,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #fhdd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #ae1         
#bjbc,ms4 ,t5ney 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 prohibit ! ,secret>y ( ,heal? &     
,human ,s]vices f ent]+ into contracts )
 ,,pdp sponsors ( prescription drug     
plans t h a contract ) c]ta9 ph>macy    
b5efits manag]s4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,ensur+ ,,pbm      
,competition ,act4  #b4 ,prohibit+ !    
,secret>y ( ,heal? & ,human ,s]vices f  
ent]+ into contracts ) ,,pdp sponsors ( 
prescription drug plans t h a contract )
 c]ta9 ph>macy b5efits manag]s ,section 
#ahfj;,d-#ab7;b7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #aciew-#aab7;b77 is 

am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#i7 ,prohibition on ent]+   
into contracts ) ,,pdp sponsors t h a   
contract ) a c]ta9 ph>macy b5efits      
manag]s  7,a7 ,9 g5]al ,subject to      
subp>agraph 7,b71 beg9n+ on ! date t is 
#e ye>s aft] ! date ( enactm5t ( ?is    
p>agraph1 ! ,secret>y %all n ent] into1 
or r5ew1 a contract ) a ,,pdp sponsor = 
! (f]+ ( a prescription drug plan 9 a   
,,pdp region = a ye> if su* sponsor has 
a contract = su* ye> ) a ph>macy b5efits
 manag] t1 directly or indirectly1 or   
?r\gh "o or m int]m$i>ies1 owns1        
controls1 or o!rwise has a f9ancial     
int]e/ 91 a ph>macy4  7,b7 ,au?ority to 
delay requirem5t ,! ,secret>y may delay 
! requirem5t 9 subp>agraph 7,a7 by n m  
?an #b ye>s4  7,c7 ,ph>macy b5efits     
manag] def9$ ,= purposes ( ?is p>agraph1
 ! t]m ph>macy b5efits manag] means any 
entity 7or any affiliate1 subsidi>y1 or 
ag5t ( su* entity7 t1 pursuant to an    
agreem5t ) a ,,pdp sponsor1 ei!r        
directly or ?r\gh an int]m$i>y acts z a 

price negotiator or gr\p pur*as] on     
behalf ( su* sponsor1 or manages !      
prescription drug b5efits provid$ by su*
 sponsor1 includ+ ! process+ & pay+     
claims = cov]$ "p ,d drugs1 p]=m+ drug  
utilization review1 process+ drug prior 
au?orization reque/s1 adjudicat+ appeals
 or grievances relat$ to cov]$ "p ,d    
drugs1 contract+ ) network ph>macies1   
controll+ ! co/ ( su* drugs1 or provid+ 
any s]vices relat$ to manag+ su* drug   
b5efits4  4