,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #hjc  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #be1 #bjai,mr4
 ,wel* 7= himself1 ,mr4 ,griffi?1 ,mr4  
,c>t] ( ,georgia1 ,mrs4 ,rodg]s (       
,wa%+ton1 & ,mr4 ,coll9s ( ,georgia7    
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 prohibit      
prescription drug plan sponsors &       
,,ma-,,pd organizations "u ! ,m$ic>e    
program f retroactively r$uc+ paym5t on 
clean claims submitt$ by ph>macies4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,improv+ ,transp>5cy & ,accuracy 9      
,m$ic>e ,"p ,d ,sp5d+ ,act4  #b4        
,prohibit+ ,m$ic>e ,,pdp sponsors &     
,,ma-,,pd organizations f retroactively 
r$uc+ paym5t on clean claims submitt$ by

 ph>macies  7a7 ,9 g5]al ,section       
#ahfj;,d-#ab7;b77#d77;,a7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#aciew-#aab7;b77#d77;,a77 is am5d$ by   
add+ at ! end ! foll[+ new clause3  7iv7
 ,prohibit+ retroactive r$uctions 9     
paym5ts on clean claims ,ea* contract   
ent]$ into ) a ,,pdp sponsor "u ?is "p )
 respect to a prescription drug plan    
(f]$ by su* sponsor %all provide t aft] 
! date ( receipt ( a clean claim        
submitt$ by a ph>macy1 ! ,,pdp sponsor  
7or an ag5t ( ! ,,pdp sponsor7 may n    
retroactively r$uce paym5t on su* claim 
directly or indirectly ?r\gh aggregat$  
effective rate or o!rwise except 9 !    
case su* claim is f\nd to n be a clean  
claim 7su* z 9 ! case ( a claim lack+   
requir$ sub/antiat+ docum5tation7 dur+ !
 c\rse ( a r\t9e audit z p]mitt$        
pursuant to writt5 agreem5t betwe5 !    
,,pdp sponsor 7or su* an ag5t7 & su*    
ph>macy4 ,! previ\s s5t5ce %all n       
prohibit any retroactive increase 9     
paym5t to a ph>macy pursuant to a writt5

 agreem5t betwe5 a ,,pdp sponsor 7or an 
ag5t ( su* sponsor7 & su* ph>macy4  4   
7b7 ,effective date ,! am5dm5t made by  
subsection 7a7 %all apply ) respect to  
contracts ent]$ into on or aft] ,janu>y 
#a1 #bjbj4