,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #aibj  ,,in ,,the ,,house ,,of  
,,representatives  ,april #e1 #bjag,mr4 
,upton 7for himself1 ,mr4 ,gene ,green  
of ,texas1 ,mr4 ,shimkus1 ,ms4          
,de,gette1 and ,mr4 ,tiberi7 introduced 
the following bill2 which was referred  
to the ,committee on ,energy and        
,commerce1 and in addition to the       
,committee on ,ways and ,means1 for a   
period to be subsequently determined by 
the ,speaker1 in each case for          
consideration of such provisions as fall
 within the jurisdiction of the         
committee concerned  ,a ,,bill  ,to     
amend part ,b of title ,,xviii of the   
,social ,security ,act to exclude       
customary prompt pay discounts from     
manufacturers to wholesalers from the   
average sales price for drugs and       
biologicals under ,medicare1 and for    
other purposes4  #a4 ,excluding         
customary prompt pay discounts from     
manufacturers to wholesalers from the   
average sales price for ,medicare       

payments for drugs and biologicals  7a7 
,in general ,section #ahdg;,a7c77#c7 of 
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#c;a7c77#c77 is        
amended-- 7#a7 in the first sentence1 by
 inserting 7other than customary prompt 
pay discounts extended to wholesalers7  
after prompt pay discounts2 and  7#b7 in
 the second sentence1 by inserting      
7other than customary prompt pay        
discounts extended to wholesalers7 after
 other price concessions4  7b7          
,effective date ,the amendments made by 
this section shall apply to the         
calculation of the average sales price  
for calendar quarters beginning more    
than #ij days after the date of the     
enactment of this ,act4