,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #dcib  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ad1         
#bjag,mr4 ,mc,kinley 7= himself1 ,mr4   
,?ompson ( ,cali=nia1 ,mr4 ,johnson (   
,ohio1 ,mr4 ,ku/(f ( ,t5nessee1 ,mr4    
,c\rtney1 & ,ms4 ,ca/or ( ,florida7     
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 provide t ! provision ( !  
,m$ic>e ,program3 ,hospital ,outpati5t  
,prospective ,paym5t & ,ambulatory      
,surgical ,c5t] ,paym5t ,sy/ems &       
,quality ,report+ ,programs f9al        
regulation relat+ to *anges 9 ! paym5t  
am\nt = c]ta9 drugs & biologicals       
pur*as$ "u ! #cdj;,b drug disc\nt       
program %all h no =ce or effect1 & = o!r
 purposes4  #a4 ,treatm5t ( c]ta9       
,m$ic>e hospital outpati5t paym5ts =    

c]ta9 drugs2 ,,opps budget neutrality   
adju/m5t  7a7 ,prev5t+ implem5tation (  
,m$ic>e hospital outpati5t paym5t *anges
 = hospitals t pur*ase drugs "u #cdj;,b 
drug disc\nt program ,beg9n+ on ! date (
 ! enactm5t ( ?is ,act1 ! ,secret>y (   
,heal? & ,human ,s]vices %all n take any
 action to implem5t1 adm9i/]1 or en=ce !
 provision ( ! f9al regulation titl$ !  
,m$ic>e ,program3 ,hospital ,outpati5t  
,prospective ,paym5t & ,ambulatory      
,surgical ,c5t] ,paym5t ,sy/ems &       
,quality ,report+ ,programs publi%$ on  
,novemb] #ac1 #bjag 7#hb ,f$4 ,reg4     
#ebcef et seq471 t w\ld *ange ! paym5t  
am\nt "u ! ,prospective ,paym5t ,sy/em =
 ,hospital ,outpati5t ,dep>tm5t ,s]vices
 "u section #ahcc7t7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #aciel7t77
 = sep>ately payable1 nonpass-?r\gh     
drugs & biologicals pur*as$ "u ! drug   
disc\nt program "u section #cdj;,b ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bef;b74 ,! paym5t am\nt "u   
su* paym5t sy/em "u su* section #ahcc7t7

 = su* a drug or biological %all be     
det]m9$ ?r\gh ! same me?odology z if su*
 f9al regulation did n apply4  7b7      
,,opps budget neutrality adju/m5t ,!    
fir/ s5t5ce ( section #ahcc7t77#i77;,b7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciel7t77#i77;,b77 is am5d$  
by /rik+ "p ea* place su* t]m appe>s &  
ins]t+ subsection ea* su* place4