Lower Health Care Costs Act

openUnited States· United States Congress· EN

Introduced

19 June 2019

Last action

8 July 2019 · Reported

Status

Placed on Senate Legislative Calendar under General Orders. Calendar No. 133.

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).

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

19 June 2019
Introduced
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Source: IntroReferral
19 June 2019
Introduced
Introduced in Senate
Source: IntroReferral
26 June 2019
Reported
Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.
Source: Committee
8 July 2019
Calendars
Placed on Senate Legislative Calendar under General Orders. Calendar No. 133.
Source: Calendars
8 July 2019
Reported
Committee on Health, Education, Labor, and Pensions. Reported by Senator Alexander with an amendment in the nature of a substitute. Without written report.
Source: Committee
8 July 2019
Reported
Committee on Health, Education, Labor, and Pensions. Reported by Senator Alexander with an amendment in the nature of a substitute. Without written report.
Source: Committee

Votes

No vote records are attached yet.

Versions

Reported to Senate · 8 July 2019 · Download file
Introduced in Senate · 19 June 2019 · Download file

Documents

6 official files

Reported to Senate (text)

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Reported to Senate (text)
Reported to Senate · EN · 8 July 2019
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Reported to Senate (PDF)
Reported to Senate · EN · 8 July 2019
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Reported to Senate
summary · EN · 8 July 2019
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Introduced in Senate (text)
Introduced in Senate · EN · 19 June 2019
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Introduced in Senate (PDF)
Introduced in Senate · EN · 19 June 2019
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Introduced in Senate
summary · EN · 19 June 2019
Open at official source
Leesvertaling
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Related records

related to → CREATES Act of 2019
related to → Protecting Access to Biosimilars Act of 2019
related to → More Efficient Tools to Realize Information for Consumers Act
related to → Community and Public Health Programs Extension Act
related to → Biologic Patent Transparency Act
related to → Protecting Access to Biosimilars Act of 2019
related to → Fair Accountability and Innovative Research Drug Pricing Act of 2019
related to → ECHO 2019 Act
related to ← Excellence in Maternal Health Act of 2019
related to ← Advancing Education on Biosimilars Act of 2019
related to ← Protecting Access to Safe and Effective Medicines Act of 2019
related to ← ECHO Act of 2019
related to ← PBM Transparency in Prescription Drug Costs Act
related to ← Public Health Infrastructure Modernization Act of 2019
related to ← Promoting Better Patient Data Security Act of 2019
related to ← MODERN Labeling Act of 2020

Showing 16 of 24 related records.

Sources

PoliticalRepo is an index and interpretation layer, not the authoritative legal source.

Official source: https://www.congress.gov/bill/116th-congress/senate-bill/1895
Open data entity: https://api.congress.gov/v3/bill/116/s/1895
us · 116-s-1895 · source updated 21 April 2025