,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #dafi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #ca1 #bjag,mr4
 ,m>*ant 7= himself1 ,mr4 ,smi? (       
,miss\ri1 ,mr4 ,simpson1 & ,mr4         
,f]guson7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = 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 am5d title      
,,xviii ( ! ,social ,security ,act to   
remove ! enrollm5t re/riction on c]ta9  
physicians & practition]s prescrib+     
cov]$ outpati5t drugs "u ! ,m$ic>e      
prescription drug program4  #a4 ,%ort   
title ,?is ,act may be cit$ z !         
,protect+ ,s5iors ,access to ,prop] ,c>e
 ,act ( #bjag4  #b4 ,p]mitt+ c]ta9      
non-enroll$ physicians or practition]s  
to prescribe cov]$ outpati5t drugs "u   
m$ic>e "p d  7a7 ,9 g5]al ,section      
#ahfj;,d-#d ( ! ,social ,security ,act  

7#db ,u4,s4,c4 #aciew-#ajc7 is am5d$ by 
add+ at ! end ! foll[+ new subsection3  
7m7 ,removal ( enrollm5t re/riction     
7#a7 ,9 g5]al ,no?+ 9 ?is title or      
section #fdje7;c7 ( ! ,pati5t           
,protection & ,af=dable ,c>e ,act %all  
be con/ru$ z au?oriz+ ! ,secret>y to    
require1 z a condition ( paym5t by a    
,,pdp sponsor = a cov]$ "p ,d drug t is 
prescrib$ by an applicable physician or 
practition] :o is au?oriz$ "u ,/ate law 
to prescribe su* drug1 t su* applicable 
physician or practition] be enroll$ "u  
section #ahff7;j74  7#b7 ,applicable    
physician or practition] def9$ ,=       
purposes ( p>agraph 7#a71 ! t]m         
applicable physician or practition]     
means an eligible pr(essional describ$ 9
 section #ahdh7k77#c77;,b7 7o!r ?an a   
physician describ$ 9 section            
#ahfa7r77#a77--  7,a7 :o-- 7i7 is n     
exclud$ "u ?is title or title ,,xi2     
7ii7 is n b>r$ f p>ticipat+ 9 ! program 
"u ?is title = a p]iod ( "t foll[+ a    
revocation "u section #dbd4ece7;c7 (    

title #db1 ,code ( ,f$]al ,regulations  
7or any successor regulation72 or  7iii7
 meets o!r crit]ia simil> to clauses 7i7
 & 7ii7 t may be specifi$ by !          
,secret>y2 &  7,b7 :o prescribes a l[   
volume 7z det]m9$ by ! ,secret>y7 ( su* 
drugs to individuals enroll$ 9 plans "u 
?is "p4  ,9 det]m9+ l[ volume "u        
subp>agraph 7,b71 ! ,secret>y may       
det]m9e l[ volume diff]5tly bas$ on !   
specialty ( ! applicable physician or   
practition]4  4  7b7 ,effective date &  
en=cem5t delay  7#a7 ,effective date ,! 
am5dm5t made by subsection 7a7 %all     
apply to cov]$ "p ,d drugs prescrib$ on 
or aft] ,janu>y #a1 #bjai4  7#b7 ,delay 
9 en=cem5t ( enrollm5t requirem5t until 
l[ volume exemption is implem5t$ ,!     
,secret>y %all cont9ue n to en=ce !     
enrollm5t requirem5t "u clauses 7ii7    
?r\gh 7v7 ( section #dbc4abj7;c77#f7 (  
title #db1 ,code ( ,f$]al ,regulations1 
until section #ahfj;,d-#d7m71 z add$ by 
subsection 7a71 takes effect4