,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #aahh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ad1 #bjac ,mr4  
,m>9o 7= himself & ,ms4 ,*u7 introduc$ !
 foll[+ bill2 :i* 0 ref]r$ to !         
,committee on ! ,judici>y  ,a ,,bill    
,to ensure & fo/] cont9u$ safety &      
quality ( c>e & a competitive m>ketplace
 by exempt+ indep5d5t ph>macies f !     
antitru/ laws 9 _! negotiations ) heal? 
plans & heal? insurance insur]s4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,pres]v+ ,our ,homet[n ,indep5d5t       
,ph>macies ,act ( #bjac4  #b4           
,application ( ! antitru/ laws to       
indep5d5t ph>macies negotiat+ ) heal?   
plans  7a7 ,9 g5]al ,any indep5d5t      
ph>macies :o are engag$ 9 negotiations )
 a heal? plan reg>d+ ! t]ms ( any       
contract "u :i* ! ph>macies provide     
heal? c>e items or s]vices = :i* b5efits
 are provid$ "u su* plan %all1 only 9   
connection ) su* negotiations1 be treat$
 "u ! antitru/ laws z an employee engag$
 9 conc]t$ activities & %all n be reg>d$

 z hav+ ! /atus ( an employ]1 indep5d5t 
contractor1 manag]ial employee1 or      
sup]visor4  7b7 ,protection = good fai? 
actions ,actions tak5 9 good fai?       
reliance on subsection 7a7 %all n be !  
subject "u ! antitru/ laws ( crim9al    
sanctions nor ( any civil damages1 fees1
 or p5alties beyond actual damages      
incurr$4  7c7 ,no *ange 9 ,national     
,labor ,relations ,act ,no?+ 9 ?is      
section %all be con/ru$ z *ang+ or am5d+
 any provision ( ! ,national ,labor     
,relations ,act1 or z affect+ ! /atus ( 
any gr\p ( p]sons "u t ,act4  7d7       
,effective date ,! exemption provid$ 9  
subsection 7a7 %all apply to conduct    
occurr+ beg9n+ on ! date ( ! enactm5t ( 
?is ,act4  7e7 ,limitations on exemption
 ,no?+ 9 ?is section %all exempt f !    
application ( ! antitru/ laws any       
agreem5t or o!rwise unlawful conspiracy 
t--  7#a7 w\ld h ! effect ( boycott+ any
 indep5d5t ph>macy or gr\p ( indep5d5t  
ph>macies1 or w\ld exclude1 limit !     
p>ticipation or reimbursem5t (1 or      

o!rwise limit ! scope ( s]vices to be   
provid$ by1 any indep5d5t ph>macy or    
gr\p ( indep5d5t ph>macies ) respect to 
! p]=mance ( s]vices t are )9 ! scope ( 
practice z def9$ or p]mitt$ by relevant 
law or regulation2  7#b7 allocates a    
m>ket among competitors2  7#c7          
unlawfully ties ! sale or pur*ase ( "o  
product or s]vice to ! sale or pur*ase (
 ano!r product or s]vice2 or  7#d7      
monopolizes or attempts to monopolize a 
m>ket4  7f7 ,limitation bas$ on m>ket   
%>e ( gr\p ,?is section %all n apply )  
respect to ! negotiations ( any gr\p (  
indep5d5t ph>macies ) a heal? plan      
reg>d+ ! t]ms ( any contract "u :i* su* 
ph>macies provide heal? c>e items or    
s]vices = :i* b5efits are provid$ "u su*
 plan 9 a ,,pdp region 7z def9$ 9       
subsection 7j77#d77 if ! numb] ( ph>macy
 lic5ses ( su* ph>macies )9 su* gr\p 9  
su* region exce$s #be p]c5t ( ! total   
numb] ( ph>macy lic5ses issu$ to all    
retail ph>macies 7includ+ bo? indep5d5t 
& o!r ph>macies7 9 su* region4  7g7 ,no 

effect on title ,,vi ( ,civil ,rights   
,act ( #aifd ,no?+ 9 ?is section %all be
 con/ru$ to affect ! application ( title
 ,,vi ( ! ,civil ,rights ,act ( #aifd4  
7h7 ,no application to specifi$ ,f$]al  
programs ,no?+ 9 ?is section %all apply 
to negotiations betwe5 indep5d5t        
ph>macies & heal? plans p]ta9+ to       
b5efits provid$ "u any ( ! foll[+3  7#a7
 ,! ,m$icaid ,program "u title ,,xix ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif et seq474  7#b7 ,! ,/ate ,*ildr5's
 ,heal? ,insurance ,program 7,,%ip7 "u  
title ,,xxi ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acig;aa et seq474  7#c7 
,*apt] #ee ( title #aj1 ,unit$ ,/ates   
,code 7relat+ to m$ical & d5tal c>e =   
memb]s ( ! uni=m$ s]vices74  7#d7 ,*apt]
 #ag ( title #ch1 ,unit$ ,/ates ,code   
7relat+ to ,vet]ans' m$ical c>e74  7#e7 
,*apt] #hi ( title #e1 ,unit$ ,/ates    
,code 7relat+ to ! ,f$]al employees'    
heal? b5efits program74  7#f7 ,! ,indian
 ,heal? ,c>e ,improvem5t ,act 7#be      
,u4,s4,c4 #afja et seq474  7#g7 ,"p ,c  

