S1941-119

In Committee

Cure Hepatitis C Act of 2025

119th Congress Introduced Jun 4, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

The Cure Hepatitis C Act of 2025 creates a national program to eliminate hepatitis C in the United States. The centerpiece is a subscription-model drug purchasing program where the federal government negotiates with pharmaceutical manufacturers to buy hepatitis C treatments (direct-acting antivirals) in bulk at discounted rates in exchange for volume guarantees. These drugs would then be distributed free to uninsured and underinsured Americans through registered pharmacies, state and local correctional facilities, the Bureau of Prisons, Indian Health Service facilities, and Veterans Affairs. The bill appropriates 4.283 billion dollars over fiscal years 2025 through 2031 to fund the program, with 25 million set aside for the Bureau of Prisons. It also modifies Medicare Part D to eliminate deductibles and copays for hepatitis C antivirals for plan years 2027-2031. Public health grants would fund outreach, screening, harm reduction services, and wraparound care in communities with high hepatitis C prevalence. Eligibility is restricted to US citizens, permanent residents, and certain qualifying immigration statuses.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.

At a Glance

What This Bill Does

Establishes a comprehensive national Hepatitis C Elimination Program with a subscription-model drug purchasing program, public health grants, Medicare coverage expansion for Hepatitis C treatment, and over 4.2 billion dollars in mandatory funding to achieve elimination of the hepatitis C virus in the United States by 2031.

Who Benefits

  • Uninsured and underinsured individuals with hepatitis C
  • Incarcerated populations with hepatitis C
  • Indian Health Service patients

Who Bears Costs

  • Federal Treasury (4.283 billion in mandatory spending)
  • Medicare Part D plans (reduced cost-sharing)
  • Pharmaceutical manufacturers (discounted per-unit pricing)

Key Policy Areas

{'domain': 'Healthcare', 'evidence': 'The entire bill creates healthcare programs for hepatitis C screening, diagnosis, treatment through subscription drug model, public health grants, and Medicare Part D amendments'}, {'domain': 'Social Welfare', 'evidence': 'Section 4 targets uninsured and underinsured populations including incarcerated individuals, Indian Health Service patients, and veterans'}, {'domain': 'Finance', 'evidence': 'Section 6 appropriates 4.283 billion dollars in mandatory spending; Section 7 restructures Medicare Part D cost-sharing for hepatitis C drugs'}

Primary Purpose

Establishes a comprehensive national Hepatitis C Elimination Program with a subscription-model drug purchasing program, public health grants, Medicare coverage expansion for Hepatitis C treatment, and over 4.2 billion dollars in mandatory funding to achieve elimination of the hepatitis C virus in the United States by 2031.

Policy Domains

{'domain': 'Healthcare', 'evidence': 'The entire bill creates healthcare programs for hepatitis C screening, diagnosis, treatment through subscription drug model, public health grants, and Medicare Part D amendments'} {'domain': 'Social Welfare', 'evidence': 'Section 4 targets uninsured and underinsured populations including incarcerated individuals, Indian Health Service patients, and veterans'} {'domain': 'Finance', 'evidence': 'Section 6 appropriates 4.283 billion dollars in mandatory spending; Section 7 restructures Medicare Part D cost-sharing for hepatitis C drugs'}

Legislative Strategy

"Uses a Netflix-style subscription model to dramatically lower per-patient drug costs while guaranteeing pharmaceutical manufacturers volume, enabling mass treatment of hard-to-reach populations (incarcerated, uninsured, tribal) that currently have low treatment rates"

Legislative Progress

In Committee
Introduced Committee Passed
Jun 4, 2025

Mr. Cassidy (for himself and Mr. Van Hollen) introduced the …

Jun 4, 2025

Read twice and referred to the Committee on Health, Education, …

Jun 4, 2025

Introduced in Senate

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
9 mentions across 6 clauses
+8 positive -1 negative

Community health centers and harm reduction organizations, Hepatitis C patients in US states and territories, Hepatitis C patients in high-risk populations

Positive-direction: Community health centers and harm reduction organizations, Hepatitis C patients in US states and territories, Hepatitis C patients in high-risk populations, Indian Health Service patients, Public health workforce, Registered pharmacies and dispensing sites, US citizens and qualifying immigrants with hepatitis C, Uninsured and underinsured hepatitis C patients

Negative-direction: Syringe services programs and harm reduction organizations

Government
7 mentions across 4 clauses
+5 positive -2 negative

Department of Health and Human Services, Federal Bureau of Prisons, Federal Treasury

Department of Health and Human Services faces effects in multiple directions

Positive-direction: Federal Bureau of Prisons, State and local correctional systems, State and local public health departments, State public health departments

Negative-direction: Federal Treasury

Social Services
1 mention across 1 clause
+1 positive

At-risk populations (people who inject drugs, homeless individuals)

Pharmaceuticals
1 mention across 1 clause
~1 mixed

Pharmaceutical manufacturers of direct-acting antivirals

Law Enforcement
1 mention across 1 clause
+1 positive

Incarcerated individuals with hepatitis C

Immigrant Communities
1 mention across 1 clause
-1 negative

Undocumented immigrants with hepatitis C

7/10
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Healthcare
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Healthcare Social Welfare
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Healthcare
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Healthcare Finance
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Healthcare
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Healthcare
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Healthcare Immigration

Key Definitions

Terms defined in this bill

1 term
"hepatitis C treatment" §2

A direct acting antiviral drug approved under section 505 of the Federal Food, Drug, and Cosmetic Act for the treatment of hepatitis C virus infection

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology