,i #aag? ,,congress #a/ ,session ,h4 ,r4 #dcgf ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #i1 #bjba ,mr4 ,arr+ton introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,ways & ,means ,a ,,bill ,to id5tify & take action aga9/ int]national trade practices ( high income c\ntries t unfairly exploit innovation by deviat+ f m>ket-bas$ policies & unfairly exploit ,unit$ ,/ates innovation1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,use ,sov]eignty ,to r$uce ,rx ,act or ! ,u,s,t,rx ,act4 #b4 ,f9d+s2 s5se ( ,congress 7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,ph>maceutical price controls 9 =eign m>kets di/ort global trade fl[s & competition by depress+ ! prices ( innovative drugs & exploit+ ph>maceutical innovations rese>*$ & develop$ 9 ! ,unit$ ,/ates4 7#b7 ,by sett+ prices at levels t are n m>ket-bas$1 su* price controls und]value ! discov]y ( new1 innovative treatm5ts1 dim9i% opportunities & inc5tives = global innovation 9 new m$ic9es1 & ?reat5 to re/rict access to new treatm5ts & cures = ,unit$ ,/ates pati5ts & consum]s4 7#c7 ,recogniz+ ^! dynamics1 x is critical t ! ,unit$ ,/ates use all available trade tools to address su* free-rid+1 consi/5t ) ! negotiat+ objectives set =? 9 ! ,bip>tisan ,congressional ,trade ,priorities & ,acc\ntability ,act ( #bjae 7#ai ,u4,s4,c4 #dbja et seq471 to ensure t =eign gov]nm5t regulatory reimbursem5t regimes are transp>5t1 provide proc$ural fairness1 are non-discrim9atory1 & provide full m>ket access to ,unit$ ,/ates products4 7b7 ,s5se ( ,congress ,x is ! s5se ( ,congress t-- 7#a7 ensur+ ! security ( innovative & af=dable heal?c>e is a top priority = ,am]icans & = ,congress2 7#b7 =eign gov]nm5t policies t m&ate artificially l[ drug prices 9 =eign m>kets und]m9e ?is priority by r$uc+ global inc5tives to inve/ 9 ! developm5t ( new m$ic9es2 7#c7 su* exploitative behavior unfairly %ifts ! co/ ( develop+ new treatm5ts to ! ,unit$ ,/ates & unduly relies on ,am]ica's pati5ts & taxpay]s to f9ance global ph>maceutical innovation2 & 7#d7 safegu>d+ access to life-sav+ treatm5ts = ,am]ican pati5ts requires combat+ su* behavior s t =eign c\ntries pay _! fair %>e ( ! co/s associat$ ) ! developm5t ( new drugs4 #c4 ,*ief ,ph>maceutical ,trade ,negotiator 7a7 ,e/abli%m5t ,section #ada7;b7 ( ! ,trade ,act ( #aigd 7#ai ,u4,s4,c4 #baga7;b771 is am5d$ z foll[s3 7#a7 ,9 p>agraph 7#b7-- 7,a7 9 ! fir/ s5t5ce1 by ins]t+ "o ,*ief ,ph>maceutical ,trade ,negotiator1 aft] "o ,*ief ,agricultural ,negotiator12 & 7,b7 by ins]t+ ! ,*ief ,ph>maceutical ,trade ,negotiator1 aft] ! ,*ief ,agricultural ,negotiator1 ea* place x appe>s4 7#b7 ,by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,! pr9cipal functions ( ! ,*ief ,ph>maceutical ,trade ,negotiator %all be to conduct trade negotiations1 en=ce trade agreem5ts relat+ to ,unit$ ,/ates ph>maceutical products1 & take appropriate action to address acts1 policies1 or practices ( high-income c\ntries t h a significant adv]se impact on ! ability ( ,unit$ ,/ates ph>maceutical manufactur]s to enjoy full m>ket access4 ,! ,*ief ,ph>maceutical ,trade ,negotiator %all be a vigor\s advocate on behalf ( ,unit$ ,/ates manufactur]s & consum]s ( ph>maceutical products & %all p]=m su* o!r functions z ! ,unit$ ,/ates ,trade ,repres5tative may direct4 4 7b7 ,annual report 7#a7 ,li/ ( high-income c\ntries ,! ,unit$ ,/ates ,trade ,repres5tative %all compile & annually update a li/ ( ea* =eign c\ntry t is def9$ z high-income by ! (ficial /ati/ics ( ! ,int]national ,bank = ,recon/ruction & ,developm5t ( ! ,_w ,bank4 7#b7 ,report requir$ ,) respect to ea* c\ntry includ$ on ! mo/ rec5t li/ requir$ "u p>agraph 7#a71 ! ,unit$ ,/ates ,trade ,repres5tative1 act+ ?r\gh ! ,*ief ,ph>maceutical ,trade ,negotiator1 7z e/abli%$ pursuant to ! am5dm5ts made by subsection 7a77 %all annually submit to ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives & ! ,committee on ,f9ance ( ! ,s5ate a report t-- 7,a7 describes 9 detail ! results ( a review ( ! acts1 policies1 & practices ( su* c\ntry relat+ to ! trade 9 ph>maceutical products 9 ! previ\s fiscal ye>2 7,b7 det]m9es :e!r su* acts1 policies1 or practices-- 7i7 are n develop$ & implem5t$ 9 a fair1 nondiscrim9atory1 & transp>5t mann]2 7ii7 are n m>ket-bas$ or d n appropriately recognize ! value ( innovative m$ic9es2 7iii7 d5y reciprocal m>ket access = ,unit$ ,/ates products2 7iv7 dim9i% inc5tives = innovation 9 a mann] t delays1 prev5ts1 or o!rwise adv]sely impacts ! introduction ( new m$ic9es 9 ! ,unit$ ,/ates2 7v7 violate or are inconsi/5t ) ! provisions (1 or o!rwise d5y b5efits to ! ,unit$ ,/ates "u1 any bilat]al or multilat]al trade agreem5t ) su* c\ntry2 7vi7 are unju/ifiable or impose a significant burd5 or unreasonable or discrim9atory re/riction on ,unit$ ,/ates comm]ce ) su* c\ntry2 & 7,c7 describes ! curr5t /atus ( any responsive actions tak5 by ! ,unit$ ,/ates ) respect to acts1 policies1 or practices = :i* ! ,unit$ ,/ates ,trade ,repres5tative has det]m9$ & includ$ 9 any prior report1 pursuant to subp>agraph 7,b71 t ! int]e/s ( ! ,unit$ ,/ates are h>m$1 includ+ responsive actions pursuant to title ,,iii ( ! ,trade ,act ( #aigd 7#ai ,u4,s4,c4 #bdaa et seq474 7c7 ,response to adv]se actions ,n lat] ?an #cj days aft] ! ,unit$ ,/ates ,trade ,repres5tative det]m9es t an act1 policy1 or practice ( a c\ntry includ$ 9 ! applicable li/ requir$ "u subsection 7b77#a7 meets any ( ! crit]ia describ$ 9 subsection 7b77#b77;,b71 ! ,unit$ ,/ates ,trade ,repres5tative %all submit to ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives & ! ,committee on ,f9ance ( ! ,s5ate a plan to respond to su* adv]se action1 :i* may include initiat+ an inve/igation "u *apt] #a title ,,iii ( ! ,trade ,act ( #aigd 7#ai ,u4,s4,c4 #bdaa et seq471 9 accordance ) section #cjb7;b77#a7 ( su* *apt]4