,,ii  #aah? ,,congress  #a/ ,session    
,s4 #abdf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #bj1 #bjbc ,ms4 
,klobu*> 7= h]self1 ,mr4 ,wel*1 ,mrs4   
,gillibr&1 ,mr4 ,he9ri*1 ,mr4 ,m]kley1  
,ms4 ,/ab5[1 ,mr4 ,re$1 ,mr4 ,:iteh\se1 
,mr4 ,blum5?al1 ,ms4 ,cortez ,ma/o1 ,ms4
 ,hassan1 ,mr4 ,k+1 ,ms4 ,cantwell1     
,mrs4 ,%ahe51 ,ms4 ,baldw91 ,mr4 ,durb91
 ,mr4 ,br[n1 ,mr4 ,book]1 ,ms4 ,smi?1   
,ms4 ,w>r51 ,mrs4 ,murray1 ,mr4 ,c>d91  
,ms4 ,duckwor?1 & ,mr4 ,m>key7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,f9ance  ,a   
,,bill  ,to am5d title ,,xviii ( !      
,social ,security ,act to /r5g!n ! drug 
pric+ re=ms 9 ! ,inflation ,r$uction    
,act4  #a4 ,%ort title ,?is ,act may be 
cit$ z ! ,/r5g!n+ ,m$ic>e ,& ,r$uc+     
,taxpay] ,prices ,act or ! ,,sm>t       
,prices ,act4  #b4 ,repeal ( ! ,m$ic>e  
"p ,d non9t]f]5ce clause ,section       
#ahfj;,d-#aa ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciew-#aaa7 is am5d$ by 
/rik+ subsection 7i74  #c4 ,improvem5ts 

to ! ,m$ic>e ,drug ,price ,negotiation  
,program  7a7 ,accel]ation ( ! selection
 ( negotiation-,eligible drugs  7#a7 ,9 
g5]al ,section #aaib7;a7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acbj;f-#a7;a77 is am5d$-- 7,a7 9       
p>agraph 7#a7--  7i7 by /rik+ #aj &     
ins]t+ #bj2 &  7ii7 by ins]t+ & aft] !  
semicolon at ! end2  7,b7 by /rik+      
p>agraph 7#b7 & r$esignat+ p>agraph 7#c7
 z p>agraph 7#b72  7,c7 9 p>agraph 7#b71
 z r$esignat$ by subp>agraph 7,b7 ( ?is 
p>agraph--  7i7 by /rik+ #bjbh1 #ae     
negotiation-eligible drugs & ins]t+     
#bjbg or a subsequ5t ye>1 #dj           
negotiation-eligible drugs2 &  7ii7 by  
/rik+ 2 & at ! end & ins]t+ a p]iod2 &  
7,d7 by /rik+ p>agraph 7#d74  7#b7      
,con=m+ am5dm5ts ,section #aaib ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;f-#a7 is am5d$--  7,a7 9          
subsection 7b77#b7-- 7i7 9 ! p>agraph   
head+1 by /rik+ & #bjbg2 &  7ii7 by     
/rik+ & ) respect to ! initial price    
applicability ye> #bjbg2 &  7,b7 9      

subsection 7d77#a71 9 ! matt] prec$+    
subp>agraph 7,a71 by /rik+ or #bjbg4    
7b7 ,improvem5ts to ! def9ition (       
qualify+ s+le s\rce drug ,section       
#aaib7;e77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acbj;f-#a7;e77#a77 is  
am5d$-- 7#a7 9 subp>agraph 7,a77ii71 by 
/rik+ #g ye>s & ins]t+ #c ye>s2 &  7#b7 
9 subp>agraph 7,b77ii71 by /rik+ #aa    
ye>s & ins]t+ #c ye>s4  7c7 ,improvem5t 
to ! ceil+ = maximum fair price ,section
 #aaid7;c77#c7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acbj;f-#c7;c77#c77 
is am5d$--  7#a7 9 subp>agraph 7,a71 by 
/rik+ #ge p]c5t & ins]t+ #gf p]c5t2     
7#b7 9 subp>agraph 7,b71 by /rik+ #fe   
p]c5t & ins]t+ #ee p]c5t2 &  7#c7 9     
subp>agraph 7,c71 by /rik+ #dj p]c5t &  
ins]t+ #cj p]c5t4