,,ii  #aacth ,,congress  #ast ,session  
,s4 #acfe  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #be1     
#bjac ,mr4 ,nelson 7for himself and ,ms4
 ,collins7 introduced the following     
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to amend title ,,xviii of the ,social
 ,security ,act to allow for fair       
application of the exceptions process   
for drugs in tiers in formularies in    
prescription drug plans under ,medicare 
part ,d4  #a4 ,short title ,this ,act   
may be cited as the ,part ,d            
,beneficiary ,appeals ,fairness ,act4   
#b4 ,fair exceptions process for drug in
 tiers under ,medicare part ,d ,section 
#ahfj;,d-#d7;g77#b7 of the ,social      
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajd7;g77#b77 is amended--  7#a7 
in the first sentence--  7,a7 by        
striking for tiered cost-sharing for    
drugs included within a formulary and   
and inserting for any tiered            
cost-sharing structure within a         

formulary 7including a structure that2  
and  7,b7 by inserting 1 or provides for
 different co-payment or coinsurance    
amounts for drugs in different tiers    
included within the formulary7 before 1 
a part ,d eligible individual2  7#b7 in 
the second sentence1 by inserting in any
 plan formulary before could be covered2
 and  7#c7 by inserting the following   
before the last sentence3 ,in no case   
may the ,secretary allow a ,,pdp sponsor
 to make any formulary tier of the      
tiered cost-sharing structure 7including
 a formulary tier used for very high    
cost or unique items7 ineligible for    
lower-cost sharing through an exception 
under this paragraph44