,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #achd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #i1 #bjai,mr4     
,romney 7= himself & ,mr4 ,braun7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to re=m prescription drug   
pric+ & r$uce out-(-pocket co/s by      
ensur+ consum]s b5efit f negotiat$      
rebates4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,prescription ,drug ,rebate 
,re=m ,act ( #bjai4  #b4 ,co/-%>+ )     
respect to prescription drugs  7a7 ,9   
g5]al ,subp>t ,,ii ( "p ,a ( title      
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is  
am5d$ by add+ at ! end ! foll[+3        
#bgbi;,a4 ,co/-%>+ ) respect to         
prescription drugs  7a7 ,9 g5]al ,a gr\p
 heal? plan or heal? insurance issu]    
(f]+ gr\p or individual heal? insurance 
cov]age %all set any co9surance         
obligation an enrollee has ) respect to 
a prescription drug cov]$ by ! plan or  

cov]age bas$ on ! net price ( ! drug1   
su* t no paym5t by ! enrollee ) respect 
to ! drug is bas$ on a p]c5tage ( ! li/ 
price ( a drug4  7b7 ,applicability     
,subsection 7a7-- 7#a7 %all apply )     
respect to a prescription drug b5efit :5
 ! enrollee is requir$ to pay a         
d$uctible ) respect to su* b5efits &--  
7,a7 has n yet satisfi$ ! d$uctible "u !
 plan or cov]age2 or  7,b7 has ano!r    
co9surance obligation ) respect to su*  
b5efits "u ! plan or cov]age2 &  7#b7   
%all n apply if1 ) respect to ! disp5s$ 
quantity ( a prescription drug1 ! net   
price & li/ price are ! same1 or are    
diff]5t by n m ?an #a c5t4  7c7         
,copaym5ts ,no?+ 9 ?is section prev5ts a
 gr\p heal? plan or heal? insurance     
issu] f requir+ a copaym5t = any        
prescription drug if su* copaym5t is n  
ti$ to a p]c5t ( ! specifi$ co/ ( !     
drug4  7d7 ,def9itions ,9 ?is section-- 
7#a7 ! t]m co9surance means1 ) respect  
to prescription drug cov]age "u a gr\p  
heal? plan or gr\p or individual heal?  

insurance cov]age1 a paym5t obligation (
 an enrollee 9 su* heal? plan or heal?  
insurance cov]age t is bas$ on a portion
 or p]c5tage ( ! specifi$ co/ ( a       
prescription drug1 :i* may be up to #ajj
 p]c5t ( t co/2  7#b7 ! t]m d$uctible   
means ! paym5t obligation ( an enrollee 
9 a gr\p heal? plan or gr\p or          
individual heal? insurance cov]age be=e 
! gr\p heal? plan or gr\p or individual 
heal? insurance cov]age w pay any       
portion ( ! co/ ( prescription drug     
cov]age2  7#c7 ! t]m li/ price has !    
mean+ giv5 ! t]m :olesale acquisition   
co/ 9 section #ahdg;,a7c77#f77;,b7 ( !  
,social ,security ,act2  7#d7 ! t]m net 
price means1 ) respect to prescription  
drug cov]age "u a gr\p heal? plan or    
gr\p or individual heal? insurance      
cov]age1 ! li/ price ( ! drug net all   
rebates1 disc\nts1 concessions1 & o!r   
adju/m5ts appli$ to ! co/ paid by ! gr\p
 heal? plan or heal? insurance issu]1 or
 by any o!r entity t provides ph>macy   
b5efit managem5t s]vices "u a contract )

 any su* gr\p heal? plan or heal?       
insurance issu]1 reg>dless ( :e!r su*   
adju/m5ts are prospective or            
retrospective2 &  7#e7 ! t]m            
prescription drug mean a drug1 z def9$ 9
 section #bja7;g7 ( ! ,f$]al ,food1     
,drug1 & ,cosmetic ,act1 t is subject to
 section #ejc7;b77#a7 ( su* ,act4  4    
7b7 ,effective date ,section #bgbi;,a ( 
! ,public ,heal? ,s]vice ,act1 z add$ by
 subsection 7a71 %all apply ) respect to
 plan ye>s beg9n+ on or aft] ,janu>y #a1
 #bjba4