Medicare Cost Cap Act of 2026

The Medicare Cost Cap Act of 2026 establishes a $5,000 annual limit on out-of-pocket costs for Medicare fee-for-service beneficiaries starting in 2028, after which Medicare will cover 100% of additional covered expenses. This protection applies to all individuals enrolled in Medicare Part A or Part B and includes tracking mechanisms to notify patients and providers once the cap is reached. The bill also modifies eligibility rules for low-income assistance programs, aligning income thresholds between Medicare Savings Programs and Medicaid and expanding data sharing to streamline enrollment for qualifying beneficiaries.