,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #dahg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #aa1 #bjad ,mr4  
,roskam 7= himself & ,mr4 ,danny ,k4    
,davis ( ,ill9ois7 introduc$ ! foll[+   
bill2 :i* 0 ref]r$ to ! ,committee on   
,ways & ,means1 & 9 addition to !       
,committee on ,en]gy & ,comm]ce1 = 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 
title ,,xviii ( ! ,social ,security ,act
 to enc\rage ! developm5t & use ( new   
antimicrobial drugs1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,develop+ an ,innovative ,/rategy =   
,antimicrobial ,resi/ant ,microorganisms
 ,act ( #bjad & z ! ,,dis>m ,act (      
#bjad4  #b4 ,enc\rag+ ! developm5t & use
 ( new antimicrobial drugs  7a7         
,additional paym5t = new antimicrobial  
drugs "u ,m$ic>e  7#a7 ,9 g5]al ,section
 #ahhf7;d77#e7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acieww7d77#e77 is  

am5d$ by add+ at ! end ! foll[+ new     
subp>agraph3  7,m7  7i7 ,effective =    
dis*>ges beg9n+ on or aft] ,octob] #a1  
#bjad1 ! ,secret>y %all1 aft] notice &  
opportunity = public comm5t 79 !        
publications requir$ by subsection      
7e77#e7 = a fiscal ye> or o!rwise71     
recognize ! co/s ( new antimicrobial    
drugs "u ! paym5t sy/em e/abli%$ "u ?is 
subsection4  7ii7 ,pursuant to clause   
7i71 ! ,secret>y %all provide =         
additional paym5t to be made "u ?is     
subsection ) respect to dis*>ges involv+
 new antimicrobial drugs 9 ! am\nt      
provid$ = "u section #ahdg;,a = drugs & 
biologicals t are describ$ 9 section    
#ahdb7o77#a77;,c74  7iii7 ,= purposes ( 
?is subp>agraph1 ! t]m new antimicrobial
 drug means a product t is approv$ =    
use1 or a product = :i* an indication is
 fir/ approv$ = use1 by ! ,f$]al ,food &
 ,drug ,adm9i/ration on or aft] ,janu>y 
#a1 #bjad1 & t--  7,i7 is indicat$ to   
treat an infection caus$ by1 or likely  
to be caus$ by1 a qualify+ pa?og5 7z    

def9$ "u section #eje;,e7f7 ( ! ,f$]al  
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cee;f7f777 = :i* !re is an   
unmet m$ical ne$ & :i* is associat$ )   
high rates ( mortality or significant   
pati5t morbidity 7z det]m9$ by !        
,secret>y1 9 consultation ) ! ,director 
( ! ,c5t]s = ,disease ,control &        
,prev5tion & ! infecti\s disease        
pr(essional community72 &  7,,ii7 is us$
 9 facilities t p>ticipate 9 !          
,antimicrobial ,use & ,resi/ance ,module
 ( ! ,national ,heal?c>e ,safety        
,network ( ! ,c5t]s = ,disease ,control 
& ,prev5tion 7or1 9 ! case t su* ,module
 is n available1 is us$ 9 facilities t  
p>ticipate 9 su* successor or simil>    
report+ module or program relat+ to     
antimicrobials z ! ,secret>y %all       
specify to ! ext5t available to su*     
facilities1 z det]m9$ by ! ,secret>y74  
7iv7 ,n lat] ?an ,july #a1 #bjad1 !     
,secret>y %all fir/ publi% 9 ! ,f$]al   
,regi/] a li/ ( ! new antimicrobial     
drugs4  4  7#b7 ,budget neutrality      

,section #ahhf7;d77#c77;,c7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#c77;,c77 is am5d$ by add+ at
 ! end ! foll[+ new clause3  7iii7      
,ma9ta9+ budget neutrality = c]ta9      
antimicrobial drugs ,= dis*>ges occurr+ 
9 a fiscal ye> beg9n+ ) fiscal ye>      
#bjae1 ! ,secret>y %all fur!r r$uce ea* 
( ! av]age /&>diz$ am\nts 9 an am\nt    
equal to ! am\nt ( ! net additional     
exp5ditures1 if any1 9 su* fiscal ye>   
result+ f ! application ( p>agraph      
7#e77,m74  4  7b7 ,/udy & report on     
remov+ b>ri]s to developm5t ( new       
antimicrobial drugs  7#a7 ,/udy ,!      
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all1 9 consultation ) ! ,director ( !  
,unit$ ,/ates ,pat5t & ,tradem>k ,(fice1
 ! ,director ( ! ,national ,in/itutes ( 
,heal?1 ! ,commission] ( ,food & ,drugs1
 & ! ,director ( ! ,c5t]s = ,disease    
,control & ,prev5tion1 conduct a /udy   
to--  7,a7 id5tify & exam9e ! b>ri]s t  
prev5t ! developm5t ( new antimicrobial 
drugs1 z def9$ 9 section                

#ahhf7;d77#e77,m77iii7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#e77,m77iii772 &  7,b7       
develop recomm5dations = actions to be  
tak5 9 ord] to ov]come any b>ri]s       
id5tifi$ "u subp>agraph 7,a74  7#b7     
,report ,n lat] ?an "o ye> aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,comptroll]   
,g5]al %all submit to ,congress a report
 on ! /udy conduct$ "u p>agraph 7#a74