ACA Copay CAP Act of 2025
This bill amends the Affordable Care Act to establish an annual out-of-pocket spending cap for prescription drug cost-sharing under health insurance plans. For 2027, it sets a $2,000 limit for self-only coverage and $4,000 for family coverage (twice the self-only amount). The cap adjusts annually based on premium changes, rounded to the nearest $50 increment. It directly affects ACA planholders with prescription drug coverage, limiting their yearly cost-sharing expenses for medications starting in 2027.
Bill status
in committee
1 of 4 stages cleared
Introduction
Nov 2025
Committee Review
Floor Vote
President
Introduced Nov 20, 2025
Last action Nov 20, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
1
Nov 20, 2025
Committee
Referred to the House Committee on Energy and Commerce.
lower
Nov 20, 2025
Introduced
Introduced in House
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Jake Auchincloss
DDemocratic
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