United StatesDrug middlemen would face payment limits under Medicare and Medicaid
Starting with 2028 plan years, companies managing Medicare drug benefits would generally charge flat fees for actual services instead of fees tied to drug prices.
What it does
For plan years beginning in 2028, companies managing Medicare drug benefits would generally receive flat fees for actual services rather than fees tied to drug prices.
For contracts taking effect at least 18 months after enactment, Medicaid would deny federal matching money for retained drug-price differences beyond an allowed administrative fee.
Starting 450 days after enactment, lodging sellers would show mandatory service fees upfront. Government charges could appear later, before purchase; optional extras could remain separate.
Beginning 180 days after enactment, sellers of tickets to covered public live events would display mandatory fees and taxes upfront. Venues must hold more than 200 people.
Covered websites and apps would remove intimate images shared without consent within 48 hours of a valid request. They would establish a request process within one year of enactment.
Argument forShowing required fees upfront could help travelers and eventgoers compare prices before spending time on a purchase.
Argument againstThe short removal deadline and protection for good-faith removals could push platforms to remove disputed images before fully checking consent.
More detail
Medicare drug plans would require drug middlemen and their related companies to follow limits on service fees. The rules would also cover companies managing drug benefits for Medicare Advantage plans. Fees for actual services would generally be flat dollar amounts that reflect fair value and do not depend on drug prices. Certain flat incentive payments for services would also qualify. The requirements would apply to plan years beginning on or after January 1, 2028.
Federal Medicaid money would not cover drug middlemen's retained price differences beyond an allowed administrative fee. This would cover state contracts with drug middlemen and managed care companies handling Medicaid outpatient drugs. The allowed administrative fee would have to reflect the fair value of services. The rules would apply to contracts taking effect on or after the date that is 18 months after enactment.
Hotels, short-term rentals, and booking sellers would show prices that include mandatory service fees. Government charges would have to be disclosed before the final purchase. Optional extras could be left out of the displayed total. The price rule would apply to advertisements and offers made on or after the date that is 450 days after enactment.
Event ticket sellers and resale platforms would show the total required price from the first price display through checkout. The rule would cover public live events at venues holding more than 200 people, when tickets or promotions cross state lines. The total would include mandatory fees and taxes. Optional products and services could remain separate.
Covered websites and apps would remove intimate images shared without consent after a valid request. Coverage would include public platforms mainly hosting user content or routinely publishing or hosting intimate images shared without consent. Platforms would also make reasonable efforts to find and remove known identical copies. Email and internet access providers would be excluded. Sites mainly showing publisher-selected content with incidental user interaction would be excluded unless they routinely host these images.
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2025
- Mar 3Introduced in HouseLatest
- Mar 3Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, the Budget, the Judiciary, and Education and Workforce, 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.Introduced
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