,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bdef  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #bj1 #bjbc,mr4   
,casey 7= himself & ,mr4 ,cornyn7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
limit b5efici>y co/-%>+ to ! net price (
 cov]$ "p ,d drugs4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,protect+     
,s5iors f ,high ,drug ,co/s ,act4  #b4  
,protect+ s5iors f excessive co/-%>+ "u 
,m$ic>e "p ,d  7a7 ,9 g5]al ,section    
#ahfj;,d-#b ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #aciew-#ajb7 is am5d$--  
7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 
7#b77;,a71 9 ! matt] prec$+ clause 7i71 
by /rik+ & 7#i7 & ins]t+ 1 7#i71 &      
7#aj72 &  7,b7 by add+ at ! end ! foll[+
 new p>agraph3  7#aj7 ,limit+ co/-%>+ to
 net price  7,a7 ,9 g5]al ,= plan ye>s  
beg9n+ on or aft] ,janu>y #a1 #bjbf1 !  
co/-%>+ 7= co/s above ! annual d$uctible
 specifi$ 9 p>agraph 7#a77 = a cov]$ "p 

,d drug 7o!r ?an a cov]$ "p ,d drug     
describ$ 9 p>agraph 7#h7 or 7#i77 %all n
 exce$ ! applicable am\nt specifi$ 9    
subp>agraph 7,b74  7,b7 ,applicable     
am\nt specifi$ ,! applicable am\nt      
specifi$ 9 ?is subp>agraph1 ) respect to
 a cov]$ "p ,d drug "u a prescription   
drug plan or an ,,ma-,,pd plan1 is !    
negotiat$ price ( ! cov]$ "p ,d drug "u 
! prescription drug plan or ,,ma-,,pd   
plan1 net ( any manufactur]-provid$     
price concessions 7z def9$ "u section   
#dbc4ajj ( title #db1 ,code ( ,f$]al    
,regulations 7or any successor          
regulation771 z report$ = su* drug 9 !  
,detail$ ,,dir ,report 7or any successor
 report7 submitt$ by ! sponsor or       
organization (f]+ ! plan = ! previ\s    
plan ye>4  7,c7 ,en=cem5t  7i7 ,9 g5]al 
,a ,,pdp sponsor ( a prescription drug  
plan or an ,,ma organization (f]+ an    
,,ma-,,pd plan t violates ! requirem5ts 
"u ?is p>agraph1 ) respect to a cov]$ "p
 ,d drug "u su* plan1 may be subject to 
a civil monet>y p5alty1 z det]m9$       

appropriate by ! ,secret>y4  7ii7       
,application ,! provisions ( section    
#aabh;,a 7o!r ?an subsections 7a7 & 7b77
 %all apply to a civil monet>y p5alty "u
 ?is subp>agraph 9 ! same mann] z su*   
provisions apply to a p5alty or proce$+ 
"u section #aabh;,a7a74  4  7#b7 9      
subsection 7c71 by add+ at ! end !      
foll[+ new p>agraph3  7#g7 ,limit+      
co/-%>+ to net price ,! cov]age is      
provid$ 9 accordance ) subsection       
7b77#aj74  4  7b7 ,con=m+ am5dm5t to    
co/-,%>+ = l[-,income individuals       
,section #ahfj;,d-#ad7;a77#a77;,d77iii7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#aad7;a77#a77;,d77iii77
 is am5d$ by add+ at ! end ! foll[+ new 
s5t5ce3 ,= plan ye> #bjbf1 & subsequ5t  
plan ye>s1 ! copaym5t am\nt applicable  
"u ?is clause to a cov]$ "p ,d drug     
disp5s$ to ! individual may n exce$ !   
applicable am\nt specifi$ 9 section     
#ahfj;,d-#b7;b77#aj77;,b7 = ! cov]$ "p  
,d drug "u ! prescription drug plan or  
,,ma-,,pd plan 9 :i* ! individual is    

enroll$44