,,ii  #aac? ,,congress  #a/ ,session    
,s4 #adic  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #aj1         
#bjac,mr4 ,c>d9 7= himself & ,ms4       
,mikulski7 introduc$ ! foll[+ bill2 :i* 
0 read twice & ref]r$ to ! ,committee on
 ,f9ance  ,a ,,bill  ,to am5d title     
,,xviii ( ! ,social ,security ,act to   
enc\rage ! use ( disp5s+ te*niques t    
fo/] effici5cy & r$uce wa/eful disp5s+ (
 outpati5t prescription drugs 9 long-t]m
 c>e facilities4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,m$ic>e ,effici5t  
,drug ,disp5s+ ,act ( #bjac4  #b4       
,inc5tives = use ( disp5s+ te*niques t  
fo/] effici5cy & r$uce wa/eful disp5s+ (
 outpati5t drugs 9 long-t]m c>e         
facilities  7a7 ,9 g5]al ,section       
#ahfj;,d-#d7;c77#a7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajd7;c77#a77 is am5d$ by add+ at
 ! end ! foll[+3  7,e7 ,a paym5t        
/ructure t enc\rages ! use ( disp5s+    
te*niques t fo/] effici5cy & r$uce      
wa/eful disp5s+ ( outpati5t prescription

 drugs 9 long-t]m c>e facilities4  4    
7b7 ,ph>macy fees ,section              
#ahfj;,d-#d7;c77#c7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajd7;c77#c77 is am5d$-- 7#a7 by 
/rik+ ,! ,secret>y %all & ins]t+ !      
foll[+3  7,a7 ,9 g5]al ,! ,secret>y %all
  2 &  7#b7 by add+ at ! end ! foll[+3  
7,b7 ,consid]ation 9 ph>macy fees ,!    
,,pdp sponsor ( a prescription drug plan
 %all take into acc\nt 9 e/abli%+       
disp5s+ fees = s]vices provid$ 9        
connection ) disp5s+ cov]$ "p ,d drugs  
to enrollees :o reside 9 a long-t]m c>e 
facility1 ! utilization ( disp5s+       
te*niques to m9imize ! disp5s+ ( unus$  
drugs1 & ! increm5tal co/s associat$ ) !
 type ( disp5s+ me?odology & !          
requirem5ts applicable to long-t]m c>e  
ph>macies "u ! program "u ?is "p4 ,ea*  
su* sponsor %all n use paym5t /ructures1
 includ+ prorat$ daily disp5s+ fees1 t  
disc\rage ! adoption ( te*niques to     
m9imize ! disp5s+ ( unus$ drugs )       
respect to cov]$ "p ,d drugs disp5s$ 9  

long-t]m c>e facilities4 ,ea* su*       
sponsor %all disclose to ! ,secret>y ^u 
reque/ & 9 accordance ) ! requirem5ts ( 
section #ahfj;,d-#ae7;f7 ! am\nt ( any  
su* disp5s+ fee4  4