,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #biaa  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #bj1 #bjai,mr4
 ,cassidy 7= himself & ,mr4 ,m55dez7    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide a mon?ly out-(-pocket co/ %>+   
maximum = enrollees :o incur a          
significant portion ( co/s = cov]$ "p ,d
 drugs t[>ds ! annual out-(-pocket      
?re%old dur+ a mon?4  #a4 ,%ort title   
,?is ,act may be cit$ z ! ,s5iors       
,prescription ,drug ,relief ,act (      
#bjai4  #b4 ,mon?ly out-(-pocket co/ %>+
 maximum = enrollees :o incur a         
significant portion ( co/s t[>ds annual 
out-(-pocket ?re%old  7a7 ,/&>d         
prescription drug cov]age ,section      
#ahfj;,d-#b7;b77#b7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajb7;b77#b77 is am5d$-- 7#a7 9  
subp>agraph 7,a71 by /rik+ & 7,d7 &     
ins]t+ 1 7,d71 & 7,e72  7#b7 9 ea* (    

subp>agraphs 7,c77i7 & 7,d77i71 by /rik+
 p>agraph 7#d7 & ins]t+ p>agraph 7#d71 &
 subject to subp>agraph 7,e72 &  7#c7 by
 add+ at ! end ! foll[+ new subp>agraph3
  7,e7 ,mon?ly out-(-pocket co/ %>+     
maximum  7i7 ,9 g5]al ,= plan ye>s      
beg9n+ on or aft] ,janu>y #a1 #bjbb1 !  
,secret>y %all ?r\gh regulation e/abli% 
a process to all[ an enrollee 9 a       
prescription drug plan :o incurs co/s 7z
 describ$ 9 p>agraph 7#d77;,c77 equal to
 or great] ?an a significant p]c5tage ( 
! annual out-(-pocket ?re%old specifi$ 9
 p>agraph 7#d77;,b7 )9 a "o mon? "t     
p]iod to *oose to pay ! total am\nt (   
su* co/s ow$1 9 equal in/allm5ts 9 !    
rema9+ mon?s ( ! plan ye> up to ! total 
am\nt ( su* annual out-(-pocket ?re%old4
  7ii7 ,def9ition ( significant p]c5t ,=
 purposes ( ! process describ$ 9 clause 
7i71 ! ,secret>y %all ?r\gh regulation  
provide = a def9ition ( ! t]m           
significant p]c5tage ) respect to a     
p]c5tage ( ! annual out-(-pocket ?re%old
 specifi$ 9 p>agraph 7#d77;,b7 b 9 no   

case %all ! significant p]c5tage be less
 ?an #ej p]c5t or m ?an #ajj p]c5t ( !  
annual out-(-pocket ?re%old4  4  7b7    
,alt]native prescription drug cov]age   
,section #ahfj;,d-#b7;c7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajb7;c77 is am5d$ by add+ at !  
end ! foll[+ new p>agraph3  7#d7 ,same  
mon?ly out-(-pocket co/ %>+ maximum ,=  
plan ye>s beg9n+ on or aft] ,janu>y #a1 
#bjbb1 ! cov]age provides ! mon?ly      
out-(-pocket co/ %>+ maximum requir$ "u 
subsection 7b77#b77;,e74  4