,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #ghgg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #cj1 #bjbj,mr4  
,katko 7= himself & ,mrs4 ,murphy (     
,florida7 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   
provide ,m$ic>e "p ,d b5efici>ies )     
c]ta9 (fset paym5ts & r$uce ! gr[? rate 
( ! ,m$ic>e "p ,d out-(-pocket co/      
?re%old1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,l[]+   
,drug ,co/s = ,s5iors ,act ( #bjbj4  #b4
 ,gr[? rate ( ,m$ic>e "p ,d out-(-pocket
 co/ ?re%old  7a7 ,provid+ ,m$ic>e "p ,d
 b5efici>ies ) c]ta9 #bjbj (fset paym5ts
 ,section #ahfj;,d-#b7;b77#d7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#ajb7;b77#d77 is am5d$ by add+ at

 ! end ! foll[+ new subp>agraph3  7,f7  
#bjbj (fset paym5ts  7i7 ,9 g5]al       
,subject to clause 7iv71 ! ,secret>y    
%all provide = paym5t f ! ,m$ic>e       
,prescription ,drug ,acc\nt z foll[s3   
7,i7 ,9 ! case ( a specifi$ individual  
7z def9$ 9 clause 7ii77,i77 :o z ( ! la/
 day ( a cal5d> qu>t] 9 #bjbj has       
incurr$ co/s = cov]$ "p ,d drugs s t !  
individual has exce$$ ! annual          
out-(-pocket ?re%old appli$ "u          
subp>agraph 7,b77i77,v7 = #bjbj1 paym5t 
to ! individual by n lat] ?an #ae? day (
 ! ?ird mon? foll[+ ! end ( su* qu>t] ( 
! am\nt by :i* su* ?re%old s appli$     
exce$$ ! t>get ?re%old = #bjbj4  7,,ii7 
,9 ! case ( a specifi$ individual :o is 
n describ$ 9 subclause 7,i7 & :o z ( !  
la/ day ( #bjbj has incurr$ co/s = cov]$
 "p ,d drugs s t ! individual has exce$$
 ! t>get ?re%old = #bjbj1 paym5t to !   
individual by n lat] ?an ,decemb] #ca1  
#bjba1 ( ! am\nt by :i* su* incurr$ co/s
 exce$$ ! t>get ?re%old = #bjbj4  7ii7  
,def9itions ,= purposes ( ?is           

subp>agraph3 7,i7 ,specifi$ individual  
,! t]m specifi$ individual means an     
individual :o-- 7aa7 is enroll$ 9 a     
prescription drug plan or an ,,ma- ,,pd 
plan2  7bb7 is n enroll$ 9 a qualifi$   
retiree prescription drug plan2 &  7cc7 
is n entitl$ to an income-relat$ subsidy
 "u section #ahfj;,d-#ad7;a74  7,,ii7   
,t>get ?re%old = #bjbj ,! t]m t>get     
?re%old = #bjbj means ! annual          
out-(-pocket ?re%old t w\ld h be5 appli$
 "u subp>agraph 7,b77i7 = #bjbj if su*  
?re%old _h be5 det]m9$ 9 accordance )   
subclause 7,,iv7 ( su* subp>agraph      
in/ead ( subclause 7,v7 ( su*           
subp>agraph4  7iii7 ,notification ,9 !  
case ( any specifi$ individual :o dur+  
#bjbj has incurr$ co/s = cov]$ "p ,d    
drugs s t ! individual has exce$$ !     
t>get ?re%old = #bjbj1 ! ,secret>y %all1
 n lat] ?an ,septemb] #cj1 #bjba1       
provide to su* individual a notification
 in=m+ su* individual ( su* individual's
 "r to a paym5t describ$ 9 clause 7i7 & 
! e/imat$ tim+ ( su* paym5t4  7iv7      

,cl>ification ,! ,secret>y %all provide 
only #a paym5t "u ?is subp>agraph )     
respect to any individual4  7v7         
,implem5tation ,! ,secret>y may implem5t
 ?is subp>agraph by program in/ruction  
or o!rwise4  4  7b7 ,r$uc$ gr[? rate =  
#bjba ( ,m$ic>e "p ,d out-(-,pocket co/ 
?re%old ,section                        
#ahfj;,d-#b7;b77#d77;,b77i7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajb7;b77#d77;,b77i77 is am5d$-- 
7#a7 9 subclause 7,v71 by /rik+ at ! end
 or2  7#b7 by r$esignat+ subclause      
7,,vi7 z subclause 7,,viii72 &  7#c7 by 
ins]t+ aft] subclause 7,v7 ! foll[+ new 
subclauses3  7,,vi7 = #bjba1 is equal to
 ! am\nt t w\ld h be5 appli$ "u ?is     
subp>agraph = #bjbj if su* am\nt _h be5 
det]m9$ 9 accordance ) subclause 7,,iv7 
in/ead ( subclause 7,v71 increas$ by !  
less] (-- 7aa7 ! annual p]c5tage        
increase describ$ 9 p>agraph 7#g7 =     
#bjba1 plus #b p]c5tage po9ts2 or  7bb7 
! annual p]c5tage increase describ$ 9   
p>agraph 7#f7 = #bjba2  7,,vii7 = #bjbb1

 is equal to ! am\nt t w\ld h be5 appli$
 "u ?is subp>agraph = #bjbb if !        
am5dm5ts made by section #aaja7;d77#a7 (
 ! ,heal? ,c>e & ,education             
,reconciliation ,act ( #bjaj & by       
section #b ( ! ,l[]+ ,drug ,co/s =      
,s5iors ,act ( #bjbj _h n be5 enact$2 or
  4