,,ii  #aae? ,,congress  #a/ ,session    
,s4 #da  ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$
 ,,/ates  ,janu>y #e1 #bjag,ms4 ,klobu*>
 7= h]self1 ,mr4 ,blum5?al1 ,mrs4       
,%ahe51 ,ms4 ,baldw91 ,mr4 ,k+1 ,mr4    
,br[n1 ,mr4 ,leahy1 ,mr4 ,frank51 & ,mr4
 ,ka9e7 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d "p ,d (    
title ,,xviii ( ! ,social ,security ,act
 to require ! ,secret>y ( ,heal? &      
,human ,s]vices to negotiate cov]$ "p ,d
 drug prices on behalf ( ,m$ic>e        
b5efici>ies4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,m$ic>e ,prescription   
,drug ,price ,negotiation ,act ( #bjag4 
#b4 ,negotiation ( l[] cov]$ "p ,d drug 
prices on behalf ( ,m$ic>e b5efici>ies  
7a7 ,negotiation by ,secret>y ,section  
#ahfj;,d-#aa ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciew-#aaa7 is am5d$ by 
/rik+ subsection 7i7 7relat+ to         
non9t]f]5ce7 & ins]t+ ! foll[+3  7i7    
,negotiation ( ,l[] ,drug ,prices  7#a7 
,9 g5]al ,not)/&+ any o!r provision (   

law1 ! ,secret>y %all negotiate )       
ph>maceutical manufactur]s ! prices     
7includ+ disc\nts1 rebates1 & o!r price 
concessions7 t may be *>g$ to ,,pdp     
sponsors & ,,ma organizations = cov]$ "p
 ,d drugs = "p ,d eligible individuals  
:o are enroll$ "u a prescription drug   
plan or "u an ,,ma-,,pd plan4  7#b7 ,no 
*ange 9 rules = =mul>ies  7,a7 ,9 g5]al 
,no?+ 9 p>agraph 7#a7 %all be con/ru$ to
 au?orize ! ,secret>y to e/abli% or     
require a p>ticul> =mul>y4  7,b7        
,con/ruction ,subp>agraph 7,a7 %all n be
 con/ru$ z affect+ ! ,secret>y's        
au?ority to ensure appropriate &        
adequate access to cov]$ "p ,d drugs "u 
prescription drug plans & "u ,,ma-,,pd  
plans1 includ+ compliance ( su* plans ) 
=mul>y requirem5ts "u section           
#ahfj;,d-#d7;b77#c74  7#c7 ,con/ruction 
,no?+ 9 ?is subsection %all be con/ru$ z
 prev5t+ ! sponsor ( a prescription drug
 plan1 or an organization (f]+ an       
,,ma-,,pd plan1 f obta9+ a disc\nt or   
r$uction ( ! price = a cov]$ "p ,d drug 

bel[ ! price negotiat$ "u p>agraph 7#a74
  7#d7 ,semi-annual reports to congress 
,n lat] ?an ,june #a1 #bjah1 & e #f     
mon?s !reaft]1 ! ,secret>y %all submit  
to ! ,committees on ,ways & ,means1     
,en]gy & ,comm]ce1 & ,ov]sight &        
,gov]nm5t ,re=m ( ! ,h\se (             
,repres5tatives & ! ,committee on       
,f9ance ( ! ,s5ate a report on          
negotiations conduct$ by ! ,secret>y to 
a*ieve l[] prices = ,m$ic>e b5efici>ies1
 & ! prices & price disc\nts a*iev$ by !
 ,secret>y z a result ( su*             
negotiations4  4  7b7 ,effective date ,!
 am5dm5t made by subsection 7a7 %all    
take effect on ! date ( ! enactm5t ( ?is
 ,act & %all fir/ apply to negotiations 
& prices = plan ye>s beg9n+ on ,janu>y  
#a1 #bjah4