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Sweeping health care reform measures that have been debated for years are nearing the finish line.

The U.S. House is expected to take up the Senate-passed Inflation Reduction Act later this week. The legislation would require the U.S. Secretary of Health and Human Services to negotiate directly with drug manufacturers over the price of some high-cost drugs in the Medicare program. It also would require drug companies to pay a rebate to the government if prices rise faster than inflation based on drug use by Medicare beneficiaries; cap overall out-of-pocket drug costs for people with Medicare at $2,000 a year; and limit Medicare beneficiaries’ out-of-pocket spending on insulin products covered by their Medicare Part D plan to $35 per month.

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