,,ii  #aae? ,,congress  #b;d ,session   
,s4 #cefe  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #aj1 #bjah     
,mrs4 ,mc,caskill 7= h]self & ,mr4      
,cassidy7 introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,f9ance  ,a ,,bill  ,to am5d title ,,xi 
( ! ,social ,security ,act to include   
additional cov]$ recipi5ts = transp>5cy 
reports requir$ ( manufactur]s (        
opioids4  #a4 ,%ort title  ,?is ,act may
 be cit$ z ! ,opioid ,advocacy          
,transp>5cy ,act ( #bjah4  #b4          
,additional cov]$ recipi5ts = transp>5cy
 reports requir$ ( manufactur]s (       
opioids  7a7 ,9 g5]al  ,section         
#aabh;,g7e7 ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acbj;a-#g;h7e77 is      
am5d$-- 7#a7 9 p>agraph 7#f7--  7,a7 9  
subp>agraph 7,a7-- 7i7 9 ! matt] prec$+ 
clause 7i71 by ins]t+ & subject to      
subp>agraph 7,c7 aft] subp>agraph 7,b72 
&  7ii7 by add+ at ! end ! foll[+ new   
clause3  7vi7 ,a relevant pati5t        
advocacy organization 7z def9$ 9        

subp>agraph 7,d77 or a f\ndation        
e/abli%$ by su* an organization4  2 &   
7,b7 by add+ at ! end ! foll[+ new      
subp>agraphs3  7,c7 ,limitation ,clause 
7vi7 ( subp>agraph 7,a7 %all only apply 
) respect to in=mation requir$ to be    
submitt$ "u ?is section by an applicable
 manufactur] t is ! manufactur] ( a     
cov]$ drug1 device1 biological1 or      
m$ical supply t is an opioid 7z def9$ 9 
section #ajb ( ! ,controll$ ,sub/ances  
,act 7#ba ,u4,s4,c4 #hjb774  7,d7       
,relevant pati5t advocacy organization  
,= purposes ( subp>agraph 7,a77vi71 !   
t]m relevant pati5t advocacy            
organization means an organization      
engag$ 9 advocacy on issues relat$ to   
opioids 7z s def9$71 includ+ pati5t use 
( & access to opioids1 ! use ( opioids =
 ! treatm5t ( pa91 & opioid addiction   
treatm5t4  2 &  7#b7 9 p>agraph         
7#aj77;,b7-- 7,a7 9 clause 7i71 by /rik+
 ,a transf] & ins]t+ ,subject to clause 
7xiii71 a transf]2 &  7,b7 by add+ at ! 
end ! foll[+ new clause3  7xiii7 ,9 !   

case ( a cov]$ recipi5t describ$ 9      
p>agraph 7#f77;,a77vi71 a transf] (     
any?+ ( value to ! cov]$ recipi5t by an 
applicable manufactur] describ$ 9       
p>agraph 7#f77;,c71 unless ! aggregate  
am\nt transf]r$ to1 reque/$ by1 or      
designat$ on behalf ( ! cov]$ recipi5t  
by ! applicable manufactur] dur+ !      
cal5d> ye> exce$s #d1jjj4 ,= cal5d> ye>s
 aft] #bjbd1 ! doll> am\nt specifi$ 9 ! 
prec$+ s5t5ce %all be increas$ by ! same
 p]c5tage z ! p]c5tage increase 9 !     
consum] price index = all urban consum]s
 7all items2 ,u4,s4 city av]age7 = !    
#ab-mon? p]iod end+ ) ,june ( ! previ\s 
ye>4  4  7b7 ,treatm5t ( c]ta9 paym5ts  
or o!r transf]s ( value made by         
ph>maceutical trade associations        
,section #aabh;,g7a77#a7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acbj;a-#g;h7a77#a77 is am5d$ by add+ at
 ! end ! foll[+ new subp>agraph3  7,c7  
,treatm5t ( c]ta9 paym5ts or o!r        
transf]s ( value by ph>maceutical trade 
associations ,= purposes ( ?is section1 

! provisions t apply to an applicable   
manufactur] ) respect to a paym5t or o!r
 transf] ( value describ$ 9 subp>agraph 
7,a7 %all also apply to a ph>maceutical 
trade organization 7z def9$ by !        
,secret>y7 b only ) respect to a paym5t 
or o!r transf] ( value describ$ 9 su*   
subp>agraph provid$ to a cov]$ recipi5t 
describ$ 9 subsection 7e77#f77;,a77vi7  
7or to an entity or individual at !     
reque/ ( or designat$ on behalf ( a     
cov]$ recipi5t describ$ 9 su*           
subsection74  4  7c7 ,effective date ,! 
am5dm5ts made by ?is section %all apply 
) respect to in=mation requir$ to be    
submitt$ "u section #aabh;,g ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acbj;a-#g;h7 on or aft] ,janu>y #a1    
#bjbd4