ACA Copay CAP Act of 2025
In committee: it can still change before the session ends.
- Stage
- In committee
- Started in
- House
- Sponsor
- 1
- Latest action
- Nov 20, 2025
What it does
The ACA Copay CAP Act of 2025 would amend the Affordable Care Act to establish an annual out-of-pocket limit on prescription drug costs for individuals enrolled in health plans, effective for plan years beginning January 1, 2027. For self-only coverage, the limit would start at $2,000 in 2027 and increase annually based on premium adjustments, rounded to the nearest $50 increment; for family or other non-self-only coverage, the limit would be twice the self-only amount. The bill also includes conforming amendments to related provisions in the Affordable Care Act and the Public Health Service Act to ensure the drug cost-sharing limit is properly integrated into existing cost-sharing rules…
No official summary is available here. This one was written by AI from the bill’s text.
Where it stands
Introduced (Done)
Committee (Current step)
Floor (Not started)
Law (Not started)
What moved
Who is involved
Sponsors
The lawmakers who put their names on it, lead sponsors first.
In the news
Reporting that may mention this subject. Possible matches are labeled.
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Where it goes next
While a bill can still move, the questions are about people and money.