WeVote
Log In

Bill

Bill

HR 10185

Part D Premium Protection Act of 2026

119th Congress Introduced by Gus Bilirakis

The bill would create a 2027 Medicare Part D premium credit to reduce enrollees’ annual PDP costs by offsetting part of their standard premiums.

Introduced in House
0
WeVote Research Nonpartisan
Bill Summary · HR 10185

Overview

HR 10185, the Part D Premium Protection Act of 2026, would require the Secretary of Health and Human Services to create a temporary premium credit for enrollees in Medicare Part D prescription drug plans (PDPs) for the year 2027. The credit is designed to reduce the out-of-pocket premium burden on Part D enrollees by offsetting a portion of their standard premium charges.

Purpose and intent

  • Provide temporary financial relief to Part D enrollees by reducing their annual PDP premiums in 2027.
  • Mirror or reference prior demonstrated premium reductions found in the Part D Premium Stabilization Demonstration initiated by the Centers for Medicare & Medicaid Services (CMS) as described in a 2024 CMS announcement.

Key provisions and changes

  • Establishment of a 2027 premium credit:
    • The Secretary must establish a premium credit for enrollees in PDPs.
    • The credit amount equals the average premium reduction experienced by enrollees in participating PDPs under the Part D Premium Stabilization Demonstration, calculated using premium data from January 1, 2025, through the last day of 2026 (to the extent data are available).
  • Administration process (how the credit would work in practice):
    • PDP sponsors must be notified by the Secretary of the credit amount.
    • PDP sponsors would charge enrollees the regular premium amount for 2027 minus the credit amount for each enrollee.
    • The calculated charge cannot be less than zero dollars (i.e., it cannot result in a negative premium).
    • The Secretary would pay the credit amount that is subtracted from each enrollee’s premium directly to the PDP sponsor.

affected parties

  • Primary: Medicare Part D enrollees (individuals enrolled in PDPs).
  • PDP sponsors (insurers and plans offering Part D coverage).
  • CMS/Secretary of Health and Human Services, who would administer and disburse the credit.

Procedural and timeline aspects

  • Timeframe: The credit applies to the 2027 plan year.
  • Calculation basis: Uses historical premium data from 2025 through 2026 (as available) and the average premium reduction experienced under the 2024-implemented Premium Stabilization Demonstration.
  • Implementation: The Secretary must establish a formal administrative process to determine the credit amount, notify PDP sponsors, adjust premium billing for 2027, and reimburse sponsors for the credit amounts.

Notes

  • The bill is introduced in the 119th Congress and is sponsored by Rep. Bilirakis, with a co-sponsor listed as Gus Bilirakis.
  • The bill references existing statutory constructs for Part D and CMS demonstration programs, tying the credit to a previously described premium stabilization mechanism.

This summary presents the bill’s core aims, how the proposed premium credit would operate, who it would affect, and the key dates and procedural steps involved.

Compiled from official sources — confirm details with the bill’s official record.

Sign in to ask a question.