United States · Bill · S
S. 1895 (116th)
Lower Health Care Costs Act
Introduced
19 June 2019
Last action
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Status
Placed on Senate Legislative Calendar under General Orders. Calendar No. 133.
Sponsors
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Subjects
Discovery layer
Source updated
21 April 2025
Summary
Lower Health Care Costs Act This bill makes a series of changes relating to health care coverage, costs, and services. Among other things, the bill applies in-network cost-sharing requirements to certain emergency and related nonemergency services that are provided out-of-network, and prohibits health care facilities and practitioners from billing above the applicable in-network cost-sharing rate for such services; revises certain requirements in order to expedite the approval of generics and biosimilars, including requirements relating to citizen petitions, application effective dates, and labeling; requires health care facilities and practitioners to give patients a list of provided services upon discharge and to bill for such services within 45 days; limits prices that pharmacy benefit managers (PBMs) may charge health insurers or enrollees for prescription drugs, based on prices paid by PBMs to pharmacies; establishes grant programs to support vaccinations and data modernization; and requires health insurers to make certain information, including estimated out-of-pocket costs, accessible to enrollees through specified technology (e.g., mobile applications).
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Timeline
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Votes
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Versions
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Documents
6 official files
Reported to Senate (text)
Reported to Senate · EN · 8 July 2019
Reported to Senate (PDF)
Reported to Senate · EN · 8 July 2019
Reported to Senate
summary · EN · 8 July 2019
Introduced in Senate (text)
Introduced in Senate · EN · 19 June 2019
Introduced in Senate (PDF)
Introduced in Senate · EN · 19 June 2019
Introduced in Senate
summary · EN · 19 June 2019
Sponsors
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Related records
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Sources
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- Official source: https://www.congress.gov/bill/116th-congress/senate-bill/1895
- Open data entity: https://api.congress.gov/v3/bill/116/s/1895