or ,d ( title ,,xviii ( ! ,social       
,security ,act4  7i7 ,def9itions ,=     
purposes ( ?is section3  7#a7 ,antitru/ 
laws ,! t]m antitru/ laws--  7,a7 has ! 
mean+ giv5 x 9 subsection 7a7 ( ! fir/  
section ( ! ,clayton ,act 7#ae ,u4,s4,c4
 #ab7;a771 except t su* t]m includes    
section #e ( ! ,f$]al ,trade ,commission
 ,act 7#ae ,u4,s4,c4 #de7 to ! ext5t su*
 section #e applies to unfair me?ods (  
competition2 &  7,b7 includes any ,/ate 
law simil> to ! laws ref]r$ to 9        
subp>agraph 7,a74  7#b7 ,heal? plan &   
relat$ t]ms  7,a7 ,9 g5]al ,! t]m heal? 
plan--  7i7 means a gr\p heal? plan or a
 heal? insurance issu] t is (f]+ heal?  
insurance cov]age2  7ii7 includes any   
entity t contracts ) su* a plan or issu]
 = ! adm9i/]+ ( s]vices "u ! plan or    
cov]age2 &  7iii7 does n include a      
,m$ic>e ,advantage plan (f]$ "u "p ,c ( 
title ,,xviii ( ! ,social ,security ,act
 or a prescription drug plan (f]$ "u "p 
,d ( su* title4  7,b7 ,heal? insurance  
cov]age2 heal? insurance issu] ,! t]ms  

heal? insurance cov]age & heal?         
insurance issu] h ! mean+s giv5 su* t]ms
 "u p>agraphs 7#a7 & 7#b71 respectively1
 ( section #gcc7;b7 ( ! ,employee       
,retirem5t ,income ,security ,act (     
#aigd 7#bi ,u4,s4,c4 #aaia;b7b774  7,c7 
,gr\p heal? plan ,! t]m gr\p heal? plan 
has ! mean+ giv5 t t]m 9 section        
#gcc7;a77#a7 ( ! ,employee ,retirem5t   
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aaia;b7a77#a774  7#c7        
,indep5d5t ph>macy ,! t]m indep5d5t     
ph>macy means a ph>macy t has a m>ket   
%>e (--  7,a7 less ?an #aj p]c5t 9 any  
,,pdp region2 &  7,b7 less ?an #a p]c5t 
9 ! ,unit$ ,/ates4  ,= purposes ( !     
prec$+ s5t5ce1 all ph>macies t are      
memb]s ( ! same controll$ gr\p (        
corporations 7)9 ! mean+ ( section      
#bfg7;f7 ( ! ,int]nal ,rev5ue ,code (   
#aihf7 & all ph>macies "u common control
 7)9 ! mean+ ( section #eb7;b7 ( su*    
,code b det]m9$ by treat+ an int]e/ ( m 
?an #ej p]c5t z a controll+ int]e/7 %all
 be treat$ z #a ph>macy4  7#d7 ,,pdp    

region ,! t]m ,,pdp region has ! mean+  
giv5 su* t]m 9 section                  
#ahfj;,d-#aa7;a77#b7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#aciew-#aaa7;a77#b774  7j7 #e-,ye>      
sunset ,! exemption provid$ 9 subsection
 7a7 %all only apply to conduct occurr+ 
dur+ ! #e-ye> p]iod beg9n+ on ! date ( !
 enactm5t ( ?is ,act & %all cont9ue to  
apply = #a ye> aft] ! end ( su* p]iod to
 contracts ent]$ into be=e ! end ( su*  
p]iod4  7k7 ,g5]al acc\ntability (fice  
/udy & report ,! ,comptroll] ,g5]al ( ! 
,unit$ ,/ates %all conduct a /udy on !  
impact ( enactm5t ( ?is section dur+ !  
#f-mon? p]iod beg9n+ ) ! #e? ye> ( !    
#e-ye> p]iod describ$ 9 subsection 7j74 
,n lat] ?an ! end ( su* #f-mon? p]iod1 !
 ,comptroll] ,g5]al %all submit to      
,congress a report on su* /udy & %all   
include 9 ! report su* recomm5dations on
 ! ext5sion ( ?is section 7& *anges t   
%\ld be made 9 mak+ su* ext5sion7 z !   
,comptroll] ,g5]al deems appropriate4   
7l7 ,ov]sight ,no?+ 9 ?is section %all  

preclude ! ,f$]al ,trade ,commission or 
! ,dep>tm5t ( ,ju/ice f ov]see+ !       
conduct ( indep5d5t ph>macies cov]$ "u  
?is section4