,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #feeg  ,,in ,,the ,,house ,,of  
,,representatives  ,april #ag1 #bjbj,ms4
 ,eshoo 7for herself and ,ms4 ,blunt    
,rochester7 introduced the following    
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend title ,,xix of the    
,social ,security ,act to increase the  
,federal medical assistance percentage  
under the ,medicaid program for ,states 
providing certain coverage relating to  
covered outpatient drugs1 and for other 
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,medication ,access 
,improves ,lives ,act or the ,,mail     
,act4  #b4 ,increase in ,medicaid ,,fmap
 for ,states providing certain coverage 
relating to covered outpatient drugs    
7a7 ,in general ,section #aije7;b7 of   
the ,social ,security ,act 7#db         
,u4,s4,c4 #acif;d7b77 is amended by     
adding at the end the following new     
sentence3 ,beginning ,april #a1 #bjbj1  
in the case of a ,state that provides   

medical assistance for covered          
outpatient drugs 7as defined in section 
#aibg7k771 including such drugs         
dispensed by a mail order pharmacy1 the 
,federal medical assistance percentage  
determined under this subsection 7and   
subsections 7y7 and 7ff7 7as            
applicable77 shall be increased by #a   
percentage point with respect to medical
 assistance for such drugs1 but in no   
case may such percentage exceed #ajj    
percent for such medical assistance44   
7b7 ,conforming amendments ,section     
#aije of the ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;d7 is amended-- 7#a7 in
 subsection 7y77#a71 by inserting after 
,notwithstanding subsection 7b7 the     
following3 7but subject to the sixth    
sentence of such subsection 7relating to
 a ,federal medical assistance          
percentage increase with respect to     
medical assistance for covered          
outpatient drugs772 and  7#b7 in        
subsection 7ff71 by inserting after     
,notwithstanding subsection 7b7 the     

following3 7but subject to the sixth    
sentence of such subsection 7relating to
 a ,federal medical assistance          
percentage increase with respect to     
medical assistance for covered          
outpatient drugs774  #c4 ,requiring     
,states that provide medical assistance 
for covered outpatient drugs to allow   
for up to #c-month supply of fills and  
refills of such drugs ,section #aibg7;a7
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acifr-#h7;a77 is amended by  
adding at the end the following new     
paragraph3  7#h7 ,requirement to allow  
for up to #c-month supply of fills and  
refills  7,a7 ,in general ,in order for 
payment to be available under section   
#aijc7;a7 for a covered outpatient drug 
that is administered on or after the    
first day of the first full month       
following the date of the enactment of  
this paragraph1 the ,state shall permit 
any individual enrolled under the ,state
 plan 7or a waiver of such plan7 to     
obtain in a single fill or refill1 at   

the option of such individual1 the total
 day supply 7not to exceed a #ij-;day   
supply7 prescribed for such individual  
for a covered outpatient drug1 without  
regard to any cost and utilization      
management1 medication therapy          
management1 or other such program that  
would otherwise apply under such plan   
7or waiver74  7,b7 ,safety edit ,the    
,state may not permit an individual     
enrolled under the ,state plan 7or a    
waiver of such plan7 to obtain a single 
fill or refill of a covered outpatient  
drug under such ,state plan 7or waiver7 
if such fill or refill would be         
inconsistent with an applicable safety  
edit under such plan 7or waiver74  4