,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #dfj  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #d1 #bjac    
,mr4 ,mc,kinley 7= himself1 ,mrs4       
,capps1 ,mrs4 ,capito1 ,mr4 ,"y (       
,florida1 ,mr4 ,moran1 ,mr4 ,wolf1 ,mr4 
,tonko1 ,mr4 ,runyan1 ,mr4 ,cony]s1 ,ms4
 ,bonamici1 ,mr4 ,cicill9e1 ,mr4        
,de,fazio1 ,mr4 ,mi*aud1 ,mr4 ,f>r1 ,ms4
 ,p+ree ( ,ma9e1 ,mr4 ,rangel1 & ,mr4   
,cr5%aw7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
to limit co-paym5t1 co9surance1 or o!r  
co/-%>+ requirem5ts applicable to       
prescription drugs 9 a specialty drug   
ti] to ! doll> am\nt 7or its equival5t7 
( su* requirem5ts applicable to         
prescription drugs 9 a non-pref]r$ br&  
drug ti]1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z !         
,pati5ts' ,access to ,treatm5ts ,act (  
#bjac4  #b4 ,co/-%>+ requirem5ts        
applicable to prescription drugs 9 a    

specialty drug ti]  7a7 ,9 g5]al ,subp>t
 ,,ii ( "p ,a ( title ,,xxvii ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg et seq47 is am5d$ by  
add+ at ! end ! foll[+3  #bgai;,b4      
,co/-%>+ requirem5ts applicable to      
prescription drugs 9 a specialty drug   
ti]  7a7 ,requirem5t ,a gr\p heal? plan1
 or a heal? insurance issu] (f]+ gr\p or
 individual heal? insurance1 t provides 
cov]age = prescription drugs & uses a   
=mul>y or o!r ti]$ co/-%>+ /ructure %all
 n impose co/-%>+ requirem5ts applicable
 to prescription drugs 9 a specialty    
drug ti] t exce$ ! doll> am\nt 7or its  
equival5t7 ( co/-%>+ requirem5ts        
applicable to prescription drugs 9 a    
non-pref]r$ br& drug ti] 7or            
prescription drugs 9 a br& drug ti] if  
!re is no non-pref]r$ br& drug ti]74    
7b7 ,special rule ,if a =mul>y us$ by a 
gr\p heal? plan or a heal? insurance    
issu] (f]+ gr\p or individual heal?     
insurance conta9s m ?an "o non-pref]r$  
br& drug ti]1 !n ! requirem5ts (        

subsection 7a7 %all be appli$ ) respect 
to ! non-pref]r$ br& drug ti] = :i*     
b5efici>y co/-%>+ is l[e/4  7c7         
,def9itions ,9 ?is section3  7#a7 ,! t]m
 co/-%>+ includes co-paym5t &           
co9surance4  7#b7 ,! t]m drug ti] means1
 ) respect to a gr\p heal? plan or heal?
 insurance issu] (f]+ gr\p or individual
 heal? insurance cov]age t uses a =mul>y
 or o!r co/-%>+ /ructure1 a category (  
drugs--  7,a7 )9 su* =mul>y or /ructure 
= :i* ! total doll> am\nt ( co/-%>+     
requirem5ts = any drug does n v>y by m  
?an t5 p]c5t f ! total doll> am\nt (    
co/-%>+ requirem5ts = any o!r drug2 &   
7,b7 t are prescription drugs4  7#c7 ,! 
t]m non-pref]r$ br& drug ti] means1 )   
respect to a gr\p heal? plan or heal?   
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age t uses a =mul>y 
or o!r ti]$ co/-%>+ /ructure1 a category
 ( drugs--  7,a7 )9 a drug ti] 9 su*    
=mul>y or /ructure = :i* b5efici>y      
co/-%>+ is great] ?an drug ti]s = g5]ic 
drugs or pref]r$ br& drugs 9 ! =mul>y or

 /ructure2  7,b7 t are prescription     
drugs2 &  7,c7 t are n includ$ )9 a     
specialty drug ti]4  7#d7 ,! t]m        
prescription drug means--  7,a7 a drug  
subject to section #ejc7;b77#a7 ( !     
,f$]al ,food1 ,drug1 or ,cosmetic ,act2 
&  7,b7 includes a drug describ$ 9      
subp>agraph 7,a7 t is a biological      
product 7z def9$ 9 section #cea7;i7 (   
?is ,act74  7#e7 ,! t]m specialty drug  
ti] means1 ) respect to a gr\p heal?    
plan or heal? insurance issu] (f]+ gr\p 
or individual heal? insurance cov]age t 
uses a =mul>y or o!r ti]$ co/-%>+       
/ructure1 a category ( drugs--  7,a7 )9 
a drug ti] 9 su* =mul>y or /ructure =   
:i* b5efici>y co/-%>+ is great] ?an drug
 ti]s = g5]ic drugs1 pref]r$ br& drugs1 
or non-pref]r$ drugs 9 ! plan's =mul>y2 
&  7,b7 t are prescription drugs4  4    
7b7 ,effective date ,section #bgai;,b ( 
! ,public ,heal? ,s]vice ,act1 z add$ by
 subsection 7a71 applies to plan ye>s   
beg9n+ on or aft] ! date ( ! enactm5t ( 
?is ,act4