I 

118TH CONGRESS 

1ST SESSION H. R. 5924 

To amend title XVIII of the Social Security Act with respect to the timing 

of changes to the annual out-of-pocket threshold for the Medicare prescription drug benefit, and to amend title XI of such Act with respect 

to the timing of the Medicare drug price negotiation program. 

IN THE HOUSE OF REPRESENTATIVES 

OCTOBER 11, 2023 

Mr. MAGAZINER introduced the following bill 

OCTOBER 25, 2023 

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 

A BILL 

To amend title XVIII of the Social Security Act with respect 

to the timing of changes to the annual out-of-pocket 

threshold for the Medicare prescription drug benefit, and 

to amend title XI of such Act with respect to the timing 

of the Medicare drug price negotiation program. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Lower Drug Costs 

5 Today Act’’. 


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1 SEC. 2. TIMING OF CHANGES TO ANNUAL OUT-OF-POCKET 

2 THRESHOLD FOR MEDICARE PRESCRIPTION 

3 DRUG BENEFIT. 

4 (a) IN GENERAL.—Section 1860D–2(b)(4)(B)(i) of 

5 the Social Security Act (42 U.S.C. 1395w– 

6 102(b)(4)(B)(i)) is amended— 

7 (1) in subclause (VI), by striking ‘‘2024’’ and 

8 inserting ‘‘2023’’; and 

9 (2) in subclause (VII), by striking ‘‘2025’’ and 

10 inserting ‘‘2024’’. 

11 (b) CONFORMING AMENDMENTS.— 

12 (1) Section 1860D–2 of the Social Security Act 

13 (42 U.S.C. 1395w–102) is amended— 

14 (A) in subsection (a)(2)(A)(i)(I), by strik15 ing ‘‘2025’’ and inserting ‘‘2024’’; 

16 (B) in subsection (b)— 

17 (i) in paragraph (2)— 

18 (I) in subparagraph (A), by strik19 ing ‘‘2025’’ each place it appears and 

20 inserting ‘‘2024’’; 

21 (II) in subparagraph (C)— 

22 (aa) in clause (i), by striking 

23 ‘‘2025’’ and inserting ‘‘2024’’; 

24 and 


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1 (bb) in clause (ii)(III), by 

2 striking ‘‘2024’’ and inserting 

3 ‘‘2023’’; 

4 (III) in subparagraph (D)— 

5 (aa) in clause (i)— 

6 (AA) in the matter pre7 ceding subclause (I), by 

8 striking ‘‘2025’’ and insert9 ing ‘‘2024’’; and 

10 (BB) in subclause 

11 (I)(bb), by striking ‘‘2024’’ 

12 and inserting ‘‘2023’’; and 

13 (bb) in clause (ii)(V), by 

14 striking ‘‘2024’’ and inserting 

15 ‘‘2023’’; and 

16 (IV) in subparagraph (E)(i), by 

17 striking ‘‘2025’’ and inserting 

18 ‘‘2024’’; 

19 (ii) in paragraph (3)(A)— 

20 (I) in the matter preceding clause 

21 (i), by striking ‘‘2025’’ and inserting 

22 ‘‘2024’’; and 

23 (II) in clause (ii), by striking 

24 ‘‘2024’’ and inserting ‘‘2023’’; and 

25 (iii) in paragraph (4)— 


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1 (I) in subparagraph (C)— 

2 (aa) in clause (i), by striking 

3 ‘‘2025’’ and inserting ‘‘2024’’; 

4 and 

5 (bb) in clause (iii)(II), by 

6 striking ‘‘2025’’ and inserting 

7 ‘‘2024’’; and 

8 (II) in subparagraph (E), by 

9 striking ‘‘2024’’ and inserting 

10 ‘‘2023’’; 

11 (C) in subsection (c)(1)(C)— 

12 (i) in the matter preceding clause (i), 

13 by striking ‘‘2025’’ each place it appears 

14 and inserting ‘‘2024’’; and 

15 (ii) in clause (i), by striking ‘‘2025’’ 

16 each place it appears and inserting 

17 ‘‘2024’’; and 

18 (D) in subsection (d)(1)(A), by striking 

19 ‘‘2025’’ and inserting ‘‘2024’’. 

20 (2) Section 1860D–4(a)(4)(B)(i) of the Social 

21 Security Act (42 U.S.C. 1395w–104(a)(4)(B)(i)) is 

22 amended by striking ‘‘2025’’ and inserting ‘‘2024’’. 

23 (3) Section 1860D–14(a)(1)(C) of the Social 

24 Security Act (42 U.S.C. 1395w–114(a)(1)(C)) is 

25 amended by striking ‘‘2025’’ and inserting ‘‘2024’’. 


