,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dbgd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #bb1 #bjbj,mr4   
,paul introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title ,,xi 
( ! ,social ,security ,act to exclude   
disc\nts = cov]$ "p ,d drugs f !        
anti-kickback prohibition1 & = o!r      
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,legaliz+ ,drug ,disc\nts =
 ,s5iors ,act ( #bjbj4  #b4 ,exclusion (
 disc\nts = cov]$ ,"p ,d drugs f !      
anti-kickback prohibition  7a7          
,exclusion ( disc\nts ,section          
#aabh;,b7b77#c7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acbj;a-#g;b7b77#c77
 is am5d$-- 7#a7 9 subp>agraph 7,j7--   
7,a7 by mov+ su* subp>agraph #b ems to !
 left2 &  7,b7 by /rik+ & at ! end2     
7#b7 9 subp>agraph 7,k7-- 7,a7 by mov+  
su* subp>agraph #b ems to ! left2 &     
7,b7 by /rik+ ! p]iod at ! end & ins]t+ 
2 &2 &  7#c7 by add+ at ! end ! foll[+  
new subp>agraph3  7,l7 a disc\nt1       

includ+ ?r\gh a rebate1 disc\nt c>d1 or 
c\pon1 ) respect to a cov]$ "p ,d drug  
7z def9$ 9 section #ahfj;,d-#b7;e77 "u  
"p ,d ( title ,,xviii if-- 7i7 ! full   
value ( su* disc\nt is provid$ initially
 to a "p ,d eligible individual 7z def9$
 9 section #ahfj;,d-#a7;a77#c77;,a77    
enroll$ 9 a "p ,d plan 7z def9$ 9       
section #ahfj;,d-#bc7;a77#e771 & !      
disc\nt is n /ructur$ = ! specific      
purpose ( provid+ a price concession1   
o!r ?an a bona fide s]vice fee1 to ano!r
 individual or entity2 &  7ii7 9 ! case 
:]e su* disc\nt includes a r$uction 9   
price applicable to individuals enroll$ 
9 a heal? plan b n to individuals       
enroll$ 9 a prescription drug plan "u   
su* "p ,d or a ,,ma-,,pd plan "u "p ,c (
 su* title ,,xviii1 su* disc\nt is n    
/ructur$ = ! specific purpose ( increas+
 utilization ( su* cov]$ "p ,d drug "u  
su* a prescription drug plan or         
,,ma-,,pd plan4  4  7b7 ,application ( !
 protection aga9/ out-(-,pocket         
exp5ditures ,section                    

#ahfj;,d-#b7;b77#d77;,c77iii7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#ajb7;b77#d77;,c77iii77 is       
am5d$-- 7#a7 9 subclause 7,,iii71 by    
/rik+ or at ! end2  7#b7 9 subclause    
7,,iv71 by /rik+ ! p]iod at ! end &     
ins]t+ 2 or2 &  7#c7 by add+ at ! end ! 
foll[+3  7,v7 "u an arrangem5t describ$ 
9 section #aabh;,b7b77#c77,l74  4  7c7  
,effective date ,! am5dm5ts made by ?is 
section %all take effect on ,janu>y #a1 
#bjba4