,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #feeg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #ag1 #bjbj,ms4 
,e%oo 7= h]self & ,ms4 ,blunt ,ro*e/]7  
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to increase ! ,f$]al    
m$ical assi/ance p]c5tage "u ! ,m$icaid 
program = ,/ates provid+ c]ta9 cov]age  
relat+ to cov]$ outpati5t drugs1 & = o!r
 purposes4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,m$ication ,access      
,improves ,lives ,act or ! ,,mail ,act4 
#b4 ,increase 9 ,m$icaid ,,fmap = ,/ates
 provid+ c]ta9 cov]age relat+ to cov]$  
outpati5t drugs  7a7 ,9 g5]al ,section  
#aije7;b7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;d7b77 is am5d$ by  
add+ at ! end ! foll[+ new s5t5ce3      
,beg9n+ ,april #a1 #bjbj1 9 ! case ( a  
,/ate t provides m$ical assi/ance =     
cov]$ outpati5t drugs 7z def9$ 9 section
 #aibg7k771 includ+ su* drugs disp5s$ by
 a mail ord] ph>macy1 ! ,f$]al m$ical   

assi/ance p]c5tage det]m9$ "u ?is       
subsection 7& subsections 7y7 & 7ff7 7z 
applicable77 %all be increas$ by #a     
p]c5tage po9t ) respect to m$ical       
assi/ance = su* drugs1 b 9 no case may  
su* p]c5tage exce$ #ajj p]c5t = su*     
m$ical assi/ance44  7b7 ,con=m+ am5dm5ts
 ,section #aije ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 
7#a7 9 subsection 7y77#a71 by ins]t+    
aft] ,not)/&+ subsection 7b7 ! foll[+3  
7b subject to ! six? s5t5ce ( su*       
subsection 7relat+ to a ,f$]al m$ical   
assi/ance p]c5tage increase ) respect to
 m$ical assi/ance = cov]$ outpati5t     
drugs772 &  7#b7 9 subsection 7ff71 by  
ins]t+ aft] ,not)/&+ subsection 7b7 !   
foll[+3 7b subject to ! six? s5t5ce (   
su* subsection 7relat+ to a ,f$]al      
m$ical assi/ance p]c5tage increase )    
respect to m$ical assi/ance = cov]$     
outpati5t drugs774  #c4 ,requir+ ,/ates 
t provide m$ical assi/ance = cov]$      
outpati5t drugs to all[ = up to #c-mon? 
supply ( fills & refills ( su* drugs    

,section #aibg7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acifr-#h7;a77 is  
am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#h7 ,requirem5t to all[ = up
 to #c-mon? supply ( fills & refills    
7,a7 ,9 g5]al ,9 ord] = paym5t to be    
available "u section #aijc7;a7 = a cov]$
 outpati5t drug t is adm9i/]$ on or aft]
 ! fir/ day ( ! fir/ full mon? foll[+ ! 
date ( ! enactm5t ( ?is p>agraph1 !     
,/ate %all p]mit any individual enroll$ 
"u ! ,/ate plan 7or a waiv] ( su* plan7 
to obta9 9 a s+le fill or refill1 at !  
option ( su* individual1 ! total day    
supply 7n to exce$ a #ij-;day supply7   
prescrib$ = su* individual = a cov]$    
outpati5t drug1 )\t reg>d to any co/ &  
utilization managem5t1 m$ication !rapy  
managem5t1 or o!r su* program t w\ld    
o!rwise apply "u su* plan 7or waiv]74   
7,b7 ,safety edit ,! ,/ate may n p]mit  
an individual enroll$ "u ! ,/ate plan   
7or a waiv] ( su* plan7 to obta9 a s+le 
fill or refill ( a cov]$ outpati5t drug 
"u su* ,/ate plan 7or waiv]7 if su* fill

 or refill w\ld be inconsi/5t ) an      
applicable safety edit "u su* plan 7or  
waiv]74  4