,,ii  #aahth ,,congress  #ast ,session  
,s4 #bdef  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #bj1     
#bjbc,mr4 ,casey 7for himself and ,mr4  
,cornyn7 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 limit beneficiary     
cost-sharing to the net price of covered
 part ,d drugs4  #a4 ,short title ,this 
,act may be cited as the ,protecting    
,seniors from ,high ,drug ,costs ,act4  
#b4 ,protecting seniors from excessive  
cost-sharing under ,medicare part ,d    
7a7 ,in general ,section #ahfj;,d-#b of 
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#ajb7 is amended-- 7#a7
 in subsection 7b7-- 7,a7 in paragraph  
7#b77;,a71 in the matter preceding      
clause 7i71 by striking and 7#i7 and    
inserting 1 7#i71 and 7#aj72 and  7,b7  
by adding at the end the following new  
paragraph3  7#aj7 ,limiting cost-sharing
 to net price  7,a7 ,in general ,for    

plan years beginning on or after        
,january #a1 #bjbf1 the cost-sharing    
7for costs above the annual deductible  
specified in paragraph 7#a77 for a      
covered part ,d drug 7other than a      
covered part ,d drug described in       
paragraph 7#h7 or 7#i77 shall not exceed
 the applicable amount specified in     
subparagraph 7,b74  7,b7 ,applicable    
amount specified ,the applicable amount 
specified in this subparagraph1 with    
respect to a covered part ,d drug under 
a prescription drug plan or an ,,ma-,,pd
 plan1 is the negotiated price of the   
covered part ,d drug under the          
prescription drug plan or ,,ma-,,pd     
plan1 net of any manufacturer-provided  
price concessions 7as defined under     
section #dbc4ajj of title #db1 ,code of 
,federal ,regulations 7or any successor 
regulation771 as reported for such drug 
in the ,detailed ,,dir ,report 7or any  
successor report7 submitted by the      
sponsor or organization offering the    
plan for the previous plan year4  7,c7  

,enforcement  7i7 ,in general ,a ,,pdp  
sponsor of a prescription drug plan or  
an ,,ma organization offering an        
,,ma-,,pd plan that violates the        
requirements under this paragraph1 with 
respect to a covered part ,d drug under 
such plan1 may be subject to a civil    
monetary penalty1 as determined         
appropriate by the ,secretary4  7ii7    
,application ,the provisions of section 
#aabh;,a 7other than subsections 7a7 and
 7b77 shall apply to a civil monetary   
penalty under this subparagraph in the  
same manner as such provisions apply to 
a penalty or proceeding under section   
#aabh;,a7a74  4  7#b7 in subsection 7c71
 by adding at the end the following new 
paragraph3  7#g7 ,limiting cost-sharing 
to net price ,the coverage is provided  
in accordance with subsection 7b77#aj74 
4  7b7 ,conforming amendment to         
cost-,sharing for low-,income           
individuals ,section                    
#ahfj;,d-#ad7;a77#a77;,d77iii7 of the   
,social ,security ,act 7#db ,u4,s4,c4   

#aciew-#aad7;a77#a77;,d77iii77 is       
amended by adding at the end the        
following new sentence3 ,for plan year  
#bjbf1 and subsequent plan years1 the   
copayment amount applicable under this  
clause to a covered part ,d drug        
dispensed to the individual may not     
exceed the applicable amount specified  
in section #ahfj;,d-#b7;b77#aj77;,b7 for
 the covered part ,d drug under the     
prescription drug plan or ,,ma-,,pd plan
 in which the individual is enrolled44