,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #bgeg  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ae1 #bjai ,mr4 
,cunningham 7for himself1 ,mr4          
,bilirakis1 and ,mr4 ,evans7 introduced 
the following bill2 which was referred  
to the ,committee on ,energy and        
,commerce1 and in addition to the       
,committee on ,ways and ,means1 for a   
period to be subsequently determined by 
the ,speaker1 in each case for          
consideration of such provisions as fall
 within the jurisdiction of the         
committee concerned  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to provide for           
adjustments to the ,medicare part ,d    
cost-sharing reductions for low-income  
individuals4  #a4 ,short title ,this    
,act may be cited as the ,creating      
,lower cost ,alternative for ,your      
prescription drugs ,act or the ,,clay   
,act4  #b4 ,adjustments to ,medicare    
part ,d cost-sharing reductions for     
low-income individuals ,section         

#ahfj;,d-#ad7;a7 of the ,social         
,security ,act 7#db ,u4,s4,c4           
#aciew-#aad7;a77 is amended--  7#a7 in  
paragraph 7#a7-- 7,a7 in subparagraph   
7,d7--  7i7 in clause 7ii7-- 7,i7 by    
striking that does not exceed #a for and
 all that follows through the period at 
the end and inserting  that does not    
exceed-- 7,i7 for plan years before plan
 year #bjba--  7aa7 for a generic drug  
or a preferred drug that is a multiple  
source drug 7as defined in section      
#aibg7k77#g77;,a77i771 #a or1 if less1  
the copayment amount applicable to an   
individual under clause 7iii72 and  7bb7
 for any other drug1 #c or1 if less1 the
 copayment amount applicable to an      
individual under clause 7iii72 and  2   
and  7,,ii7 by adding at the end the    
following new subclauses3  7,,ii7 for   
plan year #bjba--  7aa7 for a generic   
drug1 #j2 and  7bb7 for any other drug1 
the dollar amount applied under this    
clause 7after application of paragraph  
7#d77;,a77 for plan year #bjbj for a    

drug described in subclause 7,i77bb72   
and  7,,iii7 for a subsequent year1 the 
dollar amount applied under this clause 
for the previous year for the drug1     
increased by the annual percentage      
increase in the consumer price index    
7all items2 ,u4,s4 city average7 as of  
,september of such previous year4  2 and
  7ii7 in clause 7iii7--  7,i7 by       
striking does not exceed the copayment  
amount specified under and inserting    
does not exceed--  7,i7 for plan years  
beginning before plan year #bjba1 the   
copayment amount specified under  2     
7,,ii7 by striking the period at the end
 and inserting 2 and2 and  7,,iii7 by   
adding at the end the following new     
subclause3  7,,ii7 for plan year #bjba  
and each subsequent plan year the       
copayment amount applied under clause   
7ii7 for the drug and year involved4  2 
and  7,b7 by adding at the end the      
following new subparagraph3  7,f7       
,rounding ,any amount established under 
clause 7ii7 of subparagraph 7,d71       

including as applied under clause 7iii7 
of such subparagraph or paragraph       
7#b77;,e71 that is based on an increase 
of #c1 that is not a multiple of #e     
cents or #aj cents1 respectively1 shall 
be rounded to the nearest multiple of #e
 cents or #aj cents1 respectively4  2   
7#b7 in paragraph 7#b7-- 7,a7 in        
subparagraph 7,c71 by inserting and     
subparagraph 7,e7 before the period2    
7,b7 in subparagraph 7,d7-- 7i7 by      
striking of coinsurance of and inserting
  of-- 7,i7 for plan years before plan  
year #bjba1 coinsurance of  2  7ii7 by  
striking the period at the end and      
inserting 2 and2 and  7iii7 by adding at
 the end the following new subclause3   
7,,ii7 for plan year #bjba and each     
subsequent plan year1 a copayment amount
 that does not exceed the copayment     
amount applied under paragraph          
7#a77;,d77ii7 for the drug and year     
involved4  2 and  7,c7 in subparagraph  
7,e7--  7i7 by striking subsection 7c71 
the substitution for and inserting      

subsection 7c7--  7i7 for plan years    
before plan year #bjba1 the substitution
 for  2  7ii7 by striking the period at 
the end and inserting 2 and2 and  7iii7 
by adding at the end the following new  
clause3  7ii7 for plan year #bjba and   
each subsequent plan year1 the          
elimination of any cost-sharing imposed 
under section #ahfj;,d-#b7;b77#d77;,a74 
2 and  7#c7 in paragraph 7#d77;,a77ii71 
by inserting 7before #bjba7 after       
subsequent year4