,i #aah? ,,congress #b;d ,session ,h4 ,r4 #icba ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,augu/ #f1 #bjbd,ms4 ,slotk9 7= h]self & ,mr4 ,bacon7 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 direct ! ,secret>y ( ,heal? & ,human ,s]vices to conduct a demon/ration program to te/ provid+ pref]5tial treatm5t "u ! ,m$ic>e1 ,m$icaid1 & ,,*ip programs = c]ta9 drugs & biologicals manufactur$ 9 ! ,unit$ ,/ates4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,am]ican ,made ,ph>maceuticals ,act ( #bjbd4 #b4 ,demon/ration program to te/ provid+ pref]5tial treatm5t "u ! ,m$ic>e1 ,m$icaid1 & ,,*ip programs = c]ta9 drugs & biologicals manufactur$ 9 ! ,unit$ ,/ates ,"p ,a ( title ,,xi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acja et seq47 is am5d$ by ins]t+ aft] section #aaej;,c ! foll[+3 #aaej;,d4 ,demon/ration program to te/ provid+ pref]5tial treatm5t "u ! ,m$ic>e1 ,m$icaid1 & ,,*ip programs = c]ta9 drugs & biologicals manufactur$ 9 ! ,unit$ ,/ates 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all conduct a demon/ration program 79 ?is section ref]r$ to z ! ,program7 "u :i* ,u4,s4 manufactur$ drugs are giv5 pref]5ce "u titles ,,xviii1 ,,xix1 & ,,xxi comp>$ to drugs t are n ,u4,s4 manufactur$ drugs ?r\gh ! use ( applicable tools4 7b7 ,sites ,! ,program %all be conduct$ 9 at lea/ #h ,/ates4 7c7 ,duration ,! ,secret>y %all conduct ! ,program = a p]iod ( n less ?an #g ye>s4 7d7 ,def9itions ,9 ?is section3 7#a7 ,applicable drug ,! t]m applicable drug means-- 7,a7 a drug t is approv$ & m>ket$ "u section #eje7;j7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act2 7,b7 a biological product t is lic5s$ & m>ket$ "u section #cea7k7 ( ! ,public ,heal? ,s]vice ,act2 or 7,c7 a critical drug4 7#b7 ,applicable ,u4,s4-bas$ ph>maceutical company ,! t]m applicable ,u4,s4-bas$ ph>maceutical company means a manufactur] 7z def9$ 9 section #ahfj;,d-#ad;,a7g77#e77-- 7,a7 t has a manufactur+ location 9 ! ,unit$ ,/ates = an applicable drug2 7,b7 beg9n+ #c ye>s aft] ! date ( ! implem5tation ( ! ,program1 = :i* at lea/ #ej p]c5t ( ! />t] products1 by weight1 = ! applicable drugs manufactur$ by ! manufactur] are d]iv$ f c\ntries o!r ?an cov]$ nations 7z def9$ 9 section #dhga7;d77#b7 ( title #aj1 ,unit$ ,/ates ,code72 & 7,c7 t1 z det]m9$ by ! ,secret>y-- 7i7 ma9ta9s an appropriate level ( transp>5cy on locations ( manufactur+2 7ii7 ma9ta9s an appropriate level ( div]sity 9 s\rc+2 7iii7 ma9ta9s appropriate levels ( inv5tory & em]g5cy res]ves2 7iv7 has 9 place an appropriate action plan = increases 9 dem& & = :5 l9ks 9 ! supply *a9 break d[n2 & 7v7 meets any o!r *>act]i/ics ! ,secret>y det]m9es appropriate4 7#c7 ,applicable tools ,! t]m applicable tools means tools det]m9$ appropriate by ! ,secret>y1 su* z-- 7,a7 pref]5tial treatm5t on a =mul>y2 7,b7 provid+ l[] co/-%>+2 7,c7 waiv+ rebates "u ! ,m$icaid program "u title ,,xix2 7,d7 e/abli%+ a ,m$ic>e ,/> ,rat+ "u "p ,d ( title ,,xviii2 or 7,e7 provid+ bonus paym5ts to provid]s ( s]vices & suppli]s "u "p ,b ( title ,,xviii4 7#d7 ,critical drug ,9 ?is section1 ! t]m critical drug includes ! foll[+3 7,a7 ,a m$ic9e1 m$ical c\nt]measure1 or critical input id5tifi$ on ! li/ "u section #c7;c7 ( ,executive ,ord] #acidd ( ,augu/ #f1 #bjbj 7#he ,f$4 ,reg #diibi2 relat+ to ess5tial m$ic9es1 m$ical ,c\nt]measures1 & critical inputs74 7,b7 ,a drug or biological t-- 7i7 is n describ$ 9 subp>agraph 7,a72 7ii7 is approv$ & m>ket$ "u section #eje7;c7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act or is lic5s$ & m>ket$ "u section #cea7;a7 ( ! ,public ,heal? ,s]vice ,act 7or is an active ph>maceutical +r$i5t ( su* a drug or biological72 7iii7 ! ,secret>y det]m9es-- 7,i7 is-- 7aa7 likely to be ne$$ = use 9 a public heal? em]g5cy2 or 7bb7 at high risk ( %ort supply2 & 7,,ii7 has a vuln]able global supply *a94 7#e7 ,u4,s4 manufactur$ drug ,! t]m ,u4,s4 manufactur$ drug means an applicable drug t is manufactur$ 9 ! ,unit$ ,/ates by an applicable ,u4,s4-bas$ ph>maceutical company4 7e7 ,annual report to ,congress ,n lat] ?an #a ye> aft] ! date ! ,secret>y implem5ts ! ,program1 & annually !reaft] = z long z ! ,program is be+ conduct$1 ! ,secret>y %all submit to ,congress a report on activities "u ! ,program1 toge!r ) recomm5dations = su* legislation & adm9i/rative action z ! ,secret>y det]m9es to be appropriate4 7f7 ,waiv]s ,! ,secret>y may waive su* provisions ( ?is title & titles ,,xviii1 ,,xix1 & ,,xxi z ! ,secret>y det]m9es necess>y 9 ord] to implem5t ! ,program4 7g7 ,adm9i/rative fund+ ,!re is au?oriz$ to be appropriat$ to ! ,secret>y su* sums z may be necess>y = ! adm9i/rative exp5ses ( c>ry+ out ! ,program1 to rema9 available until exp5d$4 4