,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dddh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #e1 #bjbj,mr4   
,w>n] 7= himself & ,mr4 ,book]7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d titles     
,,xix & ,,xxi ( ! ,social ,security ,act
 to give ,/ates ! option to ext5d !     
,m$icaid drug rebate program to !       
,*ildr5's ,heal? ,insurance ,program1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,fair ,drug ,prices
 = ,kids ,act4  #b4 ,r$uc+ prescription 
drug co/s = *ildr5's m$ic9e  7a7 ,9     
g5]al ,section #aibg7;a7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acifr-#h7;a77 is am5d$ by add+ at ! end
 ! foll[+ new p>agraph3  7#h7 ,/ate     
option to apply rebate requirem5ts to ! 
,/ate *ild heal? plan  7,a7 ,9 g5]al ,a 
,/ate may elect to apply ! requirem5ts (
 ?is section & regulations promulgat$ to
 c>ry out ?is section to cov]$ outpati5t
 drugs = :i* paym5t is available "u !   

,/ate *ild heal? plan "u title ,,xxi 9 !
 same mann] z su* requirem5ts apply to !
 ,/ate plan "u ?is title1 subject to su*
 guidance z ! ,secret>y %all e/abli%4   
7,b7 ,application rules ,if a ,/ate     
makes an election "u subp>agraph 7,a71  
!n1 9 apply+ ?is section ) respect to t 
,/ate-- 7i7 p>agraph 7#a7 ( ?is         
subsection %all be appli$ z if or       
section #baje 7if ! ,/ate has elect$ to 
apply ?is section to ! ,/ate *ild heal? 
plan "u title ,,xxi7 7 ins]t$ aft]      
#aijc7;a72  7ii7 p>agraph 7#g77;,a7 (   
?is subsection %all be appli$-- 7,i7 z  
if or section #baje 7if ! ,/ate has     
elect$ to apply ?is section to ! ,/ate  
*ild heal? plan "u title ,,xxi7 7 ins]t$
 aft] #aijc7;a72 &  7,,ii7 z if 7or1 if 
! ,/ate has elect$ to apply ?is section 
to ! ,/ate *ild heal? plan "u title     
,,xxi1 on or aft] ! date ?is section    
fir/ applies to ! ,/ate7 7 ins]t$ aft]  
,janu>y #a1 #bjjf2  7iii7 p>agraph      
7#g77;,b77ii7 ( ?is subsection %all be  
appli$-- 7,i7 z if or section #baje 7if 

! ,/ate has elect$ to apply ?is section 
to ! ,/ate *ild heal? plan "u title     
,,xxi7 7 ins]t$ aft] #aijc7;a72 &       
7,,ii7 z if 7or1 if ! ,/ate has elect$  
to apply ?is section to ! ,/ate *ild    
heal? plan "u title ,,xxi1 on or aft] ! 
date ?is section fir/ applies to !      
,/ate7 7 ins]t$ aft] ,janu>y #a1 #bjjh2 
7iv7 subsection 7b77#a77;,a7 %all be    
appli$ z if 7or1 if ! ,/ate has elect$  
to apply ?is section to ! ,/ate *ild    
heal? plan "u title ,,xxi1 on or aft] ! 
date ?is section fir/ applies to !      
,/ate1 to ea* ,/ate *ild heal? plan =   
:i* paym5t 0 made "u su* ,/ate *ild     
heal? plan = su* p]iod7 7 ins]t$ aft]   
su* p]iod2  7v7 subsection 7b77#a77;,b7 
%all be appli$ z if 7or a r$uction 9 !  
am\nt exp5d$ "u ! ,/ate *ild heal? plan 
9 ! qu>t] = *ild heal? assi/ance or     
pregnancy-relat$ assi/ance = purposes ( 
section #baje if ! ,/ate has elect$ to  
apply ?is section to ! ,/ate *ild heal? 
plan "u title ,,xxi7 7 ins]t$ aft]      
#aijc7;a77#a72 &  7vi7 p>agraphs        

7#b77;,a77i7 & 7#c77;,a77ii7 (          
subsection 7c7 %all ea* be appli$ z if  
7or1 if ! ,/ate has elect$ to apply ?is 
section to ! ,/ate *ild heal? plan "u   
title ,,xxi1 on or aft] ! date ?is      
section fir/ applies to ! ,/ate7 7      
ins]t$ aft] ,decemb] #ca1 #aiij ea*     
place x appe>s4  4  7b7 ,con=m+ am5dm5ts
  7#a7 ,section #bajg7;e77#a7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acig;gg7e77#a77 is am5d$-- 7,a7 by     
r$esignat+ subp>agraphs 7,d7 ?r\gh 7,s7 
z subp>agraphs 7,e7 ?r\gh 7,t71         
respectively2 &  7,b7 by ins]t+ aft]    
subp>agraph 7,c7 ! foll[+ new           
subp>agraph3  7,d7 ,section             
#aijb7;a77#ed7 7relat+ to compliance ) !
 requirem5ts ( section #aibg b only if !
 ,/ate has elect$ to apply su*          
requirem5ts to ! ,/ate *ild heal? plan  
"u ?is title74  4  7#b7 ,section        
#baaj7;a77#f7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acig;jj7a77#f77 is     
am5d$ by ins]t+ &1 if ! ,/ate has elect$
 to apply ! requirem5ts ( section #aibg 

to ! ,/ate *ild heal? plan "u ?is title1
 cov]$ outpati5t drugs1 z def9$ 9       
section #aibg7k77#b71 aft] ,prescription
 drugs & biologicals4