,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #fdaa  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #bg1 #bjbj,mrs4  
,mc,bath 7= h]self & ,ms4 ,ku/] ( ,new  
,hamp%ire7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce1 & 9 addition to ! ,committees 
on ,ways & ,means1 & ,education &       
,labor1 = 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 ! ,employee ,retirem5t
 ,income ,security ,act ( #aigd1 title  
,,xxvii ( ! ,public ,heal? ,s]vice ,act1
 & ! ,int]nal ,rev5ue ,code ( #aihf to  
require gr\p heal? plans & heal?        
insurance issu]s (f]+ gr\p or individual
 heal? insurance cov]age to provide     
notices relat+ to prescription drug     
refills to individuals cov]$ "u su*     
plans or cov]age :o reside 9 em]g5cy    
areas dur+ em]g5cy p]iods4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,em]g5cy
 ,advance ,refill ,notification ,act (  

#bjbj4  #b4 ,requir+ prescription drug  
refill notifications dur+ em]g5cies  7a7
 ,,erisa  7#a7 ,9 g5]al ,subp>t ,b ( "p 
#g ( subtitle ,b ( title ,i ( !         
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #aahe et    
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #gaf4 ,provision (       
prescription drug refill notifications  
dur+ em]g5cies  7a7 ,9 g5]al ,a gr\p    
heal? plan1 & a heal? insurance issu]   
(f]+ heal? insurance cov]age 9          
connection ) a gr\p heal? plan1 t       
provides b5efits = prescription drugs "u
 su* plan or su* cov]age %all provide to
 ea* p>ticipant or b5efici>y "u su* plan
 or su* cov]age :o resides 9 an em]g5cy 
area dur+ an em]g5cy p]iod-- 7#a7 n lat]
 ?an #e bus9ess days aft] ! date ( !    
beg9n+ ( su* p]iod ) respect to su* area
 7or1 ! case ( ! em]g5cy p]iod describ$ 
9 section #b7;d77#b7 ( ! ,em]g5cy       
,advance ,refill ,notification ,act (   
#bjbj1 n lat] ?an #e bus9ess days aft] !
 date ( ! enactm5t ( ?is section71 a    

notification 7writt5 9 a mann] t is cle>
 & und]/&able to ! av]age p>ticipant or 
b5efici>y7-- 7,a7 ( :e!r su* plan or    
cov]age w waive1 dur+ su* p]iod )       
respect to su* a p>ticipant or          
b5efici>y1 any "t re/rictions "u su*    
plan or cov]age on any au?oriz$ refills 
= su* drugs to enable su* refills 9     
advance ( :5 su* refills w\ld o!rwise h 
be5 p]mitt$ "u su* plan or cov]age2 &   
7,b7 9 ! case t su* plan or cov]age w   
waive su* re/rictions dur+ su* p]iod )  
respect to su* a p>ticipant or          
b5efici>y1 t conta9s in=mation on h[ su*
 a p>ticipant or b5efici>y may obta9 su*
 a refill2 &  7#b7 9 ! case su* plan or 
cov]age elects to s waive su*           
re/rictions dur+ su* p]iod ) respect to 
su* a p>ticipant or b5efici>y aft] !    
notification describ$ 9 p>agraph 7#a7   
has be5 provid$ ) respect to su* p]iod1 
n lat] ?an #e bus9ess days aft] su*     
election1 a notification ( su* election 
t conta9s ! in=mation describ$ 9        
subp>agraph 7,b7 ( su* p>agraph4  7b7   

