Skip to main content
H.R. 5197 119th Congress House

Protect Beneficiaries from Middlemen Act

Official title: To amend title XVIII of the Social Security Act to limit cost sharing for drugs under the Medicare program.

Introduced: September 8, 2025 Introduced by: Nicole Malliotakis Republican · New York See on congress.gov
Health
Sign in to write a letter Sign in to watch
 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Sep 8, 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.
Sep 8, 2025
Introduced in House
 Ask about this bill AI · grounded in the bill text

Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.

AI answers can be imperfect; always confirm against the full bill text.

What's happening now September 8, 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.

 Plain-English summary Congressional Research Service

Protect Beneficiaries from Middlemen Act

This bill limits cost-sharing for covered drugs under the Medicare prescription drug benefit and Medicare Advantage.

Specifically, for costs above the deductible but below the annual out-of-pocket threshold, the bill limits cost-sharing to the average net price of the drug (i.e., the average amount paid less any rebates) or the cash price (i.e., the price charged to an individual without insurance), whichever is lower. 

The Government Accountability Office must report on the bill's implementation.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
 Lobbying activity 8

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

Bodies those filers lobbied

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

See all 8 filings →
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 5197: Protect Beneficiaries from Middlemen Act. 119th Congress. Open America. https://openamerica.io/bill/119-HR-5197/
MLA
"H.R. 5197: Protect Beneficiaries from Middlemen Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-5197/.
Bluebook (legal)
H.R. 5197, 119th Cong. (2026), https://openamerica.io/bill/119-HR-5197/.
Markdown link
[H.R. 5197: Protect Beneficiaries from Middlemen Act](https://openamerica.io/bill/119-HR-5197/)
Report a problem