,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #bjch  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #b1 #bjai ,mr4 
,mead[s introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ! ,judici>y   
,a ,,bill  ,to all[ ,/ate-bas$1         
m>ket-ori5t$1 prescription drug         
negotiations to l[] ph>maceutical drug  
prices1 to enc\rage competition1 to     
increase consum] *oice & access1 & = o!r
 purposes4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,/ate-,bas$1            
,m>ket-,ori5t$1 ,prescription ,drug     
,negotiations ,act ( #bjai4  #b4        
,antitru/ exemption = private heal?     
insur] issu]s to negotiate :olesale     
acquisition prices ( prescription drugs 
pur*as$ f drug manufactur]s ,x %all n be
 a violation ( ! antitru/ laws = "o or m
 private heal? insur] issu]s or _!      
designat$ ag5ts to jo9tly negotiate     
:olesale acquisition prices ( a         
prescription drug ) a manufactur] ( a   
prescription drug ) reg>ds to !         
reimbursem5t policies ( ! insur]s ( !   

manufactur]'s drugs s long z no "o s+le 
:olesale acquisition price is jo9tly    
det]m9$ betwe5 ! insurance issu]s or _! 
designat$ ag5ts4  #c4 ,def9itions ,=    
purposes ( ?is ,act3 7#a7 ,antitru/ laws
 ,! t]m antitru/ laws has ! mean+ giv5 x
 9 subsection 7a7 ( ! #a/ section ( !   
,clayton ,act 7#ae ,u4,s4,c4 #ab7;a771  
except t su* t]m includes section #e ( !
 ,f$]al ,trade ,commission ,act 7#ae    
,u4,s4,c4 #de7 to ! ext5t su* section #e
 applies to unfair me?ods ( competition4
  7#b7 ,heal? insurance issu] ,! t]m    
heal? insurance issu] means an insurance
 company1 insurance s]vice1 or insurance
 organization 7includ+ a heal? ma9t5ance
 organization1 z def9$ 9 p>agraph 7#c77 
:i* is lic5s$ to engage 9 ! bus9ess (   
insurance 9 a ,/ate & :i* is subject to 
,/ate law :i* regulates insurance 7)9 ! 
mean+ ( section #ead7;b77#b7 ( !        
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4             
#aadd7;b77#b7774 ,su* t]m does n include
 a gr\p heal? plan4  7#c7 ,heal?        

ma9t5ance organization ,! t]m heal?     
ma9t5ance organization means--  7,a7 a  
f$]ally qualifi$ heal? ma9t5ance        
organization 7z def9$ 9 section         
#cjj;e7a7 ( title #db ( ! ,code ( ,f$]al
 ,regulations71  7,b7 an organization   
recogniz$ "u ,/ate law z a heal?        
ma9t5ance organization1 or  7,c7 a      
simil> organization regulat$ "u ,/ate   
law = solv5cy 9 ! same mann] & to ! same
 ext5t z su* a heal? ma9t5ance          
organization4  7#d7 ,manufactur] ,! t]m 
manufactur] means anyone :o is engag$ 9 
manufactur+1 prep>+1 propagat+1         
comp\nd+1 process+1 packag+1 repackag+1 
or label+ ( a prescription drug4  7#e7  
,prescription drug ,! t]m prescription  
drug means any human drug requir$ by    
,f$]al law or regulation to be disp5s$  
only by a prescription1 includ+ f9i%$   
dosage =ms & active +r$i5ts subject to  
section #ejc7;b7 ( ! ,f$]al ,food1      
,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#cec7;b774  #d4 ,effective date ,?is    
,act %all take effect on ! date ( !     

enactm5t ( ?is ,act b %all n apply )    
respect to conduct t occurs be=e su*    
date4