,em]g5cy area2 em]g5cy p]iod ,= purposes
 ( ?is section1 an em]g5cy area is a    
geographical area 9 :i*1 & an em]g5cy   
p]iod is ! p]iod dur+ :i*1 !re exi/s--  
7#a7 an em]g5cy or disa/] decl>$ by !   
,presid5t pursuant to ! ,national       
,em]g5cies ,act or ! ,rob]t ,t4 ,/af=d  
,disa/] ,relief & ,em]g5cy ,assi/ance   
,act2 &  7#b7 a public heal? em]g5cy    
decl>$ by ! ,secret>y pursuant to       
section #cai ( ! ,public ,heal? ,s]vice 
,act4  4  7#b7 ,cl]ical am5dm5t ,! table
 ( cont5ts ( ! ,employee ,retirem5t     
,income ,security ,act ( #aigd is am5d$ 
by ins]t+ aft] ! item relat+ to section 
#gad ! foll[+3  ,sec4 #gae4 ,additional 
m>ket re=ms4 ,sec4 #gaf4 ,provision (   
prescription drug refill notifications  
dur+ em]g5cies4  4  7b7 ,,phsa ,subp>t  
,,ii ( "p ,a ( title ,,xxvii ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#cjj;gg-#aa et seq47 is am5d$ by add+ at
 ! end ! foll[+ new section3  #bgcj4    
,provision ( prescription drug refill   
notifications dur+ em]g5cies  7a7 ,9    

g5]al ,a gr\p heal? plan1 & a heal?     
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age1 t provides     
b5efits = prescription drugs "u su* plan
 or su* cov]age %all provide to ea*     
p>ticipant1 b5efici>y1 or enrollee      
enroll$ "u su* plan or su* cov]age :o   
resides 9 an em]g5cy area dur+ an       
em]g5cy p]iod-- 7#a7 n lat] ?an #e      
bus9ess days aft] ! date ( ! beg9n+ (   
su* p]iod ) respect to su* area 7or1 !  
case ( ! em]g5cy p]iod describ$ 9       
section #b7;d77#b7 ( ! ,em]g5cy ,advance
 ,refill ,notification ,act ( #bjbj1 n  
lat] ?an #e bus9ess days aft] ! date ( !
 enactm5t ( ?is section71 a notification
 7writt5 9 a mann] t is cle> &          
und]/&able to ! av]age p>ticipant1      
b5efici>y1 or enrollee7-- 7,a7 ( :e!r   
su* plan or cov]age w waive1 dur+ su*   
p]iod ) respect to su* a p>ticipant1    
b5efici>y1 or enrollee1 any "t          
re/rictions "u su* plan or cov]age on   
any au?oriz$ refills = su* drugs to     
enable su* refills 9 advance ( :5 su*   

refills w\ld o!rwise h be5 p]mitt$ "u   
su* plan or cov]age2 &  7,b7 9 ! case t 
su* plan or cov]age w waive su*         
re/rictions dur+ su* p]iod ) respect to 
su* a p>ticipant1 b5efici>y1 or         
enrollee1 t conta9s in=mation on h[ su* 
a p>ticipant1 b5efici>y1 or enrollee may
 obta9 su* a refill2 &  7#b7 9 ! case   
su* plan or cov]age elects to s waive   
su* re/rictions dur+ su* p]iod ) respect
 to su* a p>ticipant1 b5efici>y1 or     
enrollee aft] ! notification describ$ 9 
p>agraph 7#a7 has be5 provid$ ) respect 
to su* p]iod1 n lat] ?an #e bus9ess days
 aft] su* election1 a notification ( su*
 election t conta9s ! in=mation describ$
 9 subp>agraph 7,b7 ( su* p>agraph4  7b7
 ,em]g5cy area2 em]g5cy p]iod ,=        
purposes ( ?is section1 an em]g5cy area 
is a geographical area 9 :i*1 & an      
em]g5cy p]iod is ! p]iod dur+ :i*1 !re  
exi/s-- 7#a7 an em]g5cy or disa/] decl>$
 by ! ,presid5t pursuant to ! ,national 
,em]g5cies ,act or ! ,rob]t ,t4 ,/af=d  
,disa/] ,relief & ,em]g5cy ,assi/ance   

