,,ii  #aah? ,,congress  #b;d ,session   
,s4 #dbbi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #a1 #bjbd,ms4     
,ros5 7= h]self & ,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   
require t co9surance = drugs "u ,m$ic>e 
"p ,d be bas$ on ! drug's net price & n 
! drug's li/ price4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,r$uc+ ,drug  
,prices = ,s5iors ,act44  #b4 ,requir+ t
 co9surance = drugs "u ,m$ic>e "p ,d be 
bas$ on ! drug's net price & n ! drug's 
li/ price ,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 ,requirem5t t     
co9surance = cov]$ "p ,d drugs be bas$  
on ! net price ( ! drug  7,a7 ,9 g5]al  

,= plan ye>s beg9n+ on or aft] ,janu>y  
#a1 #bjbe1 = co/s above ! annual        
d$uctible specifi$ 9 p>agraph 7#a7 &    
bel[ ! annual out-(-pocket ?re%old      
specifi$ 9 p>agraph 7#d71 any co9surance
 am\nt = a cov]$ "p ,d drug 7ins(> z su*
 cov]$ "p ,d drug is includ$ on ! =mul>y
 & subject to co9surance r ?an a        
copaym5t7 %all be calculat$ bas$ on !   
net price 7& n ! li/ price7 ( su* cov]$ 
"p ,d drug if su* net price is l[] ?an !
 li/ price ( su* cov]$ "p ,d drug4 ,!   
prec$+ s5t5ce %all n apply to a cov]$ "p
 ,d drug describ$ 9 p>agraph 7#h7 or    
7#i74  7,b7 ,net price def9$ ,9 ?is     
p>agraph1 ! t]m net price means1 )      
respect to a cov]$ "p ,d drug1 !        
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  4  7#b7 9 subsection 7c71 by 
add+ at ! end ! foll[+ new p>agraph3    
7#g7 ,requirem5t t co9surance = cov]$ "p
 ,d drugs be bas$ on ! net price ( !    
drug ,! cov]age is provid$ 9 accordance 
) subsection 7b77#aj74  4