,i #aafth ,,congress #b;d ,session ,h4 ,r4 #fgci ,,in ,,the ,,house ,,of ,,representatives ,may #h1 #bjbj,mr4 ,casten of ,illinois 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 require coverage under ,medicare ,p,d,ps and ,,ma-,,pd plans1 without the imposition of cost sharing or utilization management requirements1 of drugs intended to treat ,,covid-#ai during certain emergencies4 #a4 ,short title ,this ,act may be cited as the ,ensuring ,seniors' ,access to ,,covid ,treatments ,act4 #b4 ,requiring coverage under ,medicare ,p,d,ps and ,,ma-,,pd plans1 without the imposition of cost sharing or utilization management requirements1 of drugs intended to treat ,,covid-#ai during certain emergencies 7a7 ,coverage requirement 7#a7 ,in general ,section #ahfj;,d-#d7;b77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;b77#c77 is amended by adding at the end the following new subparagraph3 7,i7 ,required inclusion of drugs intended to treat ,,covid-#ai 7i7 ,in general ,notwithstanding any other provision of law1 a ,,pdp sponsor offering a prescription drug plan shall1 with respect to a plan year1 any portion of which occurs during the period described in clause 7ii71 be required to-- 7,i7 include in any formulary-- 7aa7 all covered part ,d drugs with a medically accepted indication 7as defined in section #ahfj;,d-#b7;e77#d77 to treat ,,covid-#ai that are marketed in the ,united ,states2 and 7bb7 all drugs authorized under section #efd or #efd;,a of the ,federal ,food ,drug and ,cosmetic ,act to treat ,,covid-#ai2 and 7,,ii7 not impose any prior authorization or other utilization management requirement with respect to such drugs described in item 7aa7 or 7bb7 of subclause 7,i7 7other than such a requirement that limits the quantity of drugs due to safety74 7ii7 ,period described ,for purposes of clause 7i71 the period described in this clause is the period during which there exists the public health emergency declared by the ,secretary pursuant to section #cai of the ,public ,health ,service ,act on ,january #ca1 #bjbj1 entitled ,determination that a ,public ,health ,emergency ,exists ,nationwide as the ,result of the #bjai ,novel ,coronavirus 7including any renewal of such declaration pursuant to such section74 4 7b7 ,elimination of cost sharing 7#a7 ,elimination of cost sharing for drugs intended to treat ,,covid-#ai under standard and alternative prescription drug coverage ,section #ahfj;,d-#b of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajb7 is amended-- 7,a7 in subsection 7b7-- 7i7 in paragraph 7#a77;,a71 by striking ,the coverage and inserting ,subject to paragraph 7#h71 the coverage2 7ii7 in paragraph 7#b7-- 7,i7 in subparagraph 7,a71 by inserting after ,subject to subparagraphs 7,c7 and 7,d7 the following3 and paragraph 7#h72 7,,ii7 in subparagraph 7,c77i71 by striking paragraph 7#d7 and inserting paragraphs 7#d7 and 7#h72 and 7,,iii7 in subparagraph 7,d77i71 by striking paragraph 7#d7 and inserting paragraphs 7#d7 and 7#h72 7iii7 in paragraph 7#d77;,a77i71 by striking ,the coverage and inserting ,subject to paragraph 7#h71 the coverage2 and 7iv7 by adding at the end the following new paragraph3 7#h7 ,elimination of cost-sharing for drugs intended to treat ,,covid-#ai ,the coverage does not impose any deductible1 copayment1 coinsurance1 or other cost-sharing requirement for drugs described in section #ahfj;,d-#d7;b77#c77;,i77i77,i7 with respect to a plan year1 any portion of which occurs during the period during which there exists the public health emergency declared by the ,secretary pursuant to section #cai of the ,public ,health ,service ,act on ,january #ca1 #bjbj1 entitled ,determination that a ,public ,health ,emergency ,exists ,nationwide as the ,result of the #bjai ,novel ,coronavirus 7including any renewal of such declaration pursuant to such section74 2 and 7,b7 in subsection 7c71 by adding at the end the following new paragraph3 7#d7 ,same elimination of cost-sharing for drugs intended to treat ,,covid-#ai ,the coverage is in accordance with subsection 7b77#h74 4 7#b7 ,elimination of cost sharing for drugs intended to treat ,,covid-#ai dispensed to individuals who are subsidy eligible individuals ,section #ahfj;,d-#ad7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad7;a77 is amended-- 7,a7 in paragraph 7#a7-- 7i7 in subparagraph 7,d7-- 7,i7 in clause 7ii71 by striking ,in the case of and inserting ,subject to subparagraph 7,f71 in the case of2 and 7,,ii7 in clause 7iii71 by striking ,in the case of and inserting ,subject to subparagraph 7,f71 in the case of2 and 7ii7 by adding at the end the following new subparagraph3 7,f7 ,elimination of cost-sharing for drugs intended to treat ,,covid-#ai ,coverage that is in accordance with section #ahfj;,d-#b7;b77#h74 2 and 7,b7 in paragraph 7#b7-- 7i7 in subparagraph 7,b71 by striking ,a reduction and inserting ,subject to subparagraph 7,f71 a reduction2 7ii7 in subparagraph 7,d71 by striking ,the substitution and inserting ,subject to subparagraph 7,f71 the substitution2 7iii7 in subparagraph 7,e71 by inserting after ,subject to the following3 subparagraph 7,f7 and2 and 7iv7 by adding at the end the following new subparagraph3 7,f7 ,elimination of cost-sharing for drugs intended to treat ,,covid-#ai ,coverage that is in accordance with section #ahfj;,d-#b7;b77#h74 4 7c7 ,implementation ,notwithstanding any other provision of law1 the ,secretary of ,health and ,human ,services may implement the amendments made by this section by program instruction or otherwise4