,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #fbdj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #bg1 #bjah,mr4  
,coll9s ( ,new ,york 7= himself & ,mr4  
,c>t] ( ,georgia7 introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to am5d !
 ,public ,heal? ,s]vice ,act to provide 
= c]ta9 us] fees "u ! #cdj;,b drug      
disc\nt program4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,drug ,disc\nt     
,acc\ntability ,act4  #b4 ,us] fees "u !
 #cdj;,b drug disc\nt program ,section  
#cdj;,b ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bef;b7 is am5d$ by add+ 
at ! end ! foll[+ new subsection3  7f7  
,us] fees  7#a7 ,9 g5]al ,subject to    
p>agraph 7#f71 ! ,secret>y %all assess &
 collect a us] fee f cov]$ entities     
describ$ 9 subp>agraph 7,l71 7,m71 7,n71
 or 7,o7 ( subsection 7a77#d74 ,9 c>ry+ 
out ?is subsection1 ! ,secret>y %all n  
require manufactur]s to collect any us] 
fee or to adm9i/] ! us] fee program     
e/abli%$ "u ?is subsection4  7#b7       

,paym5t ,a cov]$ entity describ$ 9      
subp>agraph 7,l71 7,m71 7,n71 or 7,o7 ( 
subsection 7a77#d7 %all pay to !        
,secret>y a fee assess$ "u p>agraph 7#a7
 by su* date t is ! lat] (--  7,a7 !    
date ( ! c]tification or rec]tification 
( ! cov]$ entity1 z applicable2 or  7,b7
 ! date t is #cj days aft] ! date ( !   
enactm5t ( an appropriations ,act       
provid+ = ! collection & obligation (   
fees "u ?is subsection = a fiscal ye>4  
7#c7 ,am\nt ( fee ,! am\nt ( a fee "u   
p>agraph 7#a7 %all be equal to ! am\nt  
det]m9$ by ! ,secret>y "u p>agraph 7#d74
  7#d7 ,det]m9ation ( am\nt ( fee  7,a7 
,9 g5]al ,! ,secret>y %all1 n lat] ?an  
#ahj days be=e ! />t ( ea* fiscal ye> t 
beg9s aft] ,septemb] #cj1 #bjai1        
e/abli%1 = ! next fiscal ye>1 ! am\nt ( 
! fee payable "u ?is subsection by a    
cov]$ entity us+ pur*ase data submitt$  
by cov]$ entities describ$ 9 p>agraph   
7#a71 & us+ data submitt$ by            
manufactur]s on sales to cov]$ entities 
( cov]$ outpati5t drugs subject to an   

agreem5t "u ?is section1 pursuant to    
regulations to be issu$ by ! ,secret>y4 
,su* am\nt1 ) respect to a cov]$ entity 
& ye>1 %all n exce$ #j4a p]c5t ( ! total
 paid dur+ ! previ\s ye> by su* cov]$   
entity to manufactur]s = pur*ases (     
cov]$ outpati5t drugs subject to an     
agreem5t "u ?is section4  7#e7 ,use (   
fees  7,a7 ,9 g5]al ,any fee collect$ "u
 p>agraph 7#a7 %all be us$ = purposes ( 
adm9i/]+ ?is section1 enhanc+ program   
integrity & ov]sight activities "u ?is  
section 7includ+ ?r\gh audits "u ?is    
section ( cov]$ entities &              
manufactur]s71 & promot+ access to      
cl9ical & co/-effective ph>macy s]vices 
among safety net cl9ics & hospitals t   
p>ticipate "u ?is section1 su* z ?r\gh--
  7i7 ! developm5t ( a multi-functional 
web-bas$ sy/em to collect fees "u       
p>agraph 7#a72  7ii7 ! improvem5t ( !   
integrity1 transp>5cy1 security1 &      
reliability ( ! ,(fice ( ,ph>macy       
,affairs ,in=mation ,sy/em1 includ+ to  
ensure t ! database cont9ues to meet !  

ne$s ( ext]nal /akehold]s2 &  7iii7     
improvem5ts to ! compliance tool ( !    
,(fice ( ,ph>macy ,affairs1 us$ to      
integrate all in=mation relat$ to cov]$ 
entities & manufactur]s ) agreem5ts "u  
?is section4  7,b7 ,supplem5t n supplant
 ,any fee collect$ "u p>agraph 7#a7 %all
 be us$ to supplem5t & n supplant !     
am\nt o!rwise provid$ 9 appropriations  
,acts to c>ry out ?is section4  7#f7    
,availability ( fees ,fees au?oriz$ "u  
p>agraph 7#a7 %all be collect$ &        
available = obligation only to ! ext5t &
 9 ! am\nt provid$ 9 advance 9          
appropriations ,acts4 ,su* fees are     
au?oriz$ to rema9 available until       
exp5d$4  7#g7 ,regulations ,n lat] ?an  
#ahj days aft] ! date ( enactm5t ( ?is  
subsection1 ! ,secret>y %all promulgate 
f9al regulations ?r\gh notice-&-comm5t  
rulemak+ to implem5t ! us] fee          
collection pursuant to ?is subsection4  
7#h7 ,ov]sight ( us] fee program  7,a7  
,/udy ,! ,inspector ,g5]al ( ! ,dep>tm5t
 ( ,heal? & ,human ,s]vices %all conduct

 an annual review ( ! us] fee program   
e/abli%$ by ?is subsection4  7,b7       
,report ,n lat] ?an ,july #a ( ea* ye>  
7beg9n+ ) #bjai71 ! ,inspector ,g5]al ( 
! ,dep>tm5t ( ,heal? & ,human ,s]vices  
%all submit to ! appropriate committees 
( ,congress a report on ! /udy conduct$ 
"u subp>agraph 7,a71 toge!r ) su*       
recomm5dations z ! ,inspector ,g5]al    
det]m9es appropriate4  4  #c4           
,direct-hire au?ority ,section          
#cdj;,b7d7 ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bef;b7d77 is am5d$ 
by add+ at ! end ! foll[+ new p>agraph3 
7#e7 ,direct-hire au?ority ,n)/&+       
section #ccjd7;a77#c7 ( title #e1 ,unit$
 ,/ates ,code1 & sections #ccji ?r\gh   
#ccah ( su* title1 & section #ccg (     
title #e ( ! ,code ( ,f$]al ,regulations
 7or any successor regulations71 !      
,secret>y may1 beg9n+ on ! date ( !     
enactm5t ( ?is p>agraph1 ex]cise        
direct-hire au?ority to appo9t a m9imum 
( t5 qualifi$ c&idates to p]man5t       
positions )9 ! competitive s]vice 9 ord]

 to c>ry out managem5t & ov]sight       
activities "u ?is section4  4