,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #cefe  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,october #aj1  
#bjah ,mrs4 ,mc,caskill 7for herself and
 ,mr4 ,cassidy7 introduced the following
 bill2 which was read twice and referred
 to the ,committee on ,finance  ,a      
,,bill  ,to amend title ,,xi of the     
,social ,security ,act to include       
additional covered recipients for       
transparency reports required of        
manufacturers of opioids4  #a4 ,short   
title  ,this ,act may be cited as the   
,opioid ,advocacy ,transparency ,act of 
#bjah4  #b4 ,additional covered         
recipients for transparency reports     
required of manufacturers of opioids    
7a7 ,in general  ,section #aabh;,g7e7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #acbj;a-#g;h7e77 is amended-- 
7#a7 in paragraph 7#f7--  7,a7 in       
subparagraph 7,a7-- 7i7 in the matter   
preceding clause 7i71 by inserting and  
subject to subparagraph 7,c7 after      
subparagraph 7,b72 and  7ii7 by adding  

at the end the following new clause3    
7vi7 ,a relevant patient advocacy       
organization 7as defined in subparagraph
 7,d77 or a foundation established by   
such an organization4  2 and  7,b7 by   
adding at the end the following new     
subparagraphs3  7,c7 ,limitation ,clause
 7vi7 of subparagraph 7,a7 shall only   
apply with respect to information       
required to be submitted under this     
section by an applicable manufacturer   
that is the manufacturer of a covered   
drug1 device1 biological1 or medical    
supply that is an opioid 7as defined in 
section #ajb of the ,controlled         
,substances ,act 7#ba ,u4,s4,c4 #hjb774 
7,d7 ,relevant patient advocacy         
organization ,for purposes of           
subparagraph 7,a77vi71 the term relevant
 patient advocacy organization means an 
organization engaged in advocacy on     
issues related to opioids 7as so        
defined71 including patient use of and  
access to opioids1 the use of opioids   
for the treatment of pain1 and opioid   

addiction treatment4  2 and  7#b7 in    
paragraph 7#aj77;,b7-- 7,a7 in clause   
7i71 by striking ,a transfer and        
inserting ,subject to clause 7xiii71 a  
transfer2 and  7,b7 by adding at the end
 the following new clause3  7xiii7 ,in  
the case of a covered recipient         
described in paragraph 7#f77;,a77vi71 a 
transfer of anything of value to the    
covered recipient by an applicable      
manufacturer described in paragraph     
7#f77;,c71 unless the aggregate amount  
transferred to1 requested by1 or        
designated on behalf of the covered     
recipient by the applicable manufacturer
 during the calendar year exceeds       
#d1jjj4 ,for calendar years after #bjbd1
 the dollar amount specified in the     
preceding sentence shall be increased by
 the same percentage as the percentage  
increase in the consumer price index for
 all urban consumers 7all items2 ,u4,s4 
city average7 for the #ab-month period  
ending with ,june of the previous year4 
4  7b7 ,treatment of certain payments or

 other transfers of value made by       
pharmaceutical trade associations       
,section #aabh;,g7a77#a7 of the ,social 
,security ,act 7#db ,u4,s4,c4           
#acbj;a-#g;h7a77#a77 is amended by      
adding at the end the following new     
subparagraph3  7,c7 ,treatment of       
certain payments or other transfers of  
value by pharmaceutical trade           
associations ,for purposes of this      
section1 the provisions that apply to an
 applicable manufacturer with respect to
 a payment or other transfer of value   
described in subparagraph 7,a7 shall    
also apply to a pharmaceutical trade    
organization 7as defined by the         
,secretary7 but only with respect to a  
payment or other transfer of value      
described in such subparagraph provided 
to a covered recipient described in     
subsection 7e77#f77;,a77vi7 7or to an   
entity or individual at the request of  
or designated on behalf of a covered    
recipient described in such subsection74
  4  7c7 ,effective date ,the amendments

 made by this section shall apply with  
respect to information required to be   
submitted under section #aabh;,g of the 
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;a-#g;h7 on or after ,january #a1  
#bjbd4