,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #hihg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #aj1 #bjbd,ms4  
,port] 7= h]self1 ,ms4 ,de,lauro1 ,mr4  
,grijalva1 ,mr4 ,coh51 & ,ms4 ,om>7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committees on ,ways &    
,means1 & ,education & ! ,work=ce1 = 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 ,,xxvii ( ! ,public ,heal? ,s]vice
 ,act1 ! ,employee ,retirem5t ,income   
,security ,act ( #aigd1 & ! ,int]nal    
,rev5ue ,code ( #aihf to ensure co/ %>+ 
= a drug does n exce$ ! nationwide      
av]age ( consum] pur*ase prices = su*   
drug4  #a4 ,%ort title ,?is ,act may be 
cit$ z ! ,l[e/ ,price = ,pati5ts ,act ( 
#bjbd4  #b4 ,ensur+ co/ %>+ = a drug    
does n exce$ ! nationwide av]age (      
consum] pur*ase prices = su* drug  7a7  
,,phsa ,subp>t ,,ii ( "p ,a ( title     

,,xxvii ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is  
am5d$ by add+ at ! end ! foll[+ new     
section3  #bgcj4 ,limitation on co/ %>+ 
= drugs  7a7 ,9 g5]al ,= plan ye>s      
beg9n+ on or aft] ! date ( ! enactm5t ( 
?is section1 a gr\p heal? plan1 & a     
heal? insurance issu] (f]+ gr\p or      
individual heal? insurance cov]age1 may 
n impose co/ %>+ 7includ+ d$uctibles1   
co9surance1 & copaym5ts7 ) respect to a 
cov]$ outpati5t drug = :i* b5efits are  
available "u su* plan or cov]age disp5s$
 by an 9-network ph>macy 9 an am\nt t   
exce$s ! nationwide av]age ( consum]    
pur*ase prices = su* drug = ! #a-ye>    
p]iod end+ on ! fir/ day ( su* plan ye> 
7z det]m9$ us+ in=mation f ! survey     
describ$ 9 section #aibg7;f77#a77;,a77i7
 ( ! ,social ,security ,act74  7b7      
,cl>ification on application to ph>macy 
b5efit manag]s ,a gr\p heal? plan1 & a  
heal? insurance issu] (f]+ gr\p or      
individual heal? insurance cov]age1 %all
 ensure t any ph>macy b5efit manag]     

provid+ s]vices "u ! plan or cov]age    
complies ) subsection 7a7 9 ! same mann]
 z su* subsection applies ) respect to  
su* plan or issu]4  7c7 ,def9itions ,9  
?is section3 7#a7 ,cov]$ outpati5t drug 
,! t]m cov]$ outpati5t drug has ! mean+ 
giv5 su* t]m 9 section #aibg7k7 ( !     
,social ,security ,act4  7#b7 ,9-network
 ph>macy ,! t]m 9-network ph>macy means1
 ) respect to a gr\p heal? plan or gr\p 
or individual heal? insurance cov]age & 
a drug1 a ph>macy ) a contractual       
relation%ip 9 effect = disp5s+ su* drug 
"u su* plan or cov]age4  4  7b7 ,,erisa 
7#a7 ,9 g5]al ,subp>t ,b ( "p #g (      
subtitle ,b ( title ,i ( ! ,employee    
,retirem5t ,income ,security ,act (     
#aigd 7#bi ,u4,s4,c4 #aahe et seq47 is  
am5d$ by add+ at ! end ! foll[+ new     
section3  #gbf4 ,limitation on co/ %>+ =
 drugs  7a7 ,9 g5]al ,= plan ye>s beg9n+
 on or aft] ! date ( ! enactm5t ( ?is   
section1 a gr\p heal? plan1 & a heal?   
insurance issu] (f]+ gr\p cov]age1 may n
 impose co/ %>+ 7includ+ d$uctibles1    

