,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #bgeg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ae1 #bjai ,mr4  
,cunn+ham 7= himself1 ,mr4 ,bilirakis1 &
 ,mr4 ,evans7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce1 & 9 addition to ! ,committee 
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = adju/m5ts to ! ,m$ic>e "p ,d  
co/-%>+ r$uctions = l[-income           
individuals4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,creat+ ,l[] co/        
,alt]native = ,y\r prescription drugs   
,act or ! ,,clay ,act4  #b4 ,adju/m5ts  
to ,m$ic>e "p ,d co/-%>+ r$uctions =    
l[-income individuals ,section          
#ahfj;,d-#ad7;a7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #aciew-#aad7;a77 is 
am5d$--  7#a7 9 p>agraph 7#a7-- 7,a7 9  
subp>agraph 7,d7--  7i7 9 clause 7ii7-- 

7,i7 by /rik+ t does n exce$ #a = & all 
t foll[s ?r\gh ! p]iod at ! end & ins]t+
  t does n exce$-- 7,i7 = plan ye>s be=e
 plan ye> #bjba--  7aa7 = a g5]ic drug  
or a pref]r$ drug t is a multiple s\rce 
drug 7z def9$ 9 section                 
#aibg7k77#g77;,a77i771 #a or1 if less1 !
 copaym5t am\nt applicable to an        
individual "u clause 7iii72 &  7bb7 =   
any o!r drug1 #c or1 if less1 ! copaym5t
 am\nt applicable to an individual "u   
clause 7iii72 &  2 &  7,,ii7 by add+ at 
! end ! foll[+ new subclauses3  7,,ii7 =
 plan ye> #bjba--  7aa7 = a g5]ic drug1 
#j2 &  7bb7 = any o!r drug1 ! doll>     
am\nt appli$ "u ?is clause 7aft]        
application ( p>agraph 7#d77;,a77 = plan
 ye> #bjbj = a drug describ$ 9 subclause
 7,i77bb72 &  7,,iii7 = a subsequ5t ye>1
 ! doll> am\nt appli$ "u ?is clause = ! 
previ\s ye> = ! drug1 increas$ by !     
annual p]c5tage increase 9 ! consum]    
price index 7all items2 ,u4,s4 city     
av]age7 z ( ,septemb] ( su* previ\s ye>4
  2 &  7ii7 9 clause 7iii7--  7,i7 by   

/rik+ does n exce$ ! copaym5t am\nt     
specifi$ "u & ins]t+ does n exce$--     
7,i7 = plan ye>s beg9n+ be=e plan ye>   
#bjba1 ! copaym5t am\nt specifi$ "u  2  
7,,ii7 by /rik+ ! p]iod at ! end &      
ins]t+ 2 &2 &  7,,iii7 by add+ at ! end 
! foll[+ new subclause3  7,,ii7 = plan  
ye> #bjba & ea* subsequ5t plan ye> !    
copaym5t am\nt appli$ "u clause 7ii7 = !
 drug & ye> involv$4  2 &  7,b7 by add+ 
at ! end ! foll[+ new subp>agraph3  7,f7
 ,r\nd+ ,any am\nt e/abli%$ "u clause   
7ii7 ( subp>agraph 7,d71 includ+ z      
appli$ "u clause 7iii7 ( su* subp>agraph
 or p>agraph 7#b77;,e71 t is bas$ on an 
increase ( #c1 t is n a multiple ( #e   
c5ts or #aj c5ts1 respectively1 %all be 
r\nd$ to ! ne>e/ multiple ( #e c5ts or  
#aj c5ts1 respectively4  2  7#b7 9      
p>agraph 7#b7-- 7,a7 9 subp>agraph 7,c71
 by ins]t+ & subp>agraph 7,e7 be=e !    
p]iod2  7,b7 9 subp>agraph 7,d7-- 7i7 by
 /rik+ ( co9surance ( & ins]t+  (-- 7,i7
 = plan ye>s be=e plan ye> #bjba1       
co9surance (  2  7ii7 by /rik+ ! p]iod  

at ! end & ins]t+ 2 &2 &  7iii7 by add+ 
at ! end ! foll[+ new subclause3  7,,ii7
 = plan ye> #bjba & ea* subsequ5t plan  
ye>1 a copaym5t am\nt t does n exce$ !  
copaym5t am\nt appli$ "u p>agraph       
7#a77;,d77ii7 = ! drug & ye> involv$4  2
 &  7,c7 9 subp>agraph 7,e7--  7i7 by   
/rik+ subsection 7c71 ! sub/itution = & 
ins]t+ subsection 7c7--  7i7 = plan ye>s
 be=e plan ye> #bjba1 ! sub/itution =  2
  7ii7 by /rik+ ! p]iod at ! end &      
ins]t+ 2 &2 &  7iii7 by add+ at ! end ! 
foll[+ new clause3  7ii7 = plan ye>     
#bjba & ea* subsequ5t plan ye>1 !       
elim9ation ( any co/-%>+ impos$ "u      
section #ahfj;,d-#b7;b77#d77;,a74  2 &  
7#c7 9 p>agraph 7#d77;,a77ii71 by ins]t+
 7be=e #bjba7 aft] subsequ5t ye>4