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HR 5094
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Protect Patients from Costly Care Act

To repeal changes to Medicaid cost sharing requirements and the exclusion for orphan drugs under the Medicare Drug Price Negotiation Program.

Introduced Sep 2, 2025

Latest action (Sep 2, 2025) Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Referred to
Ways and Means Committee Energy and Commerce Committee
Policy area
Health
Issues
Healthcare

Summary

This bill repeals two provisions from a previous reconciliation act relating to Medicare and Medicaid programs. It reverses changes to Medicaid cost sharing requirements that were made in the prior act and rescinds the associated appropriations. It also reverses changes to the exclusion for orphan drugs under the Medicare Drug Price Negotiation Program. By repealing these sections, the bill restores the law to its prior state before these changes were enacted.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)
9 cosponsors

Actions (2)
  1. Sep 2, 2025 Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. · house
  2. Sep 2, 2025 Introduced in House

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

  • HR 6166 — Lowering Drug Costs for American Families Act · Introduced Nov 20, 2025 · Cong. 119 77%
  • HR 3580 — Oversight of Medicare Billing Code Cost Act · Introduced May 23, 2025 · Cong. 119 76%
  • HR 4299 — Protecting Patient Access to Cancer and Complex Therapies Act · Introduced Jul 7, 2025 · Cong. 119 75%
  • HR 9542 — Protecting Health Care and Lowering Costs Act of 2026 · Introduced Jun 30, 2026 · Cong. 119 75%
  • HR 4849 — Protecting Health Care and Lowering Costs Act of 2025 · Introduced Aug 1, 2025 · Cong. 119 75%
  • HR 4002 — Patient Access to Higher Quality Health Care Act of 2025 · Introduced Jun 12, 2025 · Cong. 119 75%

Text versions (1)
  • Introduced in House · Sep 2, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

Full text

IN THE HOUSE OF REPRESENTATIVES

September 2, 2025

Mr. Pappas (for himself, Mr. Jackson of Illinois, Mr. Ruiz, Ms. Norton, Mr. Fields, Mr. Larson of Connecticut, Ms. Goodlander, Mr. Thanedar, and Ms. Craig) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned

A BILL

To repeal changes to Medicaid cost sharing requirements and the exclusion for orphan drugs under the Medicare Drug Price Negotiation Program.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Protect Patients from Costly Care Act”.

SEC. 2. REPEAL OF CHANGES TO MEDICAID COST SHARING REQUIREMENTS.

(a) Repeal.—Section 71120 of the Act titled “An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14” (Public Law 119-21) is repealed and title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) shall be applied as if such section and the amendments made by such section had not been enacted.

(b) Rescission.—The amounts appropriated under section 71120(c) of the Act titled “An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14” (Public Law 119-21) are hereby rescinded.

SEC. 3. REPEAL OF CHANGES TO EXCLUSION FOR ORPHAN DRUGS UNDER THE DRUG PRICE NEGOTIATION PROGRAM.

Section 71203 of the Act titled “An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14” (Public Law 119-21) is repealed and title XI of the Social Security Act (42 U.S.C. 1301 et seq.) shall be applied as if such section and the amendments made by such section had not been enacted. <all>

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