,act2 &  7#b7 a public heal? em]g5cy    
decl>$ by ! ,secret>y pursuant to       
section #cai4  4  7c7 ,,irc  7#a7 ,9    
g5]al ,sub*apt] ,b ( *apt] #ajj ( !     
,int]nal ,rev5ue ,code ( #aihf is am5d$ 
by add+ at ! end ! foll[+ new section3  
#ihaf4 ,provision ( prescription drug   
refill notifications dur+ em]g5cies  7a7
 ,9 g5]al ,a gr\p heal? plan t provides 
b5efits = prescription drugs "u su* plan
 %all provide to ea* p>ticipant or      
b5efici>y enroll$ "u su* plan :o resides
 9 an em]g5cy area dur+ an em]g5cy      
p]iod1 n lat] ?an #e bus9ess days aft] !
 date ( ! beg9n+ ( su* p]iod ) respect  
to su* area 7or1 ! case ( ! em]g5cy     
p]iod describ$ 9 section #b7;d77#b7 ( ! 
,em]g5cy ,advance ,refill ,notification 
,act ( #bjbj1 n lat] ?an #e bus9ess days
 aft] ! date ( ! enactm5t ( ?is         
section7-- 7#a7 a notification 7writt5 9
 a mann] t is cle> & und]/&able to !    
av]age p>ticipant or b5efici>y7-- 7,a7 (
 :e!r su* plan w waive1 dur+ su* p]iod )
 respect to su* a p>ticipant or         

b5efici>y1 any "t re/rictions "u su*    
plan on any au?oriz$ refills = su* drugs
 to enable su* refills 9 advance ( :5   
su* refills w\ld o!rwise h be5 p]mitt$  
"u su* plan2 &  7,b7 9 ! case t su* plan
 w waive su* re/rictions dur+ su* p]iod 
) respect to su* a p>ticipant or        
b5efici>y1 t conta9s in=mation on h[ su*
 a p>ticipant or b5efici>y may obta9 su*
 a refill2 &  7#b7 9 ! case su* plan    
elects to s waive su* re/rictions dur+  
su* p]iod ) respect to su* a p>ticipant 
or b5efici>y aft] ! notification        
describ$ 9 p>agraph 7#a7 has be5 provid$
 ) respect to su* p]iod1 n lat] ?an #e  
bus9ess days aft] su* election1 a       
notification ( su* election t conta9s ! 
in=mation describ$ 9 subp>agraph 7,b7 ( 
su* p>agraph4  7b7 ,em]g5cy area2       
em]g5cy p]iod ,= purposes ( ?is section1
 an em]g5cy area is a geographical area 
9 :i*1 & an em]g5cy p]iod is ! p]iod    
dur+ :i*1 !re exi/s-- 7#a7 an em]g5cy or
 disa/] decl>$ by ! ,presid5t pursuant  
to ! ,national ,em]g5cies ,act or !     

,rob]t ,t4 ,/af=d ,disa/] ,relief &     
,em]g5cy ,assi/ance ,act2 &  7#b7 a     
public heal? em]g5cy decl>$ by !        
,secret>y pursuant to section #cai ( !  
,public ,heal? ,s]vice ,act4  4  7#b7   
,cl]ical am5dm5t ,! table ( sections =  
sub*apt] ,b ( *apt] #ajj ( ! ,int]nal   
,rev5ue ,code ( #aihf is am5d$ by add+  
at ! end ! foll[+ new item3  ,sec4      
#ihaf4 ,provision ( prescription drug   
refill notifications dur+ em]g5cies4  4 
7d7 ,effective date ,! am5dm5ts made by 
?is section %all apply ) respect to--   
7#a7 em]g5cy p]iods beg9n+ on or aft] ! 
date ( ! enactm5t ( ?is ,act2 &  7#b7 ! 
em]g5cy p]iod relat+ to ! public heal?  
em]g5cy decl>$ by ! ,secret>y ( ,heal? &
 ,human ,s]vices pursuant to section    
#cai ( ! ,public ,heal? ,s]vice ,act on 
,janu>y #ca1 #bjbj1 entitl$ ,det]m9ation
 t a ,public ,heal? ,em]g5cy ,exi/s     
,nationwide z ! ,result ( ! #bjai ,novel
 ,coronavirus4