Caps Medicare out-of-pocket costs at $5,000 and expands aid for low-income seniors.
This bill would put a $5,000 yearly cap on out-of-pocket costs for people with traditional Medicare, starting in 2028. It also makes it easier for low-income seniors to get help with their Medicare costs by removing asset tests and raising income limits for assistance programs. These changes would help protect many Americans from high medical bills.
Today, people with traditional Medicare do not have a yearly limit on how much they pay out-of-pocket. Also, low-income Medicare programs have asset tests and lower income limits (like 150% of the poverty line for LIS and a minimum of 100% for some MSPs). After this bill, starting in 2028, traditional Medicare users would have a $5,000 annual out-of-pocket cap, and low-income programs would remove asset tests and raise income limits to 200% of the poverty line.
S 4886 · 119th Congress · June 24, 2026 · AI Summary by gemini-2.5-flash · 8/10
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