,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #cedi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ah1 #bjbc,mr4   
,w5/rup 7= himself1 ,mr4 ,blum5au]1 &   
,mrs4 ,d+ell7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce1 & 9 addition to ! ,committee 
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
ensure ,m$ic>e-only ,,pace program      
enrollees h a *oice ( prescription drug 
plans "u ,m$ic>e "p ,d4  #a4 ,%ort title
 ,?is ,act may be cit$ z ! ,,pace ,"p ,d
 ,*oice ,act ( #bjbc4  #b4 ,ensur+      
,m$ic>e-only ,,pace program enrollees h 
a *oice ( prescription drug plans "u    
,m$ic>e "p ,d ,section #ahfj;,d-#ba7;f7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#aca7;f77 is am5d$--   
7#a7 9 p>agraph 7#a71 by /rik+ & 7#c7 & 
ins]t+ 7#c71 & 7#d72 &  7#b7 by add+ at 

! end ! foll[+ new p>agraph3  7#d7      
,ensur+ *oice ( prescription drug plans 
7,a7 ,9 g5]al ,= plan ye>s beg9n+ on or 
aft] ,janu>y #a1 #bjbe1 subject to !    
succe$+ provisions ( ?is p>agraph1 an   
applicable ,,pace program enrollee may  
elect to enroll 9 a qualifi$ /&alone    
prescription drug plan1 9 accordance )  
rules e/abli%$ by ! ,secret>y pursuant  
to ?is p>agraph1 :ile enroll$ "u a      
,,pace program4  7,b7 ,def9ition (      
applicable pace program enrollee2       
qualifi$ /&alone prescription drug plan 
,9 ?is p>agraph3 7i7 ,applicable pace   
program enrollee ,! t]m applicable      
,,pace program enrollee means a "p ,d   
eligible individual :o-- 7,i7 is n      
entitl$ to m$ical assi/ance "u title    
,,xix2 &  7,,ii7 is enroll$ "u a ,,pace 
program (f]$ by a ,,pace provid]4  7ii7 
,qualifi$ /&alone prescription drug plan
 ,! t]m qualifi$ /&alone prescription   
drug plan means1 ) respect to an        
applicable ,,pace program enrollee1 a   
prescription drug plan-- 7,i7 t is n an 

,,ma-,,pd plan2  7,,ii7 t is n op]at$ by
 ! ,,pace program "u :i* ! individual is
 enroll$2 &  7,,iii7 = :i* ! ,secret>y  
det]m9es1 ) respect to ! applicable     
,,pace program enrollees enroll$ 9 a    
,,pace program (f]$ by su* ,,pace       
provid]1 t-- 7aa7 ! e/imat$ b5efici>y   
out-(-pocket co/s 7z def9$ 9 clause     
7iii77 = ! plan ye> = qualifi$          
prescription drug cov]age "u ! plan is  
equal to or less ?an ! e/imat$          
out-(-pocket co/s = su* cov]age "u !    
prescription drug plan (f]$ by ! ,,pace 
program 9 :i* ! applicable ,,pace       
program enrollee is enroll$2 &  7bb7 !  
e/imat$ total am\nt ( ,f$]al subsidies =
 ! plan ye> = qualifi$ prescription drug
 cov]age "u ! plan 7:i* may be e/imat$  
us+ data f ! previ\s plan ye>7 is equal 
to or less ?an ! e/imat$ subsidy am\nt =
 su* cov]age "u ! prescription drug plan
 (f]$ by ! ,,pace program 9 :i* !       
applicable ,,pace program enrollee is   
enroll$4  7iii7 ,out-(-pocket co/s def9$
 ,9 ?is p>agraph1 ! t]m out-(-pocket    

co/s includes premiums impos$ "u a      
prescription drug plan &1 9 ! case (    
cov]age "u a qualifi$ /&alone           
prescription drug plan1 d$uctibles1     
copaym5ts1 co9surance1 & o!r co/-%>+4   
7,c7 ,out-(-pocket co/s ,9 ! case :]e an
 applicable ,,pace program enrollee     
elects to enroll 9 a qualifi$ /&alone   
prescription drug plan pursuant to ?is  
p>agraph1 ! individual %all be          
responsible = any out-(-pocket co/s     
impos$ "u ! plan 7includ+ co/s =        
non=mul>y drugs7 aft] ! application (   
any subsidies "u section #ahfj;,d-#ad = 
an applicable ,,pace program enrollee :o
 is a subsidy eligible individual 7z    
def9$ 9 section #ahfj;,d-#ad7;a77#c774  
7,d7 ,requirem5ts = pace programs  7i7  
,educat+ & help+ enroll b5efici>ies into
 a "p d plan option ,a ,,pace program   
%all be requir$ to provide-- 7,i7       
in=mation to all applicable ,,pace      
program enrollees :o are enroll$ "u !   
,,pace program reg>d+ ! option to enroll
 9 a qualifi$ /&alone prescription drug 

