,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #aiii  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #bg1 #bjai,mr4   
,casey 7= himself & ,mr4 ,da9es7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide transitional cov]age &          
retroactive ,m$ic>e "p ,d cov]age =     
c]ta9 l[-income b5efici>ies4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,improv+
 ,l[ ,income ,access to ,prescription   
,drugs ,act ( #bjai4  #b4 ,transitional 
cov]age & retroactive ,m$ic>e "p ,d     
cov]age = c]ta9 l[-income b5efici>ies   
,section #ahfj;,d-#ad ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciew-#aad7 is am5d$--  7#a7 by        
r$esignat+ subsection 7e7 z subsection  
7f72 &  7#b7 by add+ aft] subsection 7d7
 ! foll[+ new subsection3  7e7 ,limit$  
income newly eligible transition program
  7#a7 ,9 g5]al ,beg9n+ n lat] ?an      
,janu>y #a1 #bjba1 ! ,secret>y %all c>ry

 out a program to provide transitional  
cov]age = cov]$ "p ,d drugs = ,,li ,,net
 eligible individuals 9 accordance ) ?is
 subsection4  7#b7 ,,li net eligible    
individual def9$ ,= purposes ( ?is      
subsection1 ! t]m ,,li ,,net eligible   
individual means a "p ,d eligible       
individual :o-- 7,a7 meets ! requirem5ts
 ( clauses 7ii7 & 7iii7 ( subsection    
7a77#c77;,a72 &  7,b7 has n yet enroll$ 
9 a prescription drug plan or an        
,,ma-,,pd plan1 or1 :o has s enroll$1 b 
) respect to :om cov]age "u su* plan has
 n yet tak5 effect4  7#c7 ,transitional 
cov]age ,= purposes ( ?is subsection1 ! 
t]m transitional cov]age means ) respect
 to an ,,li ,,net eligible individual-- 
7,a7 imm$iate access to cov]$ "p ,d     
drugs at ! po9t ( sale dur+ ! p]iod t   
beg9s on ! fir/ day ( ! mon? su*        
individual is det]m9$ to meet !         
requirem5ts ( clauses 7ii7 & 7iii7 (    
subsection 7a77#c77;,a7 & ends on ! date
 t cov]age "u a prescription drug plan  
or ,,ma-,,pd plan takes effect ) respect

 to su* individual2 &  7,b7 9 ! case (  
an ,,li ,,net eligible individual :o is 
a full-b5efit dual eligible individual  
7z def9$ 9 section #aice7;c77#f77 or a  
recipi5t ( supplem5tal security income  
b5efits "u title ,,xvi1 retroactive     
cov]age 79 ! =m ( reimbursem5t ( !      
am\nts t w\ld h be5 paid "u ?is "p _h   
su* individual be5 enroll$ 9 a          
prescription drug plan or ,,ma-,,pd     
plan7 ( cov]$ "p ,d drugs pur*as$ by su*
 individual dur+ ! p]iod t beg9s on !   
date t is ! lat] (--  7i7 ! date t su*  
individual 0 fir/ eligible = a l[-income
 subsidy "u ?is "p2 or  7ii7 ! date t is
 #cf mon?s prior to ! date su*          
individual enrolls 9 a prescription drug
 plan or ,,ma-,,pd plan1  & ends on !   
date t cov]age "u su* plan takes effect4
  7#d7 ,program adm9i/ration  7,a7 ,s+le
 po9t ( contact ,! ,secret>y %all1 to ! 
ext5t feasible1 adm9i/] ! program "u ?is
 subsection ?r\gh a contract ) a s+le   
program adm9i/rator4  7,b7 ,b5efit      
design ,! ,secret>y %all ensure t !     

transitional cov]age provid$ to ,,li    
,,net eligible individuals "u ?is       
subsection--  7i7 provides access to all
 cov]$ "p ,d drugs "u an op5 =mul>y2    
7ii7 p]mits all ph>macies det]m9$ by !  
,secret>y to be 9 good /&+ to process   
claims "u ! program2  7iii7 is consi/5t 
) su* requirem5ts z ! ,secret>y consid]s
 necess>y to improve pati5t safety &    
ensure appropriate disp5s+ ( m$ication2 
&  7iv7 meets su* o!r requirem5ts z !   
,secret>y may e/abli%4  7#e7            
,relation%ip to o!r provisions ( ?is    
title2 waiv] au?ority  7,a7 ,9 g5]al ,! 
foll[+ provisions %all n apply ) respect
 to ! program "u ?is subsection3  7i7   
,p>agraphs 7#a7 & 7#c77;,b7 ( section   
#ahfj;,d-#d7;a7 7relat+ to dissem9ation 
( g5]al in=mation2 availability (       
in=mation on *anges 9 =mul>y ?r\gh !    
int]net74  7ii7 ,subp>agraphs 7,a7 &    
7,b7 ( section #ahfj;,d-#d7;b77#c7      
7relat+ to requirem5ts on developm5t &  
application ( =mul>ies2 =mul>y          
developm5t74  7iii7 ,p>agraphs 7#a77;,c7

 & 7#b7 ( section #ahfj;,d-#d7;c7       
7relat+ to m$ication !rapy managem5t    
program74  7,b7 ,waiv] au?ority ,!      
,secret>y may waive su* o!r requirem5ts 
( title ,,xi & ?is title z may be       
necess>y to c>ry out ! purposes ( !     
program e/abli%$ "u ?is subsection4  4