,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #cjac  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #aj1 #bjai,mr4
 ,toomey 7= himself & ,mr4 ,crapo7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
all[ = ! (f]+ ( additional prescription 
drug plans "u ,m$ic>e "p ,d4  #a4 ,%ort 
title ,?is ,act may be cit$ z !         
,enc\rag+ ,innovative ,b5efit ,design to
 ,l[] ,co/s = ,s5iors ,act4  #b4 ,all[+ 
! (f]+ ( additional prescription drug   
plans "u ,m$ic>e "p ,d  7a7 ,resc9d+ &  
issuance ( new guidance ,n lat] ?an "o  
ye> aft] ! date ( ! enactm5t ( ?is ,act1
 ! ,secret>y ( ,heal? & ,human ,s]vices 
79 ?is section ref]r$ to z ! ,secret>y7 
%all--  7#a7 resc9d sections ( any      
sub-regulatory guidance t limit ! numb] 
( prescription drug plans 9 ea* ,,pdp   
region t may be (f]$ by a ,,pdp sponsor 
"u "p ,d ( title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4           

#aciew-#aja et seq472 &  7#b7 issue new 
guidance specify+ t a ,,pdp sponsor may 
(f] up to #d 7or a great] numb] if      
det]m9$ appropriate by ! ,secret>y7     
prescription drug plans 9 ea* ,,pdp     
region1 except 9 case :]e ! ,,pdp       
sponsor may (f] up to #b additional     
plans 9 a ,,pdp region pursuant to      
section #ahfj;,d-#aa7;d77#d7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciew-#aaa7;d77#d771 z add$ by         
subsection 7b74  7b7 ,(f]+ ( additional 
plans ,section #ahfj;,d-#aa7;d7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#aaa7;d77 is am5d$ by add+ at !  
end ! foll[+ new p>agraph3  7#d7 ,(f]+ (
 additional plans  7,a7 ,9 g5]al ,= plan
 ye> #bjbb & ea* subsequ5t plan ye>1 a  
,,pdp sponsor may (f] up to #b          
additional prescription drug plans 9 a  
,,pdp region 79 addition to any limit   
e/abli%$ by ! ,secret>y "u ?is "p7      
provid$ t ! ,,pdp sponsor complies )    
subp>agraph 7,b7 ) respect to at lea/ "o
 su* prescription drug plan4  7,b7      

,requirem5ts ,9 ord] to be eligible to  
(f] up to #b additional plans 9 a ,,pdp 
region pursuant to subp>agraph 7,a71 a  
,,pdp sponsor mu/ ensure t1 ) respect to
 at lea/ "o su* prescription drug plan1 
! sponsor or any entity t provides      
ph>macy b5efits managem5t s]vices "u a  
contract ) any su* sponsor or plan does 
n receive direct or indirect            
remun]ation1 z def9$ 9 section #dbc4cjh 
( title #db1 ,code ( ,f$]al ,regulations
 7or any successor regulation71 unless  
at lea/ #aj p]c5t ( ! aggregate         
r$uctions 9 price or o!r remun]ation    
receiv$ by ! ,,pdp sponsor or entity f  
drug manufactur]s ) respect to ! plan & 
plan ye>--  7i7 are reflect$ at !       
po9t-(-sale to ! enrollee2 or  7ii7 are 
us$ to r$uce total b5efici>y co/-%>+    
e/imat$ by ! ,,pdp sponsor =            
prescription drug cov]age "u ! plan 9 ! 
annual bid submitt$ by ! ,,pdp sponsor  
"u section #ahfj;,d-#aa7;b74  7,c7      
,def9ition ( r$uctions 9 price ,=       
purposes ( subp>agraph 7,b71 ! t]m      

r$uctions 9 price ref]s only to         
collectible am\nts1 z det]m9$ by !      
,secret>y1 :i* excludes am\nts :i* aft] 
adjudication & reconciliation )         
ph>macies & manufactur]s are duplicate 9
 nature1 contr>y to o!r contractual     
clauses1 or o!rwise ineligible 7su* z   
due to b5efici>y dis5rollm5t or         
coord9ation ( b5efits74  4  7c7 ,rule ( 
con/ruction ,no?+ 9 ! provisions (1 or  
am5dm5ts made by1 ?is section %all be   
con/ru$ z limit+ ! ability ( ! ,secret>y
 to increase any limit o!rwise          
applicable on ! numb] ( prescription    
drug plans t a ,,pdp sponsor may (f]1 at
 ! discretion ( ! ,,pdp sponsor1 9 a    
,,pdp region "u "p ,d ( title ,,xviii ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#aciew-#aja et seq474