S. 864 · 119th Congress

HELP Copays Act

Introduced on Mar 5, 2025 by Roger Marshall (R-KS). 28 cosponsors, 21 of them from another party. Latest action (Mar 19, 2026): Committee on Health, Education, Labor, and Pensions. Hearings held.

Stage
Introduced
Introduced
Mar 5, 2025
Cosponsors
28
21 from the other party
Policy area
Health
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. 2Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

A bill to amend title XXVII of the Public Health Service Act to apply financial assistance towards the cost-sharing requirements of health insurance plans, and for other purposes.

Subjects

  • Health care costs and insurance

Summary

The Congressional Research Service has not summarized this measure yet.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Roger MarshallR-KSSponsor

Democrats · 21

Republicans · 7

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Mar 5, 2025Introduced in Senate
  2. Mar 5, 2025 · SenateRead twice and referred to the Committee on Health, Education, Labor, and Pensions.
  3. Mar 19, 2026 · SenateCommittee on Health, Education, Labor, and Pensions. Hearings held.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. EMD SERONO, INC.12 reports
    $4.7M reported (all issues)
  2. JOHNSON & JOHNSON SERVICES, INC.12 reports
    $13.3M reported (all issues)
  3. PHARMACEUTICAL RESEARCH & MANUFACTURERS OF AMERICA10 reports
    $37M reported (all issues)
  4. PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION9 reports
    $10.5M reported (all issues)
  5. ABBVIE8 reports
    $8.8M reported (all issues)Federal contractor: ABBVIE US LLC$154.6K in contracts, FY2026AI match · 100%
  6. UCB, INC.7 reports
    $710K reported (all issues)
  7. AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)6 reports
    $25.6M reported (all issues)
  8. AMERICAN ACADEMY OF OPHTHALMOLOGY6 reports
    $1.8M reported (all issues)
  9. AMERICAN COLLEGE OF RHEUMATOLOGY6 reports
    $560K reported (all issues)
  10. ARTHRITIS FOUNDATION6 reports
    $450K reported (all issues)
  11. ASSOCIATION FOR CLINICAL ONCOLOGY6 reports
    $1.8M reported (all issues)
  12. American Bankers Association6 reports
    Federal contractor: AMERICAN BANKERS ASSOCIATIONAI match · 100%
  13. BRISTOL-MYERS SQUIBB COMPANY6 reports
    $8M reported (all issues)Federal contractor: BRISTOL-MYERS SQUIBB COMPANY$8.8M in contracts, FY2026AI match · 100%
  14. Cystic Fibrosis Foundation6 reports
    $1.3M reported (all issues)
  15. Epilepsy Foundation6 reports
    $580K reported (all issues)
  16. GSK (fka GLAXOSMITHKLINE INC.)6 reports
    $7.4M reported (all issues)
  17. MERCK & CO., INC.6 reports
    Federal contractor: MERCK SHARP & DOHME LLC$445.3K in contracts, FY2026AI match · 100%
  18. NOVARTIS CORPORATION6 reports
    $13.1M reported (all issues)Federal contractor: NOVARTIS PHARMACEUTICALS CORPORATION$36.2M in contracts, FY2026AI match · 100%
  19. Patient Access Network Foundation6 reports
    $240K reported (all issues)
  20. SANOFI US SERVICES INC6 reports
    $9.8M reported (all issues)
  21. THE ALS ASSOCIATION6 reports
    $180K reported (all issues)
  22. VERTEX PHARMACEUTICALS INCORPORATED6 reports
    $7.3M reported (all issues)
  23. National Bleeding Disorder Foundation (fka National Hemophilia Foundation)5 reports
    $250K reported (all issues)
  24. The HS Coalition5 reports
    $290K reported (all issues)
  25. Astria Therapeutics, Inc.4 reports
    $160K reported (all issues)
  26. BIOTECHNOLOGY INNOVATION ORGANIZATION4 reports
    $6.4M reported (all issues)
  27. BeOne Medicines ( formerly known as BeiGene USA, Inc.)4 reports
    $320K reported (all issues)
  28. NATIONAL PSORIASIS FOUNDATION4 reports
  29. The Cigna Group and subsidiaries (Formerly Cigna Corporation4 reports
    $8.4M reported (all issues)
  30. American Cancer Society Cancer Action Network, Inc.3 reports
    $5.5M reported (all issues)
  31. AstraZeneca Pharmaceuticals LP3 reports
    Federal contractor: ASTRAZENECA PHARMACEUTICALS LP$500 in contracts, FY2026AI match · 100%
  32. BIOGEN INC.3 reports
    $3.3M reported (all issues)
  33. The Hemophilia Alliance3 reports
    $100K reported (all issues)
  34. ALEXION PHARMACEUTICALS INC.2 reports
    $160K reported (all issues)Federal contractor: ALEXION PHARMACEUTICALS INC$733.6K in contracts, FY2026AI match · 99%
  35. PFIZER INC.2 reports
    $7.1M reported (all issues)Federal contractor: PFIZER INCAI match · 100%
  36. The Susan G. Komen Breast Cancer Foundation, Inc. dba Susan G. Komen2 reports
    $180K reported (all issues)
  37. Alliance for Patient Access1 report
    $20K reported (all issues)
  38. CROHN'S & COLITIS FOUNDATION1 report
    $40K reported (all issues)
  39. CVS HEALTH1 report
    $3.5M reported (all issues)
  40. GBS CIDP Foundation International1 report
    $20K reported (all issues)

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.