BenefitsByState

New Laws in Effect | From Medicare Drug Cost Cap to Minimum Wage Increase

Medicare Drug Cost Cap

As the new year dawned, there have been several changes in medical laws in the country. Any change in such laws is bound to affect Medicare beneficiaries. Naturally, every individual with Medicare wonders how new laws will impact them. Much to their delight, there has been a notable decrease in the Medicare drug cost cap with minimum wage increases. Besides, abortion rights have been expanded and there have been some changes across various states across the U.S. 

Medicare Drug Cost Cap on Out-of-Pocket Costs

In a surprise move, the government has put a ceiling on the out-of-pocket drug costs. Now, people with Medicare will have to pay a maximum of $2000 out of their pockets on an annual basis (Iyer, 2025). To have a Medicare drug cost cap is in accordance with the Inflation Reduction Act provisions. This limit applies to prescription drug costs that patients get via mail orders or buy at pharmacies. Medicare Part D covers the costs of these prescription drugs for Medicare enrollees. 

This law is significant because there was no limit on out-of-pocket costs for drugs before the passage of the ‘Inflation Reduction Act.’ So, Medicare enrollees can breathe a sigh of relief because of this cap. It means most of their drugs may be covered under Medicare Part D. Besides this welcome change, there has also been a notable hike in minimum wages. 

Increase in Minimum Wages

A minimum wage hike is another significant new law for the year 2025. Although this law is not universal, most states have implemented this law. At present, 21 states have increased the minimum wage as per the ‘National Employment Law Project.’ 

Here’s is the list of states in which wage hikes took effect:

  1. Alaska
  2. Arizona
  3. California
  4. Colorado
  5. Connecticut
  6. Delaware
  7. Illinois
  8. Maine
  9. Michigan
  10. Minnesota
  11. Missouri
  12. Montana
  13. Nebraska
  14. New Jersey
  15. New York 
  16. Ohio
  17. Rhode Island
  18. South Dakota
  19. Vermont
  20. Virginia
  21. Washington

With this new increase taking effect, Washington will continue to have the highest minimum wage standing at $16.66. Other states have also witnessed significant hikes in minimum wages. As far as a city is concerned, Washington DC has the highest minimum wage standing at $17.05 (Iyer, 2025). 

Other Notable New Laws

Along with changes in Medicare drug cost cap law and minimum wage hikes, other significant new laws include the increase in abortion rights, clean energy tax credits, and gender-affirming care laws

Ban on Gender-Affirming Surgical Process in New Hampshire

The New Hampshire state government has put a ban on gender-affirming surgical care for minors. Even though children rarely go through such a surgical process, these are now completely banned. 

Expansion of Abortion Rights in New York

The New York government has amended the state constitution to expand abortion rights and protections. In the state’s constitution, the equal protection clause notes that no one can deny someone rights due to “pregnancy, pregnancy outcomes, and reproductive healthcare and autonomy” (Iyer, 2025).

Considerable Clean Energy Tax Credits

One of the provisions of the ‘Inflation Reduction Act’ is now expanding clean electricity tax credits. These tax credits are helpful for people and businesses to produce and invest in clean and green energy. This is to ensure pollution is decreased so that planet-warming can be addressed. These tax credits apply to any type of energy that does not contain a greenhouse gas. These types include solar, geothermal, tidal, and hydropower. 

In short, there have been significant new laws and modifications that are beneficial for Medicare enrollees, the general public, and the overall environment. Visit Benefits by State for more insights.

Source:

Kaanita Iyer, ‘From minimum wage increase to Medicare drug costs cap, these new laws are now in effect,’ CNN, 2025.

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      By selecting the above check box "you agree by your electronic signature that you give express written consent to receive marketing communications regarding insurance products, products and services including Medicare Supplement, Medicare Advantage and Prescription Drug Plans and services by automatic dialing system and pre-recorded calls and artificial voice messages from insurancease.com and one or more of its marketing partners at the phone number and e-mail address provided by you, including wireless numbers, if applicable, even if you have previously registered the provided number on the Do Not Call Registry. SMS/MMS and data messaging rates may apply.” Your consent is not required to get a quote or purchase. Your consent can be revoked at any time for any reason. To receive quotes without providing consent, please call at (TTY 711) (888) 431-1104. Carrier data rates may apply. TCPA LeadID's are used with the information for compliance. This is a solicitation for insurance.


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