,,ii  #aad? ,,congress  #a/ ,session    
,s4 #fdh  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #d1 #bjae,mr4     
,grassley 7= himself & ,mr4 ,br[n7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
improve =mul>y requirem5ts =            
prescription drug plans & ,,ma-,,pd     
plans ) respect to c]ta9 categories or  
classes ( drugs4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,m$ic>e ,=mul>y    
,improvem5t ,act ( #bjae4  #b4 ,improv+ 
=mul>y requirem5ts = prescription drug  
plans & ,,ma-,,pd plans ) respect to    
c]ta9 categories or classes ( drugs  7a7
 ,9 g5]al ,section                      
#ahfj;,d-#d7;b77#c77;,g7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajd7;b77#c77;,g77 is am5d$ to   
read z foll[s3  7,g7 ,requir$ inclusion 
( drugs 9 c]ta9 categories & classes    
7i7 ,=mul>y requirem5ts  7,i7 ,9 g5]al  
,subject to subclause 7,,ii71 a ,,pdp   

sponsor (f]+ a prescription drug plan   
%all be requir$ to include all cov]$ "p 
,d drugs 9 ! categories & classes       
describ$ 9 clause 7iii74  7,,ii7        
,exceptions ,subject to clause 7ii71 !  
,secret>y may e/abli% exceptions t p]mit
 a ,,pdp sponsor (f]+ a prescription    
drug plan to exclude f its =mul>y a     
p>ticul> cov]$ "p ,d drug 9 a category  
or class t is o!rwise requir$ to be     
includ$ 9 ! =mul>y "u subclause 7,i7 7or
 to o!rwise limit access to su* a drug1 
includ+ ?r\gh prior au?orization or     
utilization managem5t74  7ii7           
,implem5tation ,! ,secret>y %all e/abli%
 any exceptions "u clause 7i77,,ii7     
?r\gh ! promulgation ( a regulation :i* 
includes a public notice & comm5t p]iod4
  7iii7 ,requirem5t = c]ta9 categories &
 classes ,! foll[+ categories & classes 
( drugs are describ$ 9 ?is clause3 7,i7 
,anticonvulsants4  7,,ii7               
,antidepressants4  7,,iii7              
,ant9eopla/ics4  7,,iv7 ,antipsy*otics4 
7,v7 ,antiretrovirals4  7,,vi7          

,immunosuppressants = ! treatm5t (      
transplant rejection4  4  7b7 ,effective
 date ,! am5dm5t made by subsection 7a7 
%all apply to plan ye> #bjae & subsequ5t
 plan ye>s4