,,ii  #aah? ,,congress  #a/ ,session    
,s4 #aahb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #ah1 #bjbc,mr4  
,k5n$y introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to increase ! transp>5cy & 
acc\ntability ( ! drug disc\nt program1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! #cdj;,b ,report+ & 
,acc\ntability ,act4  #b4 ,requirem5t to
 provide drug disc\nts to pati5ts  7a7  
,9 g5]al ,section #cdj;,b7a77#e7 ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bef;b7a77#e77 is am5d$-- 7#a7
 9 subp>agraph 7,c71 by /rik+           
subp>agraphs 7,a7 or 7,b7 & ins]t+      
subp>agraph 7,a71 7,b71 or 7,e72  7#b7 9
 subp>agraph 7,d71 by /rik+ subp>agraphs
 7,a7 or 7,b7 & ins]t+ subp>agraph 7,a71
 7,b71 or 7,e72 &  7#c7 by add+ at ! end
 ! foll[+3  7,e7 ,requirem5t to provide 
drug disc\nts to pati5ts ,a cov]$ entity
 %all ensure t ea* pati5t :o receives a 

cov]$ outpati5t drug f su* cov]$ entity 
is provid$ su* drug at a price t does n 
exce$ ! price at :i* ! cov]$ entity     
pur*as$ ! drug 9 accordance ) p>agraph  
7#a71 less any additional disc\nts or   
rebates receiv$ by ! cov]$ entity )     
respect to ! drug4  4  7b7 ,report+     
requirem5ts = drug disc\nt program      
,section #cdj;,b7d77#b77;,b7 ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bef;b7d77#b77;,b77 is am5d$ by add+ at 
! end ! foll[+3  7vi7 7,i7 ,n lat] ?an  
#a ye> aft] ! date ( enactm5t ( !       
#cdj;,b ,report+ & ,acc\ntability ,act1 
! developm5t ( proc$ures to require ea* 
cov]$ entity to report to ! ,secret>y1 n
 less frequ5tly ?an annually1 in=mation 
on-- 7aa7 ! total am\nt paid by ! cov]$ 
entity dur+ ! report+ p]iod = cov]$     
outpati5t drugs "u subsection 7a72  7bb7
 ! total am\nt receiv$ by ! cov]$ entity
 dur+ ! report+ p]iod = su* cov]$       
outpati5t drugs2 &  7cc7 if a cov]$     
entity receives any rev5ue z a result ( 
*>g+ a price = a cov]$ outpati5t drug t 

exce$s ! price at :i* ! cov]$ entity    
pur*as$ ! drug1 h[ ! cov]$ entity sp5t  
su* rev5ue4  7,,ii7 ,! ,secret>y %all   
make ! in=mation report$ "u subclause   
7,i7 publicly available4  4