US Federal 2025-2026 Regular Session

US Federal House Bill HB8143

Introduced
3/27/26  

Caption

Ensuring Access to Lower-Cost Medicines for Seniors Act of 2026.

Impact

The legislation is expected to significantly impact state laws related to healthcare access, particularly addressing the pricing and availability of medications for seniors. By requiring the inclusion of lower-cost alternatives on formularies, the bill is designed to alleviate the financial burden on Medicare recipients, potentially leading to enhanced health outcomes as patients are more likely to adhere to prescribed therapies. The bill is aimed at fostering competition among drug manufacturers which could help in reducing overall costs in the healthcare system.

Summary

House Bill 8143, titled 'Ensuring Access to Lower-Cost Medicines for Seniors Act of 2026,' primarily aims to enhance the accessibility and affordability of prescription drugs for Medicare beneficiaries. The bill amends Title XVIII of the Social Security Act, specifically targeting prescription drug plans under Part D. It mandates that sponsors of such plans include certain generic drugs and biosimilar biological products in a preferred position on their formularies, thus making them more accessible and cost-effective for enrollees.

Contention

Despite its intentions, the bill does not come without points of contention. Critics may argue that mandating the inclusion of certain drugs on formularies could limit the ability of drug plan sponsors to make their own formulary decisions based on clinical efficacy and patient needs. Additionally, there could be concerns about the implications for drug development if pharmaceutical companies perceive that the price controls effectively stifle innovation in new medication development. Opponents may also highlight potential bureaucratic challenges arising from compliance with new regulatory requirements.

Companion Bills

No companion bills found.

Previously Filed As

US SB4323

Ensuring Access to Lower-Cost Medicines for Seniors Act

US HB950

Saving Seniors Money on Prescriptions Act

US SB140

To Mandate The Use Of Biosimilar Medicines Under Health Benefit Plans; To Require A Healthcare Provider To Prescribe Biosimilar Medicines; And To Improve Access To Biosimilar Medicines.

US HB7096

Ensuring Seniors’ Access to Quality Care Act

US A1510

Improves access to lower-cost generic and biosimilar drugs.

US SB2793

Ensuring Access to Essential Providers Act of 2025

US HB6401

Increasing Medication Access for Seniors Act of 2025

US SB1717

Ensuring Patient Access to Critical Breakthrough Products Act of 2025

US HB1922

Ensuring Access to Essential Drugs Act

US HB2484

Seniors’ Access to Critical Medications Act of 2025

Similar Bills

NJ A1510

Improves access to lower-cost generic and biosimilar drugs.

US SB1096

Preserve Access to Affordable Generics and Biosimilars Act

AR SB140

To Mandate The Use Of Biosimilar Medicines Under Health Benefit Plans; To Require A Healthcare Provider To Prescribe Biosimilar Medicines; And To Improve Access To Biosimilar Medicines.

LA HB870

Provides relative to formulary placement and cost-sharing requirements for certain generic drugs and biosimilars (RE1 NO IMPACT See Note)

TN SB0436

AN ACT to amend Tennessee Code Annotated, Title 4; Title 53; Title 56; Title 68 and Title 71, relative to biosimilar medicine.

TN HB1198

AN ACT to amend Tennessee Code Annotated, Title 4; Title 53; Title 56; Title 68 and Title 71, relative to biosimilar medicine.

NY A11256

Requires health plan coverage to include generic drugs and biosimilars where the wholesale acquisition cost of such generic drugs or biosimilars is lower than the brand drug's wholesale acquisition cost.

US SB3510

Biosimilar Inspection Modernization Act of 2025