,,ii  #aahth ,,congress  #b;d ,session  
,s4 #ciea  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,march #ad1    
#bjbd,mr4 ,casey 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 provide   
for adjustments to the ,medicare part ,d
 cost-sharing reductions for low-income 
individuals4  #a4 ,short title ,this    
,act may be cited as the ,cutting       
,copays ,act4  #b4 ,adjustments to      
,medicare part ,d cost-sharing          
reductions for low-income individuals   
,section #ahfj;,d-#ad7;a7 of the ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciew-#aad7;a77 is amended-- 7#a7 in   
paragraph 7#a77;,d77ii71 by striking    
that does not exceed #a for and all that
 follows through the period at the end  
and inserting that does not exceed--    
7,i7 for a plan year before #bjbf-- 7aa7
 for a generic drug or a preferred drug 
that is a multiple source drug 7as      

defined in section                      
#aibg7k77#g77;,a77i771 #a or1 if less1  
the copayment amount applicable to an   
individual under clause 7iii72 and  7bb7
 for any other drug1 #c or1 if less1 the
 copayment amount applicable to an      
individual under clause 7iii72 and      
7,,ii7 for plan year #bjbf and each     
subsequent plan year-- 7aa7 for a       
generic drug1 #j2  7bb7 for a preferred 
drug that is a multiple source drug 7as 
defined in section                      
#aibg7k77#g77;,a77i771 the dollar amount
 applied under this clause for such a   
drug for the preceding year1 increased  
by the annual percentage increase in the
 consumer price index 7all items2 ,u4,s4
 city average7 as of ,september of such 
preceding year1 or1 if less1 the        
copayment amount applicable to an       
individual under clause 7iii72 and  7cc7
 for a drug not described in either item
 7aa7 or 7bb71 the dollar amount applied
 under this clause for such a drug for  
the preceding year1 increased in the    

manner specified in item 7bb71 or1 if   
less1 the copayment amount applicable to
 an individual under clause 7iii74  ,any
 amount established under item 7bb7 or  
7cc7 of subclause 7,,ii71 that is based 
on an increase of #a or #c1 that is not 
a multiple of #e cents or #aj cents1    
respectively1 shall be rounded to the   
nearest multiple of #e cents or #aj     
cents1 respectively4 2 and  7#b7 in     
paragraph 7#d77;,a77ii71 by inserting   
7before #bjbf7 after a subsequent year4