,,ii  #aah? ,,congress  #b;d ,session   
,s4 #ciea  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #ad1 #bjbd,mr4    
,casey introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = adju/m5ts to ! ,m$ic>e "p ,d  
co/-%>+ r$uctions = l[-income           
individuals4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,cutt+ ,copays ,act4    
#b4 ,adju/m5ts to ,m$ic>e "p ,d co/-%>+ 
r$uctions = l[-income individuals       
,section #ahfj;,d-#ad7;a7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#aciew-#aad7;a77 is am5d$-- 7#a7 9      
p>agraph 7#a77;,d77ii71 by /rik+ t does 
n exce$ #a = & all t foll[s ?r\gh !     
p]iod at ! end & ins]t+ t does n exce$--
 7,i7 = a plan ye> be=e #bjbf-- 7aa7 = a
 g5]ic drug or a pref]r$ drug t is a    
multiple s\rce drug 7z def9$ 9 section  
#aibg7k77#g77;,a77i771 #a or1 if less1 !
 copaym5t am\nt applicable to an        
individual "u clause 7iii72 &  7bb7 =   

any o!r drug1 #c or1 if less1 ! copaym5t
 am\nt applicable to an individual "u   
clause 7iii72 &  7,,ii7 = plan ye> #bjbf
 & ea* subsequ5t plan ye>-- 7aa7 = a    
g5]ic drug1 #j2  7bb7 = a pref]r$ drug t
 is a multiple s\rce drug 7z def9$ 9    
section #aibg7k77#g77;,a77i771 ! doll>  
am\nt appli$ "u ?is clause = su* a drug 
= ! prec$+ ye>1 increas$ by ! annual    
p]c5tage increase 9 ! consum] price     
index 7all items2 ,u4,s4 city av]age7 z 
( ,septemb] ( su* prec$+ ye>1 or1 if    
less1 ! copaym5t am\nt applicable to an 
individual "u clause 7iii72 &  7cc7 = a 
drug n describ$ 9 ei!r item 7aa7 or     
7bb71 ! doll> am\nt appli$ "u ?is clause
 = su* a drug = ! prec$+ ye>1 increas$ 9
 ! mann] specifi$ 9 item 7bb71 or1 if   
less1 ! copaym5t am\nt applicable to an 
individual "u clause 7iii74  ,any am\nt 
e/abli%$ "u item 7bb7 or 7cc7 (         
subclause 7,,ii71 t is bas$ on an       
increase ( #a or #c1 t is n a multiple (
 #e c5ts or #aj c5ts1 respectively1 %all
 be r\nd$ to ! ne>e/ multiple ( #e c5ts 

or #aj c5ts1 respectively4 2 &  7#b7 9  
p>agraph 7#d77;,a77ii71 by ins]t+ 7be=e 
#bjbf7 aft] a subsequ5t ye>4