Millions of Americans with Medicare prescription drug coverage could see big changes beginning in 2027.

The Trump administration announced on Tuesday it will end the Medicare Part D premium subsidy program.

The Centers for Medicare & Medicaid Services (CMS) says the subsidy program, which was designed to help stabilize Medicare Part D premiums for senior citizens, will expire at the end of 2026.

Administration officials argue the program primarily benefited insurance companies rather than Medicare recipients.

Medicare Part D provides optional prescription drug coverage through private insurance companies.

It can be purchased as a stand-alone plan alongside Original Medicare or included in many Medicare Advantage plans.

Under the Biden administration, Medicare Part D underwent significant changes, including a new $2,000 annual cap on out-of-pocket prescription drug costs and authority for Medicare to negotiate prices on certain high-cost medications.

Those provisions remain separate from the premium subsidy program announced this week.

CMS expects to release updated 2027 plan pricing in mid-to-late September, giving beneficiaries time to compare coverage options during the annual Medicare Open Enrollment period.

For 2027, the base beneficiary premium is projected to be $41.33 per month, while the national average monthly bid amount will be $296.05, a figure used to calculate federal subsidy payments to insurance providers.

According to Reuters, roughly 25 million Americans are enrolled in stand-alone Medicare Part D plans.

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