,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #dge  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #ac1 #bjai,mr4
 ,wyd5 7= himself1 ,mr4 ,b5net1 ,mr4    
,c>d91 ,ms4 ,klobu*>1 ,mr4 ,m]kley1 &   
,mr4 ,:iteh\se7 introduc$ ! foll[+ bill2
 :i* 0 read twice & ref]r$ to !         
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to prev5t cata/rophic out-(-pocket
 sp5d+ on prescription drugs = s5iors & 
individuals ) disabilities4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,r$uc+  
,exi/+ ,co/s ,associat$ )               
,ph>maceuticals = ,s5iors ,act ( #bjai  
or ! ,rx,c,a,p ,act ( #bjai4  #b4       
,elim9ation ( co/-%>+ above ! ,m$ic>e "p
 ,d annual out-(-pocket ?re%old  7a7 ,9 
g5]al ,section #ahfj;,d-#b7;b77#d77;,a7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#ajb7;b77#d77;,a77 is  
am5d$--  7#a7 9 clause 7i7-- 7,a7 by    
r$esignat+ subclauses 7,i7 & 7,,ii7 z   
items 7aa7 & 7bb71 respectively1 &      
ind5t+ appropriately2  7,b7 by /rik+    

subp>agraph 7,b71 ) co/-%>+ & ins]t+ !  
foll[+3 8subp>agraph 7,b7--  7,i7 = plan
 ye>s #bjjf ?r\gh #bjai1 ) co/-%>+  2   
7,c7 9 item 7bb71 z r$esignat$ by       
subp>agraph 7,a71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 &2 &  7,d7 by add+ at !  
end ! foll[+ new subclause3  7,,ii7 =   
plan ye> #bjbj & subsequ5t plan ye>s1   
)\t any co/-%>+4  2 &  7#b7 9 clause    
7ii7-- 7,a7 by /rik+ clause 7i77,i7 &   
ins]t+ clause 7i77,i77aa72 &  7,b7 by   
add+ at ! end ! foll[+ new s5t5ce3 ,!   
,secret>y %all cont9ue to calculate !   
doll> am\nts specifi$ 9 clause          
7i77,i77aa71 includ+ ) ! adju/m5t "u ?is
 clause1 aft] plan ye> #bjai = purposes 
( #ahfj;,d-#ad7;a77#a77;,d77iii744  7b7 
,con=m+ am5dm5ts to l[-,income subsidy  
,section #ahfj;,d-#ad7;a7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#aciew-#aad7;a77 is am5d$-- 7#a7 9      
p>agraph 7#a7--  7,a7 9 subp>agraph     
7,d77iii71 by /rik+                     
#ahfj;,d-#b7;b77#d77;,a77i77,i7 & ins]t+
 #ahfj;,d-#b7;b77#d77;,a77i77,i77aa72 & 

7,b7 9 subp>agraph 7,e7--  7i7 9 !      
head+1 by ins]t+ prior to ! elim9ation (
 su* co/-%>+ = all individuals aft]     
?re%old2 &  7ii7 by /rik+ ,! elim9ation 
& ins]t+ ,= plan ye>s #bjjf ?r\gh #bjai1
 ! elim9ation2 &  7#b7 9 p>agraph       
7#b77;,e7-- 7,a7 9 ! head+1 by ins]t+   
prior to ! elim9ation ( su* co/-%>+ =   
all individuals aft] ?re%old2  7,b7 by  
/rik+ ,subject to & ins]t+ ,= plan ye>s 
#bjjf ?r\gh #bjai1 subject to2 &  7,c7  
by /rik+ #ahfj;,d-#b7;b77#d77;,a77i77,i7
 & ins]t+                               
#ahfj;,d-#b7;b77#d77;,a77i77,i77aa74