plan "u ?is p>agraph2 &  7,,ii7 ^u      
reque/ ( an applicable ,,pace program   
enrollee1 c\nsel+ & coord9ation to assi/
 applicable ,,pace program enrollees 9  
mak+ decisions reg>d+ ! selection (     
qualifi$ /&alone prescription drug plans
 available to !m4  7ii7 ,monitor+ drug  
utilization1 adh]5ce1 & sp5d ,a ,,pace  
program %all be requir$ to monitor drug 
utilization1 m$ication adh]5ce1 & drug  
sp5d+ 7?r\gh claims data %>$ pursuant to
 subp>agraph 7,f7 & o!rwise7 ?r\gh\t !  
ye> ) respect to any applicable ,,pace  
program enrollee :o elects to enroll 9 a
 qualifi$ /&alone prescription drug plan
 "u ?is p>agraph 9 ord] to coord9ate ) !
 ,,pdp sponsor ( su* plan reg>d+ ! drug 
b5efits (f]$ by ! plan1 includ+ ^u      
reque/ ( an applicable ,,pace program   
enrollee ! fil+ ( any grievances or     
appeals ) ! plan on behalf ( !          
applicable ,,pace program enrollee4     
7,e7 ,dis5rollm5t ,an applicable ,,pace 
program enrollee may dis5roll f !       
qualifi$ /&alone prescription drug plan 

elect$ by su* applicable ,,pace program 
enrollee "u subp>agraph 7,a7 if !       
enrollee *anges m$ication dur+ ! plan   
ye> or c demon/rate an unexpect$        
increase 9 out-(-pocket co/s po/        
enrollm5t4  7,f7 ,claims %>+ ,9 ! case  
:]e an applicable ,,pace program        
enrollee enrolls 9 a qualifi$ /&alone   
prescription drug plan1 ! ,,pace program
 9 :i* ! individual is enroll$ & ! ,,pdp
 sponsor ( ! qualifi$ /&alone           
prescription drug plan %all %>e claims  
data ) ea* o!r ) respect to ! applicable
 ,,pace program enrollee z ne$$ to      
support c>e managem5t = ! applicable    
,,pace program enrollee 7includ+ =      
purposes ( monitor+ & coord9ation       
requir$ "u subp>agraph 7,d77ii77 & =    
purposes ( compreh5sive risk adju/m5t "u
 section #ahid7;d74 ,su* data %all be   
%>$ )\t ! ne$ = any =mal or in=mal      
reque/ ( ! ,,pace program 9 :i* !       
individual is enroll$ or ! ,,pdp sponsor
 ( ! qualifi$ /&alone prescription drug 
plan 9 :i* ! applicable ,,pace program  

enrollee is enroll$4  7,g7 ,rule (      
con/ruction ,! au?ority e/abli%$ "u ?is 
p>agraph = an applicable ,,pace program 
enrollee to elect to enroll 9 a qualifi$
 /&alone prescription drug plan %all n  
be con/ru$ z p]mitt+ an applicable      
,,pace program enrollee to enroll 9 a   
prescription drug plan t is n a qualifi$
 /&alone prescription drug plan4  7,h7  
,relation to ,,pace /atutes  7i7 ,9     
g5]al ,! au?ority provid$ "u ?is        
p>agraph = an applicable ,,pace program 
enrollee to elect to enroll 9 a qualifi$
 /&alone prescription drug plan %all    
apply not)/&+ subsection                
7a77#a77;,b77#a7 ( section #ahid & su*  
o!r provisions ( sections #ahid & #aicd 
z ! ,secret>y det]m9es may conflict ) ! 
au?ority provid$ = "u ?is p>agraph1     
includ+ subsections 7a77#b77;,b71       
7b77#a77;,a77i71 7b77#a77;,c71          
7f77#b77;,b77ii71 & 7f77#b77;,b77v7 (   
su* sections4  7ii7 ,cl>ification on    
paym5t = "p ,d drug cov]age ,ins(> z an 
applicable ,,pace program enrollee is   

enroll$ 9 a qualifi$ /&alone            
prescription drug plan "u ?is p>agraph1 
! ,,pace program %all n be entitl$ to   
paym5t "u section #ahid7;d7 = !         
provision ( qualifi$ prescription drug  
cov]age "u su* /&alone prescription drug
 plan ) respect to su* applicable ,,pace
 program enrollee4  4