,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #ecgb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #h1         
#bjbc,mr4 ,joyce ( ,p5nsylvania 7=      
himself & ,mr4 ,pet]s7 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 facilitate    
midye> =mul>y *anges = biosimil>s4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,exp&+ ,s5iors' ,access to ,l[] ,co/    
,m$ic9es ,act ( #bjbc4  #b4 ,facilitat+ 
midye> =mul>y *anges = biosimil>s  7a7  
,9 g5]al ,section #ahfj;,d-#d7;b7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#ajd7;b77 is am5d$ by add+ at !  
end ! foll[+ new p>agraph3  7#e7        
,mid-ye> *anges 9 =mul>ies p]mitt$ =    
c]ta9 biosimil> biological products & ! 

ref]5ce product ( su* biosimil>s ,if a  
,,pdp sponsor ( a prescription drug plan
 uses a =mul>y 7includ+ ! use ( ti]$    
co/-%>+71 ! foll[+ %all apply3 7,a7 ,9  
g5]al ,= plan ye> #bjbe1 & subsequ5t    
plan ye>s1 9 ! case ( a cov]$ "p ,d drug
 t is ! ref]5ce biological product 7z   
def9$ 9 section #ahdg;,a7c77#f77;,i77 ) 
respect to a biosimil> biological       
product 7z def9$ 9 section              
#ahdg;,a7c77#f77;,h771 ! ,,pdp sponsor  
may1 ) respect to a =mul>y1 at any "t   
aft] ! fir/ #fj days ( ! plan ye>1      
subject to p>agraph 7#c77;,e71 *ange !  
pref]r$ or ti]$ co/-%>+ /atus ( su*     
ref]5ce biological product if su* ,,pdp 
sponsor adds1 be=e or at ! same "t1 to  
su* =mul>y su* biosimil> biological     
product at ! same or a high] pref]r$    
/atus1 or to ! same or l[] co/-%>+ ti]1 
z t ( su* ref]5ce biological product    
imm$iately prior to su* *ange4  7,b7    
,reque/ = approval ( *ange ,prior to    
mak+ a *ange describ$ 9 subp>agraph     
7,a71 ! ,,pdp sponsor %all submit to !  

,secret>y a reque/ to make su* *ange4   
,if ! ,secret>y approves ! reque/ or has
 n provid$ a decision to ! ,,pdp sponsor
 reg>d+ su* reque/ )9 #cj days ( receiv+
 su* reque/1 su* ,,pdp sponsor may make 
su* *ange4  4  7b7 ,adm9i/ration  7#a7  
,implem5tation ,not)/&+ any o!r         
provision ( law1 ! ,secret>y ( ,heal? & 
,human ,s]vices may implem5t ! am5dm5t  
made by subsection 7a7 by program       
in/ruction or o!rwise4  7#b7            
,non-application ( ! ,pap]work ,r$uction
 ,act ,*apt] #ce ( title #dd1 ,unit$    
,/ates ,code 7commonly ref]r$ to z !    
,pap]work ,r$uction ,act ( #aiie71 %all 
n apply to ! implem5tation ( ! am5dm5t  
made by subsection 7a74