co9surance1 & copaym5ts7 ) respect to a 
cov]$ outpati5t drug = :i* b5efits are  
available "u su* plan or cov]age disp5s$
 by an 9-network ph>macy 9 an am\nt t   
exce$s ! nationwide av]age ( consum]    
pur*ase prices = su* drug = ! #a-ye>    
p]iod end+ on ! fir/ day ( su* plan ye> 
7z det]m9$ us+ in=mation f ! survey     
describ$ 9 section #aibg7;f77#a77;,a77i7
 ( ! ,social ,security ,act74  7b7      
,cl>ification on application to ph>macy 
b5efit manag]s ,a gr\p heal? plan1 & a  
heal? insurance issu] (f]+ gr\p heal?   
insurance cov]age1 %all ensure t any    
ph>macy b5efit manag] provid+ s]vices "u
 ! plan or cov]age complies ) subsection
 7a7 9 ! same mann] z su* subsection    
applies ) respect to su* plan or issu]4 
7c7 ,def9itions ,9 ?is section3 7#a7    
,cov]$ outpati5t drug ,! t]m cov]$      
outpati5t drug has ! mean+ giv5 su* t]m 
9 section #aibg7k7 ( ! ,social ,security
 ,act4  7#b7 ,9-network ph>macy ,! t]m  
9-network ph>macy means1 ) respect to a 
gr\p heal? plan or gr\p heal? insurance 

cov]age & a drug1 a ph>macy ) a         
contractual relation%ip 9 effect =      
disp5s+ su* drug "u su* plan or cov]age4
  4  7#b7 ,cl]ical am5dm5t ,! table (   
cont5ts 9 section #a ( su* ,act is am5d$
 by ins]t+ aft] ! item relat+ to section
 #gae ! foll[+ new item3  ,sec4 #gbf4   
,limitation on co/ %>+ = drugs4  4  7c7 
,,irc  7#a7 ,9 g5]al ,sub*apt] ,b (     
*apt] #ajj ( ! ,int]nal ,rev5ue ,code ( 
#aihf is am5d$ by add+ at ! end ! foll[+
 new section3  #ihbf4 ,limitation on co/
 %>+ = drugs  7a7 ,9 g5]al ,= plan ye>s 
beg9n+ on or aft] ! date ( ! enactm5t ( 
?is section1 a gr\p heal? plan may n    
impose co/ %>+ 7includ+ d$uctibles1     
co9surance1 & copaym5ts7 ) respect to a 
cov]$ outpati5t drug = :i* b5efits are  
available "u su* plan disp5s$ by an     
9-network ph>macy 9 an am\nt t exce$s ! 
nationwide av]age ( consum] pur*ase     
prices = su* drug = ! #a-ye> p]iod end+ 
on ! fir/ day ( su* plan ye> 7z det]m9$ 
us+ in=mation f ! survey describ$ 9     
section #aibg7;f77#a77;,a77i7 ( !       

,social ,security ,act74  7b7           
,cl>ification on application to ph>macy 
b5efit manag]s ,a gr\p heal? plan %all  
ensure t any ph>macy b5efit manag]      
provid+ s]vices "u ! plan complies )    
subsection 7a7 9 ! same mann] z su*     
subsection applies ) respect to su*     
plan4  7c7 ,def9itions ,9 ?is section3  
7#a7 ,cov]$ outpati5t drug ,! t]m cov]$ 
outpati5t drug has ! mean+ giv5 su* t]m 
9 section #aibg7k7 ( ! ,social ,security
 ,act4  7#b7 ,9-network ph>macy ,! t]m  
9-network ph>macy means1 ) respect to a 
gr\p heal? plan & a drug1 a ph>macy ) a 
contractual relation%ip 9 effect =      
disp5s+ su* drug "u su* plan4  4  7#b7  
,cl]ical am5dm5t ,! table ( sections =  
su* sub*apt] is am5d$ by add+ at ! end !
 foll[+ new item3  ,sec4 #ihbf4         
,limitation on co/ %>+ = drugs4  4