,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #deig  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #a1 #bjai,mr4 
,pet]s 7= himself1 ,mr4 ,br9disi1 & ,mr4
 ,k+ ( ,new ,york7 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 elim9ate co/ %>+ = biosimil>        
biological products furni%$ "u "p ,b ( !
 ,m$ic>e program4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,act+ to ,cancel   
,copays & ,ensure ,sub/antial ,sav+s =  
,biosimil>s ,act ( #bjai or ! ,,access =
 ,biosimil>s ,act ( #bjai4  #b4         
,elim9at+ co/ %>+ = biosimil> biological
 products furni%$ "u "p ,b ( ! ,m$ic>e  
program ,section #ahcc ( ! ,social      
,security ,act 7#db ,u4,s4,c4 #aciel7 is
 am5d$--  7#a7 9 subsection 7a77#a77,s71

 by ins]t+ 7or1 9 ! case ( su* a        
biological t is a specifi$ biosimil>    
biological product 7z def9$ 9 subsection
 7cc77 furni%$ dur+ a ye> 7beg9n+ )     
#bjbj7 to an individual :o is a co/-%>+ 
r$uction eligible individual 7z def9$ 9 
su* subsection7 ) respect to su* ye>1   
#ajj p]c5t7 aft] #hj p]c5t2 &  7#b7 by  
add+ at ! end ! foll[+ new subsection3  
7cc7 ,specifi$ biosimil> biological     
product r$uc$ co/-,%>+ provisions  7#a7 
,def9itions  7,a7 ,co/-%>+ r$uction     
eligible individual def9$ ,= purposes ( 
subsection 7a77#a77,s7 & ) respect to a 
ye>1 ! t]m co/-%>+ r$uction eligible    
individual means an individual :o1 z (  
,janu>y #a ( su* ye>--  7i7 is enroll$  
"u ?is "p2 &  7ii7 does n h qualify+    
cov]age 7z def9$ 9 subp>agraph 7,b774   
7,b7 ,qualify+ cov]age  7i7 ,9 g5]al ,= 
purposes ( subp>agraph 7,a71 ! t]m      
qualify+ cov]age means1 ) respect to an 
individual1 cov]age-- 7,i7 "u--  7aa7 a 
gr\p heal? plan or heal? insurance      
cov]age 7z su* t]ms are def9$ 9 section 

#bgia ( ! ,public ,heal? ,s]vice ,act72 
7bb7 a ,f$]al heal? c>e program 7z def9$
 9 section #aabh;,b7f771 o!r ?an !      
program e/abli%$ "u ?is title2  7cc7 !  
heal? insurance program "u *apt] #hi (  
title #e1 ,unit$ ,/ates ,code2  7dd7 a  
m$ic>e supplem5tal policy "u section    
#ahhb2 or  7ee7 an ,,ma or ,,ma-,,pd    
plan2 &  7,,ii7 t meets--  7aa7 9 ! case
 ( cov]age describ$ 9 any ( items 7aa7  
?r\gh 7dd7 ( subclause 7,i71 ! condition
 describ$ 9 clause 7ii72 &  7bb7 9 !    
case ( cov]age describ$ 9 item 7ee7 (   
subclause 7,i71 ! condition describ$ 9  
clause 7iii74  7ii7 ,condition = cov]age
 o!r ?an "p ,c cov]age ,= purposes (    
clause 7i77,,ii77aa71 ! condition       
describ$ 9 ?is clause1 ) respect to an  
individual enroll$ 9 cov]age describ$ 9 
any ( items 7aa7 ?r\gh 7dd7 ( clause    
7i77,i7 dur+ a ye>1 is t su* cov]age    
provides = ! paym5t ( all co/ %>+ ow$ by
 su* individual "u ?is "p 7or1 if       
applicable1 "u an ,,ma or ,,ma-,,pd     
plan7 ) respect to a specifi$ biosimil> 

biological product 7z def9$ 9           
subp>agraph 7,c77 furni%$ "u ?is "p 7or1
 if applicable1 "u an ,,ma or ,,ma-,,pd 
plan7 dur+ su* ye>1 n tak+ into acc\nt !
 application ( any d$uctible "u su*     
cov]age4  7iii7 ,condition = "p ,c      
cov]age ,= purposes ( clause            
7i77,,ii77bb71 ! condition describ$ 9   
?is clause1 ) respect to an individual  
enroll$ 9 an ,,ma or ,,ma-,,pd plan dur+
 a ye>1 is t su* plan provides = no co/ 
%>+ = su* individual ) respect to a     
specifi$ biological biosimil> product 7z
 def9$ 9 subp>agraph 7,c77 furni%$ "u   
su* plan dur+ su* ye>4  7,c7 ,specifi$  
biosimil> biological product ,= purposes
 ( subsection 7a77#a77,s71 ! t]m        
specifi$ biosimil> biological product   
means a biosimil> biological product 7z 
def9$ 9 subsection 7c77#f7 ( section    
#ahdg;,a7 = :i* ! paym5t am\nt det]m9$  
"u subsection 7b77#h7 ( su* section =   
su* product is less ?an ! paym5t am\nt  
det]m9$ "u subsection 7b77#d7 ( su*     
section = ! ref]5ce biological product  

7z def9$ 9 subsection 7c77#f7 ( su*     
section74  7#b7 ,det]m9ations ,!        
,secret>y %all e/abli% a process-- 7,a7 
= det]m9+ :e!r an individual is a       
co/-%>+ r$uction eligible individual = a
 ye>2 &  7,b7 = notify+ ,,ma            
organizations ( su* a det]m9ation made )
 respect to an individual enroll$ "u an 
,,ma plan or ,,ma-,,pd plan (f]$ by su* 
organization dur+ su* ye>4  4