,,ii  #aafth ,,congress  #ast ,session  
,s4 #dge  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,february #ac1      
#bjai,mr4 ,wyden 7for himself1 ,mr4     
,bennet1 ,mr4 ,cardin1 ,ms4 ,klobuchar1 
,mr4 ,merkley1 and ,mr4 ,whitehouse7    
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,finance  ,a ,,bill  ,to  
amend title ,,xviii of the ,social      
,security ,act to prevent catastrophic  
out-of-pocket spending on prescription  
drugs for seniors and individuals with  
disabilities4  #a4 ,short title ,this   
,act may be cited as the ,reducing      
,existing ,costs ,associated with       
,pharmaceuticals for ,seniors ,act of   
#bjai or the ,rx,c,a,p ,act of #bjai4   
#b4 ,elimination of cost-sharing above  
the ,medicare part ,d annual            
out-of-pocket threshold  7a7 ,in general
 ,section #ahfj;,d-#b7;b77#d77;,a7 of   
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#ajb7;b77#d77;,a77 is  
amended--  7#a7 in clause 7i7-- 7,a7 by 

redesignating subclauses 7,i7 and 7,,ii7
 as items 7aa7 and 7bb71 respectively1  
and indenting appropriately2  7,b7 by   
striking subparagraph 7,b71 with        
cost-sharing and inserting the          
following3 8subparagraph 7,b7--  7,i7   
for plan years #bjjf through #bjai1 with
 cost-sharing  2  7,c7 in item 7bb71 as 
redesignated by subparagraph 7,a71 by   
striking the period at the end and      
inserting 2 and2 and  7,d7 by adding at 
the end the following new subclause3    
7,,ii7 for plan year #bjbj and          
subsequent plan years1 without any      
cost-sharing4  2 and  7#b7 in clause    
7ii7-- 7,a7 by striking clause 7i77,i7  
and inserting clause 7i77,i77aa72 and   
7,b7 by adding at the end the following 
new sentence3 ,the ,secretary shall     
continue to calculate the dollar amounts
 specified in clause 7i77,i77aa71       
including with the adjustment under this
 clause1 after plan year #bjai for      
purposes of                             
#ahfj;,d-#ad7;a77#a77;,d77iii744  7b7   

,conforming amendments to low-,income   
subsidy ,section #ahfj;,d-#ad7;a7 of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciew-#aad7;a77 is amended-- 7#a7 in   
paragraph 7#a7--  7,a7 in subparagraph  
7,d77iii71 by striking                  
#ahfj;,d-#b7;b77#d77;,a77i77,i7 and     
inserting                               
#ahfj;,d-#b7;b77#d77;,a77i77,i77aa72 and
  7,b7 in subparagraph 7,e7--  7i7 in   
the heading1 by inserting prior to the  
elimination of such cost-sharing for all
 individuals after threshold2 and  7ii7 
by striking ,the elimination and        
inserting ,for plan years #bjjf through 
#bjai1 the elimination2 and  7#b7 in    
paragraph 7#b77;,e7-- 7,a7 in the       
heading1 by inserting prior to the      
elimination of such cost-sharing for all
 individuals after threshold2  7,b7 by  
striking ,subject to and inserting ,for 
plan years #bjjf through #bjai1 subject 
to2 and  7,c7 by striking               
#ahfj;,d-#b7;b77#d77;,a77i77,i7 and     
inserting                               

#ahfj;,d-#b7;b77#d77;,a77i77,i77aa74