,,ii #aahth ,,congress #ast ,session ,s4 #aaci ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #cj1 #bjbc,ms4 ,cortez ,masto 7for herself1 ,ms4 ,klobuchar1 ,mr4 ,reed1 ,ms4 ,baldwin1 ,mr4 ,brown1 ,ms4 ,stabenow1 ,ms4 ,smith1 ,mr4 ,welch1 and ,mr4 ,blumenthal7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend title ,,xviii of the ,social ,security ,act to apply prescription drug inflation rebates to drugs furnished in the commercial market and to change the base year for rebate calculations4 #a4 ,short title ,this ,act may be cited as the ,lower ,drug ,costs for ,families ,act4 #b4 ,application of prescription drug inflation rebates to drugs furnished in the commercial market2 change of base year for rebate calculations 7a7 ,part ,b drugs 7#a7 ,application of prescription drug inflation rebates to drugs furnished in the commercial market ,section #ahdg;,a7i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c;a7i77 is amended-- 7,a7 in paragraph 7#a77;,a77i71 by striking units and inserting billing units2 7,b7 in paragraph 7#b77;,a71 by striking for which payment is made under this part and inserting that would be payable under this part if such drug were furnished to an individual enrolled under this part2 and 7,c7 in paragraph 7#c7-- 7i7 in subparagraph 7,a77i71 by striking units and inserting billing units2 and 7ii7 by striking subparagraph 7,b7 and inserting the following3 7,b7 ,total number of billing units ,for purposes of subparagraph 7,a77i71 the total number of billing units with respect to a part ,b rebatable drug is determined as follows3 7i7 ,determine the total number of units equal to-- 7,i7 the total number of units1 as reported under subsection 7c77#a77;,b7 for each ,national ,drug ,code of such drug during the calendar quarter that is two calendar quarters prior to the calendar quarter as described in subparagraph 7,a71 minus 7,,ii7 the total number of units with respect to each ,national ,drug ,code of such drug for which payment was made under a ,state plan under title ,,xix 7or waiver of such plan71 as reported by ,states under section #aibg7;b77#b77;,a7 for the rebate period that is the same calendar quarter as described in subclause 7,i74 7ii7 ,convert the units determined under clause 7i7 to billing units for the billing and payment code of such drug1 using a methodology similar to the methodology used under this section1 by dividing the units determined under clause 7i7 for each ,national ,drug ,code of such drug by the billing unit for the billing and payment code of such drug4 7iii7 ,compute the sum of the billing units for each ,national ,drug ,code of such drug in clause 7ii74 4 7#b7 ,change of base year for rebate calculation ,section #ahdg;,a7i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c;a7i77 is amended-- 7,a7 in paragraph 7#c7-- 7i7 in subparagraph 7,d71 by striking ,july #a1 #bjba and inserting ,july #a1 #bjaf2 and 7ii7 in subparagraph 7,e71 by striking ,january #bjba and inserting ,january #bjaf2 and 7,b7 in paragraph 7#d7-- 7i7 in subparagraph 7,a7-- 7,i7 by striking ,december #a1 #bjbj and inserting ,december #ca1 #bjae2 and 7,,ii7 by striking ,january #bjba and inserting ,january #bjaf2 7ii7 in subparagraph 7,b71 by striking ,december #a1 #bjbj and inserting ,december #ca1 #bjae2 and 7iii7 in subparagraph 7,c71 by striking ,january #bjba and inserting ,january #bjaf4 7#c7 ,effective date ,the amendments made by this subsection shall take effect as if included in the enactment of section #aaaja of ,public ,law #aag-afi4 7b7 ,covered part ,d drugs 7#a7 ,application of prescription drug inflation rebates to drugs furnished in the commercial market ,section #ahfj;,d-#ad;,b of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad;b7 is amended-- 7,a7 in subsection 7b7-- 7i7 in paragraph 7#a7-- 7,i7 in subparagraph 7,a77i71 by striking the total number of units and all that follows through the semicolon and inserting the following3 the total number of units that are used to calculate the average manufacturer price of such dosage form and strength with respect to such part ,d rebatable drug1 as reported by the manufacturer of such drug under section #aibg for each month1 with respect to such period22 and 7,,ii7 by striking subparagraph 7,b7 and inserting the following3 7,b7 ,excluded units ,for purposes of subparagraph 7,a77i71 the ,secretary shall exclude from the total number of units for a dosage form and strength with respect to a part ,d rebatable drug1 with respect to an applicable period1 the following3 7i7 ,units of each dosage form and strength of such part ,d rebatable drug for which payment was made under a ,state plan under title ,,xix 7or waiver of such plan71 as reported by ,states under section #aibg7;b77#b77;,a74 7ii7 ,units of each dosage form and strength of such part ,d rebatable drug for which a rebate is paid under section #ahdg;,a7i74 7iii7 ,beginning with plan year #bjbf1 units of each dosage form and strength of such part ,d rebatable drug for which the manufacturer provides a discount under the program under section #cdj;,b of the ,public ,health ,service ,act4 2 and 7ii7 in paragraph 7#f71 by striking information4--,the ,secretary and all that follows through rebatable covered part ,d drug dispensed and inserting the following3 ,,amp reports4--,the ,secretary shall provide for a method and process under which1 in the case of a manufacturer of a part ,d rebatable drug that submits revisions to information submitted under section #aibg by the manufacturer with respect to such drug2 and 7,b7 by striking subsection 7d7 and inserting the following3 7d7 ,information ,for purposes of carrying out this section1 the ,secretary shall use information submitted by manufacturers under section #aibg7;b77#c7 and information submitted by ,states under section #aibg7;b77#b77;,a74 4 7#b7 ,change of base year for rebate calculation ,section #ahfj;,d-#ad;,b of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad;b7 is amended-- 7,a7 in subsection 7b77#e7-- 7i7 in subparagraph 7,a7-- 7,i7 by striking ,october #a1 #bjba and inserting ,october #a1 #bjaf2 and 7,,ii7 by striking ,january #bjba and inserting ,january #bjaf2 and 7ii7 in subparagraph 7,c71 by striking ,january #bjba and inserting ,january #bjaf2 and 7,b7 in subsection 7g7-- 7i7 in paragraph 7#c7-- 7,i7 by striking ,january #a1 #bjba and inserting ,january #a1 #bjaf2 and 7,,ii7 by striking ,october #a1 #bjba and inserting ,october #a1 #bjaf2 and 7ii7 in paragraph 7#d71 by striking ,january #bjba and inserting ,january #bjaf4 7#c7 ,effective date ,the amendments made by this subsection shall take effect as if included in the enactment of section #aaajb of ,public ,law #aag-afi4