Every Dollar Counts Act of 2026
Rep. Murphy Introduces Every Dollar Counts Act to Count Cash Drug Purchases Toward Insurance Limits
The Every Dollar Counts Act of 2026 is currently in the early stages of the legislative process. It has been sent to three different House committees for review and is not yet scheduled for a vote. The bill is considered active as it moves through these initial committee assignments.
Legislative Progress
Most bills like this face a long road through multiple committees and often lack the broad support needed to pass quickly.
Key Points
Impact Analysis
Personal Impact
Life & Work
Small business owners who sponsor group health plans would need to update their plan administration to track and credit employee cash drug purchases toward deductibles. While the rule could benefit their employees and potentially improve satisfaction, it may add some administrative burden and could modestly increase plan costs if more enrollees hit their out-of-pocket limits sooner.
Programs
Disabilities
Milestones
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and 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.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Introduced in House
The bill was officially filed and given a number. It now enters the legislative queue.
Votes
No votes have been recorded for this legislation yet.
Related News
3 articlesExclusive: GOP pushes sweetener for cash-pay drugs
Republicans in Congress are introducing the Every Dollar Counts Act to require insurers to count cash spending on direct-to-consumer drug platforms toward deductibles. The move aims to make cash-pay options like TrumpRx more attractive by ensuring patients get credit toward their insurance limits.

New Bill Links DTC Drug Costs to Deductibles
The Every Dollar Counts Act would require commercial insurers to count out-of-pocket spending on direct-to-consumer drug platforms toward deductibles and out-of-pocket maximums. The bill applies to drugs on a plan's formulary and aims to help the 50% of Americans in high-deductible health plans.
House bill would compel insurers to count DTC drug costs toward deductibles
The Every Dollar Counts Act, unveiled by Rep. Greg Murphy, targets the rising use of direct-to-consumer drug platforms. The legislation would force insurance companies to apply cash payments for formulary drugs toward a patient's yearly out-of-pocket limit and deductible.
Source Information
Document Type
Congressional Bill
Official Title
Every Dollar Counts Act of 2026
Data Sources
Sponsor
Cosponsors
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