae7
 the following3  #bgii;,a-#f4 ,cap on   
prescription drug cost-sharing for group
 health plans ,a group health plan and  
health insurance issuer offering group  
health insurance coverage shall ensure  
that any cost-sharing imposed under the 
plan or coverage with respect to        
prescription drugs covered by the plan  
or coverage does not exceed the         
limitations provided for under paragraph
 7#e7 of section #acjb7;c7 of the       
,patient ,protection and ,affordable    
,care ,act4  4  7#b7 ,employee          
,retirement ,income ,security ,act  7,a7
 ,in general ,subpart ,b of part #g of  
subtitle ,b of title ,i of the ,employee
 ,retirement ,income ,security ,act 7#bi
 ,u4,s4,c4 #aahe et seq47 is amended by 

inserting after section #gbj 7#bi       
,u4,s4,c4 #aahe;i7 the following3  #gba4
 ,cap on prescription drug cost-sharing 
,a group health plan and health         
insurance issuer offering group health  
insurance coverage shall ensure that any
 cost-sharing imposed under the plan or 
coverage with respect to prescription   
drugs covered by the plan or coverage   
does not exceed the limitations provided
 for under paragraph 7#e7 of section    
#acjb7;c7 of the ,patient ,protection   
and ,affordable ,care ,act4  4  7,b7    
,clerical amendment ,the table of       
contents in section #a of the ,employee 
,retirement ,income ,security ,act of   
#aigd 7#bi ,u4,s4,c4 #ajja note7 is     
amended by inserting after the item     
relating to section #gbj the following3 
,sec4 #gba4 ,cap on prescription drug   
cost-sharing  4  7#c7 ,internal ,revenue
 ,code of #aihf  7,a7 ,in general       
,subchapter ,b of chapter #ajj of the   
,internal ,revenue ,code of #aihf is    
amended by inserting after section #ihbj

 the following3  #ihba4 ,cap on         
prescription drug cost-sharing ,a group 
health plan shall ensure that any       
cost-sharing imposed under the plan with
 respect to prescription drugs covered  
by the plan does not exceed the         
limitations provided for under paragraph
 7#e7 of section #acjb7;c7 of the       
,patient ,protection and ,affordable    
,care ,act4  4  7,b7 ,clerical amendment
 ,the table of sections for subchapter  
,b of chapter #ajj of the ,internal     
,revenue ,code of #aihf is amended by   
inserting after the item relating to    
section #ihbj the following3  ,sec4     
#ihba4 ,cap on prescription drug        
cost-sharing  4  7c7 ,effective date    
,the amendments made by subsections 7a7 
and 7b7 shall take effect with respect  
to plan years beginning on or after     
,january #a1 #bjbf4