United States · Bill · HR
H.R. 5197 (119th)
Protect Beneficiaries from Middlemen Act
Introduced
8 September 2025
Last action
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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.
Sponsors
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Subjects
Discovery layer
Source updated
2 December 2025
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.
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Documents
2 official files
Introduced in House
Introduced in House
Introduced in House · EN · 8 September 2025
Introduced in House
summary · EN · 8 September 2025
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Sources
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- Official source: https://www.congress.gov/bill/119th-congress/house-bill/5197
- Open data entity: https://api.congress.gov/v3/bill/119/hr/5197