HR 6171 United States House · 119th Congress

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
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Full legislative history

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2
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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
Photo of Jake Auchincloss
Jake Auchincloss
DDemocratic
MA
4