Medicare Part D Prescription Drug out-of-pocket caps proposed to be eliminated - H.B. 191

This information is offered without any political slant or endorsement. It’s just the facts.

H.R.191 - To repeal the Inflation Reduction Act of 2022. 119th Congress (2025-2026), Rep. Ogles, Andrew [R-TN-5] (Introduced 01/03/2025)

The Inflation Reduction Act contains the law that limited Medicare out-of-pocket to $2000 per year (which just started this month) and allows patients to spread that $2000 evenly over the 12 months of the year. It also limits insulin out-of-pocket to $35 per year.

If the Act is repealed, patients on Medicare with Part D Prescription Drug Plans go back to open-ended catastrophic coverage, which could be more than $10,000 per year for some very expensive cancer drugs like Revlimid from Bristol-Myers Squibb.

Please contact your US Congress Member and US Senators to express your opinion about this Bill.

But it smell like greatness.

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Now, now. No politics!

This sounded like a great idea, but the Part D insurance companies just quit covering the one drug my wife uses that would have been over $2,000. So now we have to pay out of pocket for it. Now, neither of us even use our Part D plans because we can get cheaper prices through Mark Cubans Cost Plus or if they don’t carry it, GoodRx. And no deductible.

Try Drug Price Comparisons & Online Pharmacy Safety | PharmacyChecker.com to look for an offshore Rx. It pointed me to medicationscanada.com where I used to get my wife’s Eliquis after the insurance company refused to pay for what her doctor said was a vital, life-saving medication. Free Luigi indeed.

My wife was on a chemo drug that threw clots, but she’s not on it now. Oh, that chemo drug costs $10,000 per year out-of-pocket on Medicare Part D plans before the Inflation Reduction Act. We’re just going to have to cut $8,000 out of the budget if that comes around again. That’s not an easy or pleasant thing.

I’d feel less ill-used if we could bank on $8,000 in permanent tax cuts going forward relative to what it would be if the other person had been elected, then it would be break-even for us, but I’m not holding my breath. The tax fight this year will be one for the ages. As will the debt ceiling fight.