,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #abci  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ah1 #bjac ,mr4  
,cassidy 7= himself & ,ms4 ,matsui7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d "p ,d ( title ,,xviii 
( ! ,social ,security ,act to c\nt !    
negotiat$ price ( drugs provid$ free or 
at nom9al *>ge "u compassionate treatm5t
 programs t[>ds incurr$ out-(-pocket    
co/s4  #a4 ,%ort title ,?is ,act may be 
cit$ z ! ,access+ ,m$ic>e ,!rapies ,act 
( #bjac4  #b4 ,c\nt+ ! negotiat$ price (
 drugs provid$ free or at nom9al *>ge "u
 compassionate treatm5t programs t[>ds  
incurr$ out-(-pocket co/s  7a7 ,9 g5]al 
,section #ahfj;,d-#b7;b77#d7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciew-#ajb7;b77#d77 is am5d$--  7#a7 9 

subp>agraph 7,c71 by /rik+ subp>agraph  
7,e7 & ins]t+ subp>agraphs 7,e7 & 7,f72 
&  7#b7 by add+ at ! end ! foll[+ new   
subp>agraph3  7,f7 ,inclusion (         
negotiat$ price ( drugs provid$ "u      
compassionate treatm5t programs  7i7 ,9 
g5]al ,9 apply+ subp>agraph 7,a7 )      
respect to an individual enroll$ 9 a    
prescription drug plan1 incurr$ co/s    
%all include ! negotiat$ price describ$ 
9 clause 7ii7 ( a cov]$ "p ,d drug if-- 
7,i7 ! drug is classifi$1 = purposes (  
apply+ ti]$ copaym5ts consi/5t ) section
 #ahfj;,d-#b7;b77#b77;,b71 9 ! highe/   
copaym5t ti] 7su* z a ti] #d = specialty
 br&-"n drugs72  7,,ii7 ! drug is       
furni%$ to ! individual free or at      
nom9al *>ge "u a compassionate treatm5t 
program 7z def9$ 9 clause 7iii772 &     
7,,iii7 ! drug1 if furni%$ o!r ?an ?r\gh
 su* program1 is cov]$ "u ! =mul>y ( !  
plan or is available ?r\gh exception or 
appeal4  7ii7 ,negotiat$ price ,!       
negotiat$ price describ$ 9 ?is clause1 =
 a cov]$ "p ,d drug :i* is disp5s$ to an

 enrollee--  7,i7 by a ph>macy1 is !    
negotiat$ price at su* ph>macy2 or      
7,,ii7 o!r ?an by a ph>macy1 is ! av]age
 negotiat$ price = ! drug 9 !           
prescription drug plan 9 ! zip code ( ! 
enrollee z ( ! date ! drug is disp5s$4  
7iii7 ,compassionate treatm5t program   
def9$ ,9 ?is subp>agraph1 ! t]m         
compassionate treatm5t program means1 ) 
respect to cov]$ "p ,d drugs1 a program 
t--  7,i7 is adm9i/]$ by an entity      
describ$ 9 section #eja7;c77#c7 ( !     
,int]nal ,rev5ue ,code ( #aihf t is     
exempt f tax "u section #eja7;a7 ( su*  
,code2  7,,ii7 takes title to ! drugs & 
di/ributes ! drugs to eligible "p ,d    
individuals free or at nom9al *>ge on ! 
basis ( ! entity's assessm5t ( f9ancial 
ne$ ( su* individuals2  7,,iii7 does n  
di/ribute ! drugs to an individual      
unless ! individual's h\sehold income 7z
 det]m9$ "u section #cf;,b ( ! ,int]nal 
,rev5ue ,code ( #aihf7 is less ?an !    
maximum income level = ! taxpay] 9 !    
h\sehold to be eligible = a refundable  

cr$it "u su* section2 &  7,,iv7 meets   
su* additional requirem5ts z !          
,inspector ,g5]al ( ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices e/abli%es1 consi/5t )
 guidance & advisory op9ions issu$ "u   
section #aabh;,d1 to prev5t fraud or    
abuse 9 ! application ( ?is subp>agraph4
  4  7b7 ,effective date ,! am5dm5ts    
made by subsection 7a7 %all apply to    
drugs furni%$ 9 plan ye>s beg9n+ on or  
aft] ,janu>y #a1 #bjad4