,,ii  #aahth ,,congress  #ast ,session  
,s4 #bdcf  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #bj1     
#bjbc,mr4 ,manchin 7for himself and     
,mrs4 ,blackburn7 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 assure    
pharmacy access and choice for ,medicare
 beneficiaries4  #a4 ,short title ,this 
,act may be cited as the ,neighborhood  
,options for ,patients ,buying          
,medicines ,act or the ,,no ,p,b,ms     
,act4  #b4 ,assuring pharmacy access and
 choice for ,medicare beneficiaries     
,section #ahfj;,d-#d7;b77#a7 of the     
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#ajd7;b77#a77 is amended by      
striking subparagraph 7,a7 and inserting
 the following3  7,a7 ,in general  7i7  
,participation of any willing pharmacy  
,a ,,pdp sponsor offering a prescription
 drug plan or a pharmacy benefit manager
 acting to develop a pharmacy network on

 behalf of such plan shall permit the   
participation of any pharmacy that meets
 the standard contract terms and        
conditions under such plan to           
participate as a network pharmacy of    
such plan4  7ii7 ,contract terms and    
conditions ,in accordance with clause   
7i71 contract terms and conditions      
offered by such ,,pdp sponsor or        
pharmacy benefit manager shall be       
reasonable and relevant4                
,notwithstanding any other provision of 
law1 not later than ,january #a1 #bjbf1 
the ,secretary shall establish standards
 for reasonable and relevant contract   
terms and conditions for purposes of    
this clause4  4