,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #dgf  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #ac1 #bjai    
,mr4 ,wyd5 7= himself1 ,mr4 ,br[n1 ,mr4 
,c>p]1 & ,mr4 ,te/]7 introduc$ ! foll[+ 
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,f9ance  ,a ,,bill  ,to   
am5d titles ,,xi & ,,xviii ( ! ,social  
,security ,act to provide great]        
transp>5cy ( disc\nts provid$ by drug   
manufactur]s4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,creat+ ,transp>5cy to 
,h ,drug ,rebates ,unlock$ 7,c-,,?ru7   
,act ( #bjai4  #b4 ,public disclosure ( 
drug disc\nts  7a7 ,9 g5]al ,section    
#aaej;,a ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acbj;b-#bc7 is am5d$--  7#a7
 9 subsection 7c71 9 ! matt] prec$+     
p>agraph 7#a71 by /rik+ ?is section &   
ins]t+ subsection 7b77#a72 &  7#b7 by   
add+ at ! end ! foll[+ new subsection3  
7e7 ,public availability ( c]ta9        
in=mation ,9 ord] to all[ pati5ts &     
employ]s to comp>e ,p,b,ms' ability to  
negotiate rebates1 disc\nts1 & price    

concessions & ! am\nt ( su* rebates1    
disc\nts1 & price concessions t are     
pass$ ?r\gh to plan sponsors1 beg9n+    
,janu>y #a1 #bjbj1 ! ,secret>y %all make
 available on ! ,int]net website ( !    
,dep>tm5t ( ,heal? & ,human ,s]vices !  
in=mation provid$ to ! ,secret>y "u     
p>agraphs 7#b7 & 7#c7 ( subsection 7b7 )
 respect to ea* ,,pbm4 ,! ,secret>y %all
 ensure t su* in=mation is display$ 9 a 
mann] t prev5ts ! disclosure ( in=mation
 on rebates1 disc\nts1 & price          
concessions ) respect to an individual  
drug or an individual plan4  4  7b7     
,effective date ,! am5dm5ts made by     
subsection 7a7 %all take effect on      
,janu>y #a1 #bjbj4  #c4 ,m9imum drug    
disc\nts requir$ ,to be pass$ ?r\gh to !
 plan sponsor  7a7 ,9 g5]al ,section    
#aaej;,a ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acbj;b-#bc71 z am5d$ by     
section #b7;a77#b71 is am5d$-- 7#a7 9 ! 
head+1 by ins]t+ 2 m9imum drug disc\nts 
requir$ to be pass$ ?r\gh to ! plan     
sponsor be=e ! p]iod at ! end2 &  7#b7  

by add+ at ! end ! foll[+ new           
subsection3  7f7 ,m9imum drug disc\nts  
requir$ ,to be pass$ ?r\gh to ! plan    
sponsor  7#a7 ,requirem5t ,beg9n+       
,janu>y #a1 #bjbb1 a ,,pbm t manages    
prescription drug cov]age "u a contract 
) a ,,pdp sponsor or ,,ma organization  
describ$ 9 subsection 7b77#a7 or a      
qualifi$ heal? b5efits plan describ$ 9  
subsection 7b77#b71 %all1 ) respect to !
 plan sponsor ( a heal? b5efits plan1   
pass ?r\gh to ! plan sponsor a m9imum   
p]c5t 7z e/abli%$ by ! ,secret>y7 ( !   
aggregate am\nt ( ! rebates1 disc\nts1  
or price concessions t ! ,,pbm          
negotiates t are attributable to pati5t 
utilization "u ! plan4  7#b7 ,e/abli%m5t
 ,! ,secret>y %all e/abli% ! m9imum     
p]c5t describ$ 9 p>agraph 7#a7 9 su* a  
mann] z w ensure t pati5ts receive !    
maximum b5efit ( rebates1 disc\nts1 or  
price concessions :ile tak+ into acc\nt 
! co/s ( negotiat+ su* rebates1         
disc\nts1 & price concessions4  7#c7    
,en=cem5t ,a ,,pdp sponsor ( a          

prescription drug plan or an ,,ma       
organization (f]+ an ,,ma-,,pd plan "u  
"p ,d ( title ,,xviii may n contract ) a
 ,,pbm t is n 9 compliance ) !          
requirem5t "u p>agraph 7#a74  4  7b7    
,effective date ,! am5dm5ts made by     
subsection 7a7 %all take effect on      
,janu>y #a1 #bjbb4  #d4 ,"p ,d negotiat$
 prices requir$ to take into acc\nt all 
price concessions at ! po9t-(-sale  7a7 
,9 g5]al ,section                       
#ahfj;,d-#b7;d77#a77;,b7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajb7;d77#a77;,b77 is am5d$--    
7#a7 by /rik+ prices4--,= purposes &    
ins]t+ 8prices4--  7i7 ,9 g5]al ,=      
purposes  2 &  7#b7 by add+ at ! end !  
foll[+ new clause3  7ii7 ,negotiat$     
prices at po9t-(-sale  7,i7 ,9 g5]al    
,negotiat$ prices = cov]$ "p ,d drugs   
describ$ 9 clause 7i71 includ+ all price
 negotiat$ concessions1 %all be provid$ 
at ! po9t-(-sale ( ! cov]$ "p ,d drug4  
,if ! negotiat$ price1 includ+ all      
negotiat$ price concessions1 is n       

possible to calculate at ! po9t-(-sale1 
an approximate negotiat$ price 7z       
e/abli%$ by ! ,secret>y7 %all be us$ "u 
! prescription drug plan or ,,ma-,,pd   
plan4  7,,ii7 ,approximate negotiat$    
price ,9 det]m9+ an approximate         
negotiat$ price = a cov]$ "p ,d drug "u 
subclause 7,i71 ! ,secret>y %all ensure 
t-- 7aa7 su* price reflects ! e/imat$   
negotiat$ price t is bas$ on ! previ\s  
ye>'s negotiat$ price concessions       
negotiat$ "u ! plan = all or simil>     
cov]$ "p ,d drugs or is bas$ on su* o!r 
factors z ! ,secret>y may det]m9e       
appropriate2 &  7bb7 ! use ( su* price  
does n prev5t ! use ( value-bas$        
contracts betwe5 drug manufactur]s1     
,,pdp sponsors1 ,,ma organizations1 &   
ph>macies4  4  7b7 ,effective date ,!   
am5dm5ts made by subsection 7a7 %all    
apply to plan ye>s beg9n+ on or aft]    
,janu>y #a1 #bjba4