PlainBillCongress, translated.Legislation. Context. Public interest.Placed on Senate Legislative Calendar under General Orders. Calendar No. 133.
Congressional Research Service
Version 25 · Reported to Senate · Jul 8, 2019
Lower Health Care Costs Act
This bill makes a series of changes relating to health care coverage, costs, and services.
Among other things, the bill
Showing the opening paragraphs of the official summary.
applies in-network cost-sharing requirements to certain emergency and related nonemergency services that are provided out-of-network, and prohibits health care facilities and practitioners from billing above the applicable in-network cost-sharing rate for such services;
revises certain requirements in order to expedite the approval of generics and biosimilars, including requirements relating to citizen petitions, application effective dates, and labeling;
requires health care facilities and practitioners to give patients a list of provided services upon discharge and to bill for such services within 45 days;
limits prices that pharmacy benefit managers (PBMs) may charge health insurers or enrollees for prescription drugs, based on prices paid by PBMs to pharmacies;
establishes grant programs to support vaccinations and data modernization; and
requires health insurers to make certain information, including estimated out-of-pocket costs, accessible to enrollees through specified technology (e.g., mobile applications).
The bill also makes several additional changes relating to public health, including raising the minimum age to purchase tobacco products from 18 to 21.
People & committees
Sen. Alexander, Lamar [R-TN] · R–TN
Legislative record
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Placed on Senate Legislative Calendar under General Orders. Calendar No. 133.
Committee on Health, Education, Labor, and Pensions. Reported by Senator Alexander with an amendment in the nature of a substitute. Without written report.
Committee on Health, Education, Labor, and Pensions. Reported by Senator Alexander with an amendment in the nature of a substitute. Without written report.
Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Introduced in Senate
Primary sources
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Source last updated: Apr 21, 2025. Consult Congress.gov for the current record.
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