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1 (4) Section 1860D–15(b) of the Social Security 

2 Act (42 U.S.C. 1395w–115(b)) is amended— 

3 (A) in paragraph (1)— 

4 (i) in subparagraph (A), by striking 

5 ‘‘2025’’ and inserting ‘‘2024’’; and 

6 (ii) in subparagraph (B), in the mat7 ter preceding clause (i), by striking 

8 ‘‘2025’’ and inserting ‘‘2024’’; and 

9 (B) in paragraph (3), by striking ‘‘2025’’ 

10 and inserting ‘‘2024’’. 

11 (5) Section 1860D–22(a)(2)(A) of the Social 

12 Security Act (42 U.S.C. 1395w–132(a)(2)(A)) is 

13 amended— 

14 (A) in clause (i), by striking ‘‘2025’’ and 

15 inserting ‘‘2024’’; and 

16 (B) in clause (ii), by striking ‘‘2025’’ and 

17 inserting ‘‘2024’’. 

18 (6) Section 1860D–41(a)(6) of the Social Secu19 rity Act (42 U.S.C. 1395w–151(a)(6)) is amended 

20 by striking ‘‘2025’’ and inserting ‘‘2024’’. 

21 SEC. 3. TIMING OF MEDICARE DRUG PRICE NEGOTIATION 

22 PROGRAM. 

23 (a) IN GENERAL.—Part E of title XI of the Social 

24 Security Act (42 U.S.C. 1320f et seq.) is amended— 

25 (1) in section 1191— 


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1 (A) in subsection (b)(1), by striking 

2 ‘‘2026’’ and inserting ‘‘2024’’; and 

3 (B) in subsection (d)— 

4 (i) in the subsection heading, by strik5 ing ‘‘2026’’ and inserting ‘‘2024’’; and 

6 (ii) in the matter preceding paragraph 

7 (1), by striking ‘‘2026’’ and inserting 

8 ‘‘2024’’; 

9 (2) in section 1192— 

10 (A) in subsection (a)— 

11 (i) in paragraph (1), by striking 

12 ‘‘2026’’ and inserting ‘‘2024’’; 

13 (ii) in paragraph (2), by striking 

14 ‘‘2027’’ and inserting ‘‘2025’’; 

15 (iii) in paragraph (3), by striking 

16 ‘‘2028’’ and inserting ‘‘2026’’; and 

17 (iv) in paragraph (4), by striking 

18 ‘‘2029’’ and inserting ‘‘2027’’; 

19 (B) in subsection (b)(2)— 

20 (i) in the paragraph heading, by strik21 ing ‘‘2026 and 2027’’ and inserting ‘‘2024 

22 and 2025’’; 

23 (ii) by striking ‘‘2026’’ and inserting 

24 ‘‘2024’’; and 


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1 (iii) by striking ‘‘2027’’ and inserting 

2 ‘‘2025’’; 

3 (C) in subsection (d)— 

4 (i) in paragraph (1), by striking 

5 ‘‘2026 or 2027’’ and inserting ‘‘2024 or 

6 2025’’; 

7 (ii) in paragraph (2)(A), by striking 

8 ‘‘2026, 2027, and 2028’’ and inserting 

9 ‘‘2024, 2025, and 2026’’; and 

10 (iii) in paragraph (3)(A)(ii), by strik11 ing ‘‘2026, 2027, and 2028’’ and inserting 

12 ‘‘2024, 2025, and 2026’’; and 

13 (D) in subsection (e)(3)(B)— 

14 (i) in clause (i), by striking ‘‘2026’’ 

15 and inserting ‘‘2024’’; and 

16 (ii) in clause (ii), by striking ‘‘2027’’ 

17 and inserting ‘‘2025’’; and 

18 (3) in section 1194— 

19 (A) in subsection (c)(1)(C)— 

20 (i) in clause (i)— 

21 (I) in the clause heading, by 

22 striking ‘‘2026’’ and inserting 

23 ‘‘2024’’; and 

24 (II) by striking ‘‘2026’’ and in25 serting ‘‘2024’’; and 


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1 (ii) in clause (ii)— 

2 (I) in the clause heading, by 

3 striking ‘‘2027’’ and inserting 

4 ‘‘2025’’; and 

5 (II) in the matter preceding sub6 clause (I), by striking ‘‘2027’’ and in7 serting ‘‘2025’’; 

8 (B) in subsection (d), by striking ‘‘2029 or 

9 2030’’ and inserting ‘‘2027 or 2028’’; and 

10 (C) in subsection (f)(3), by striking 

11 ‘‘2028’’ and inserting ‘‘2026’’. 

12 (b) CONFORMING AMENDMENT TO PART D.—Section 

13 1860D–4(b)(3)(I)(i) of the Social Security Act (42 U.S.C. 

14 1395w–104(b)(3)(I)(i)) is amended by striking ‘‘2026’’ 

15 and inserting ‘‘2024’’. 

Æ 


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