,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #adaf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ah1 #bjae ,mrs4 
,ellm]s ( ,nor? ,c>ol9a 7= h]self & ,mr4
 ,israel7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ! ,budget1 & 
9 addition to ! ,committees on ,ways &  
,means & ,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 prev5t          
application ( seque/ration to paym5t =  
c]ta9 physician-adm9i/]$ drugs "u "p ,b 
( ! ,m$ic>e program 9 fiscal ye>s #bjaf 
& #bjag1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,canc]  
,pati5t ,protection ,act ( #bjae4  #b4  
,prev5t+ application ( seque/ration to  
paym5t = physician-adm9i/]$ drugs "u "p 
,b ( ! ,m$ic>e program 9 fiscal ye>s    
#bjaf & #bjag  7a7 ,9 g5]al ,not)/&+ any
 o!r provision ( law1 any ,presid5tial  
ord] issu$ aft] ! date ( ! enactm5t (   
?is ,act "u section #bea;,a ( ! ,balanc$

 ,budget & ,em]g5cy ,deficit ,control   
,act ( #aihe 7#b ,u4,s4,c4 #ija;a7 =    
fiscal ye> #bjaf or = fiscal ye> #bjag  
%all provide t no r$uction is made )    
respect to paym5ts = drugs & biologicals
 "u section #ahdg;,a ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #aciew-#d7
 to ! ext5t t su* paym5ts are made bas$ 
on ! av]age sales price = su* drugs &   
biologicals4  7b7 ,con/ruction ,no?+ 9  
?is section 7o!r ?an subsection 7d77    
%all be con/ru$ z affect+ any o!r       
paym5ts "u title ,,xviii ( ! ,social    
,security ,act or any o!r ,act 7o!r ?an 
"u ?is section7 or z requir+ or au?oriz+
 ! r$uction ( o!r paym5ts1 "u su* title 
or o!rwise1 by virtue ( ! application ( 
?is section4  7c7 ,,gao /udy ( %ift 9   
location ( canc] c>e ,! ,comptroll]     
,g5]al ( ! ,unit$ ,/ates %all conduct a 
/udy t exam9es ! %ift ( canc] c>e f     
physician-run community canc] cl9ics to 
hospitals & ! consequ5ces ( ?is %ift to 
co/s to ! ,f$]al ,gov]nm5t & to ,m$ic>e 
b5efici>ies = canc] c>e "u ! ,m$ic>e    

program4 ,n lat] ?an ,febru>y #a1 #bjag1
 ! ,comptroll] ,g5]al %all submit a     
report to ,congress on ! results ( su*  
/udy4  7d7 ,imposition ( budget         
neutrality ,if a ,presid5tial ord]      
describ$ 9 subsection 7a7 is issu$ )    
respect to fiscal ye> #bjaf & is also   
issu$ ) respect to fiscal ye> #bjbd 7or 
) respect to fiscal ye> #bjag & also    
issu$ ) respect to fiscal ye> #bjbe71 ! 
am\nt ( ! aggregate paym5t r$uction     
requir$ "u su* an ord] ) respect to     
fiscal ye> #bjbd 7or fiscal ye> #bjbe1  
respectfully7 %all be increas$ by an    
am\nt equival5t to ! am\nt ( ! paym5t   
increase result+ f ! application (      
subsection 7a7 9 fiscal ye> #bjaf 7or   
fiscal ye> #bjag1 respectively74