Affordable Inhalers and Nebulizers Act of 2025
Summary
The Affordable Inhalers and Nebulizers Act of 2025 aims to reduce patient cost-sharing for prescription drug inhaler products used to treat breathing disorders like asthma and chronic obstructive pulmonary disease (COPD). It amends the Public Health Service Act, the Internal Revenue Code, and the Employee Retirement Income Security Act to limit cost-sharing to $15 per 30-day supply for covered inhaler products. The Act also establishes a payment program for uninsured individuals to access these products.
Expected Effects
This act will likely lower out-of-pocket expenses for individuals with asthma and COPD who rely on inhalers and nebulizers. It mandates that private insurance plans and Medicare limit cost-sharing for these essential medications and devices. The establishment of a payment program will provide access to these products for uninsured individuals, addressing a critical gap in healthcare access.
Potential Benefits
- Reduced out-of-pocket costs for inhalers and nebulizers.
- Improved access to essential medications for individuals with asthma and COPD.
- Financial relief for low-income individuals through reduced cost-sharing.
- Expanded coverage for uninsured individuals through a new payment program.
- Potential for better health outcomes due to increased medication adherence.
Potential Disadvantages
- Potential increase in insurance premiums for all policyholders.
- Increased government spending on Medicare and the uninsured payment program.
- Possible administrative burden for healthcare providers and insurers.
- Risk of over-utilization of inhaler products due to lower costs.
- Limited impact on the underlying cost of prescription drugs.
Most Disadvantaged Areas:
Constitutional Alignment
The Affordable Inhalers and Nebulizers Act appears to align with the Constitution's general welfare clause (Preamble). Congress has the power to enact legislation that promotes the health and well-being of its citizens. The Act's provisions relating to the Internal Revenue Code fall under Congress's power to tax and spend for the general welfare (Article I, Section 8).
Impact Assessment: Things You Care About ⓘ
This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).