,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #cjbi  ,,in ,,the ,,house ,,of  
,,representatives  ,may #bh1 #bjai,mr4  
,olson 7for himself1 ,ms4 ,barragn1 ,mr4
 ,marchant1 and ,mr4 ,lewis7 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 transitional  
coverage and retroactive ,medicare part 
,d coverage for certain low-income      
beneficiaries4  #a4 ,short title ,this  
,act may be cited as the ,improving     
,low-,income ,access to ,prescription   
,drugs ,act of #bjai4  #b4 ,transitional
 coverage and retroactive ,medicare part
 ,d coverage for certain low-income     
beneficiaries ,section #ahfj;,d-#ad of  

the ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#aad7 is amended--     
7#a7 by redesignating subsection 7e7 as 
subsection 7f72 and  7#b7 by adding     
after subsection 7d7 the following new  
subsection3  7e7 ,limited income newly  
eligible transition program  7#a7 ,in   
general ,the ,secretary shall carry out 
a program to provide transitional       
coverage for covered part ,d drugs for  
,,li ,,net eligible individuals in      
accordance with this subsection4  7#b7  
,,li net eligible individual defined    
,for purposes of this subsection1 the   
term ,,li ,,net eligible individual     
means a part ,d eligible individual     
who-- 7,a7 is a subsidy eligible        
individual2 and  7,b7 has not yet       
enrolled in a prescription drug plan or 
an ,,ma-,,pd plan1 or1 who has so       
enrolled1 but with respect to whom      
coverage under such plan has not yet    
taken effect4  7#c7 ,transitional       
coverage ,for purposes of this          
subsection1 the term transitional       

coverage means with respect to an ,,li  
,,net eligible individual-- 7,a7        
immediate access to covered part ,d     
drugs at the point of sale during the   
period that begins on the first day of  
the month such individual is determined 
to be a subsidy eligible individual and 
ends on the date that coverage under a  
prescription drug plan or ,,ma-,,pd plan
 takes effect with respect to such      
individual2 and  7,b7 in the case of an 
,,li ,,net eligible individual who is a 
full-benefit dual eligible individual   
7as defined in section #aice7;c77#f77 or
 a recipient of supplemental security   
income benefits under title ,,xvi1      
retroactive coverage 7in the form of    
reimbursement of the amounts that would 
have been paid under this part had such 
individual been enrolled in a           
prescription drug plan or ,,ma-,,pd     
plan7 of covered part ,d drugs purchased
 by such individual during the period   
that begins on the date that is the     
later of--  7i7 the date that such      

individual was first eligible for a     
low-income subsidy under this part2 or  
7ii7 the date that is #cf months prior  
to the date such individual enrolls in a
 prescription drug plan or ,,ma-,,pd    
plan1  and ends on the date that        
coverage under such plan takes effect4  
7#d7 ,program administration  7,a7      
,single point of contact ,the ,secretary
 shall1 to the extent feasible1         
administer the program under this       
subsection through a contract with a    
single program administrator4  7,b7     
,benefit design ,the ,secretary shall   
ensure that the transitional coverage   
provided to ,,li ,,net eligible         
individuals under this subsection--  7i7
 provides access to all covered part ,d 
drugs under an open formulary2  7ii7    
permits all pharmacies determined by the
 ,secretary to be in good standing to   
process claims under the program2  7iii7
 is consistent with such requirements as
 the ,secretary considers necessary to  
improve patient safety and ensure       

appropriate dispensing of medication2   
and  7iv7 meets such other requirements 
as the ,secretary may establish4  7#e7  
,relationship to other provisions of    
this title2 waiver authority  7,a7 ,in  
general ,the following provisions shall 
not apply with respect to the program   
under this subsection3  7i7 ,paragraphs 
7#a7 and 7#c77;,b7 of section           
#ahfj;,d-#d7;a7 7relating to            
dissemination of general information2   
availability of information on changes  
in formulary through the internet74     
7ii7 ,subparagraphs 7,a7 and 7,b7 of    
section #ahfj;,d-#d7;b77#c7 7relating to
 requirements on development and        
application of formularies2 formulary   
development74  7iii7 ,paragraphs        
7#a77;,c7 and 7#b7 of section           
#ahfj;,d-#d7;c7 7relating to medication 
therapy management program74  7,b7      
,waiver authority ,the ,secretary may   
waive such other requirements of titles 
,,xi and this title as may be necessary 
to carry out the purposes of the program

 established under this subsection4  4