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II
113th CONGRESS
1st Session
S. 117
IN THE SENATE OF THE UNITED STATES
January 23
(legislative day, January 3), 2013
Ms. Klobuchar (for
herself, Mr. Begich,
Mr. Franken, Mr. Johnson of South Dakota,
Mr. Sanders, and
Mrs. Shaheen) introduced the following
bill; which was read twice and referred to the
Committee on
Finance
A BILL
To amend part D of title XVIII of the Social Security Act
to require the Secretary of Health and Human Services to negotiate covered part
D drug prices on behalf of Medicare beneficiaries.
1.
Short title
This Act may be cited as the
Medicare Prescription Drug Price
Negotiation Act of 2013.
2.
Negotiation of
lower covered part D drug prices on behalf of Medicare beneficiaries
(a)
Negotiation by
Secretary
Section 1860D–11 of the Social Security Act (42 U.S.C.
1395w–111) is amended by striking subsection (i) (relating to noninterference)
and inserting the following:
(i)
Negotiation of
Lower Drug Prices
(1)
In
general
Notwithstanding any other provision of law, the Secretary
shall negotiate with pharmaceutical manufacturers the prices (including
discounts, rebates, and other price concessions) that may be charged to PDP
sponsors and MA organizations for covered part D drugs for part D eligible
individuals who are enrolled under a prescription drug plan or under an MA–PD
plan.
(2)
No change in
rules for formularies
(A)
In
general
Nothing in paragraph (1) shall be construed to authorize
the Secretary to establish or require a particular formulary.
(B)
Construction
Subparagraph
(A) shall not be construed as affecting the Secretary’s authority to ensure
appropriate and adequate access to covered part D drugs under prescription drug
plans and under MA–PD plans, including compliance of such plans with formulary
requirements under section 1860D–4(b)(3).
(3)
Construction
Nothing
in this subsection shall be construed as preventing the sponsor of a
prescription drug plan, or an organization offering an MA–PD plan, from
obtaining a discount or reduction of the price for a covered part D drug below
the price negotiated under paragraph (1).
(4)
Semi-annual
reports to congress
Not later than June 1, 2014, and every 6
months thereafter, the Secretary shall submit to the Committees on Ways and
Means, Energy and Commerce, and Oversight and Government Reform of the House of
Representatives and the Committee on Finance of the Senate a report on
negotiations conducted by the Secretary to achieve lower prices for Medicare
beneficiaries, and the prices and price discounts achieved by the Secretary as
a result of such
negotiations.
.
(b)
Effective
date
The amendment made by subsection (a) shall take effect on
the date of the enactment of this Act and shall first apply to negotiations and
prices for plan years beginning on January 1, 2014.