{"@context":"https://schema.org","@type":"Legislation","name":"Lower Health Care Costs Act","description":"

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).

The bill also makes several additional changes relating to public health, including raising the minimum age to purchase tobacco products from 18 to 21.

","legislationIdentifier":"S 1895","legislationType":"Bill","legislationLegalForce":"NotInForce","legislationJurisdiction":"USA","author":[{"@type":"Person","name":"Lamar Alexander","url":"https://legisdaily.com/mp/lamar-alexander-us"}],"about":{"@type":"Thing","name":"Health"},"keywords":"Aviation and airports, Blood and blood diseases, Child health, Civil actions and liability, Competition and antitrust, Computers and information technology, Computer security and identity theft, Congressional oversight, Disability and health-based discrimination, Drug, alcohol, tobacco use, Drug safety, medical device, and laboratory regulation, Education programs funding, Emergency medical services and trauma care, Employee benefits and pensions, Government information and archives, Government studies and investigations, Health care costs and insurance, Health care coverage and access, Health care quality, Health facilities and institutions, Health information and medical records, Health personnel, Health programs administration and funding, Health promotion and preventive care, Health technology, devices, supplies, Home and outpatient care, Immunology and vaccination, Indian social and development programs, Intellectual property, Licensing and registrations, Medical education, Mental health, Minority health, Nursing, Nutrition and diet, Physical fitness and lifestyle, Prescription drugs, Public participation and lobbying, Public-private cooperation, Right of privacy, Women's health","dateModified":"2025-04-21T00:00:00.000Z","url":"https://legisdaily.com/bill/USA-116-S-1895"}

Lamar Alexander

Health, Education, Labor, and Pensions Committee

Lamar Alexander

Health, Education, Labor, and Pensions Committee