,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajiai  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,octob] #bi1 #bjbf,mr4
 ,b]gman 7= himself1 ,mr4 ,ruiz1 ,mr4   
,cleav]1 ,mr4 ,mann1 ,ms4 ,titus1 ,ms4  
,norton1 ,ms4 ,davids ( ,kansas1 ,ms4   
,bal9t1 ,mr4 ,gold5 ( ,ma9e1 ,mr4       
,m\lton1 ,mr4 ,h]nndez1 ,ms4 ,/ansbury1 
,mr4 ,au/9 ,scott ( ,georgia1 & ,mr4    
,ne:\se7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,iii ( ! ,public ,heal? ,s]vice ,act to
 ensure t c]ta9 safety net provid]s are 
n requir$ to pay m ?an ! #cdj;,b ceil+  
price = cov]$ outpati5t drugs at ! "t ( 
pur*ase4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,safety ,net ,provid] ,drug 
,pric+ ,protection ,act4  #b4 ,ensur+   
upfront #cdj;,b disc\nt$ pric+ = c]ta9  
safety net provid]s  7a7 ,9 g5]al       
,section #cdj;,b7a7 ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4 #bef;b7a77  
is am5d$ by add+ at ! end ! foll[+ new  
p>agraph3  7#aa7 ,upfront disc\nt$ pric+

 = c]ta9 safety net provid]s  7,a7 ,9   
g5]al ,! ,secret>y may n ent] into an   
agreem5t ) a manufactur] ( cov]$        
outpati5t drugs "u p>agraph 7#a7 "u :i* 
! am\nt requir$ to be paid to !         
manufactur] = cov]$ outpati5t drugs by a
 safety net cov]$ entity exce$s1 at !   
po9t ( pur*ase ( su* drug1 ! applicable 
ceil+ price = su* drug 7z describ$ 9    
p>agraph 7#a774  7,b7 ,safety net cov]$ 
entity ,= purposes ( subp>agraph 7,a71 !
 t]m safety net cov]$ entity means a    
cov]$ entity t--  7i7 is describ$ 9 any 
( subp>agraphs 7,a71 7,d71 7,f71 7,g71  
7,h71 7,i71 7,j71 or 7,n7 ( p>agraph    
7#d72  7ii7 is an entity describ$ 9     
subp>agraph 7,k7 ( su* p>agraph t       
receives funds directly f a ,/ate or    
unit ( local gov]nm5t2 or  7iii7 is a   
sole community hospital describ$ 9      
subp>agraph 7,o7 ( su* p>agraph4  4  7b7
 ,rule ( con/ruction ,no?+ 9 ?is        
section1 or ! am5dm5t made by ?is       
section1 %all be con/ru$ to p]mit "u    
p>agraph 7#a7 ( section #cdj;,b7a7 ( !  

,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bef;b7a77 any arrangem5t "u  
:i* a safety net cov]$ entity 7z def9$ 9
 p>agraph 7#aa77;,b7 ( su* section7 pays
 to ! manufactur] ( a cov]$ outpati5t   
drug an am\nt 9 excess ( ! applicable   
ceil+ price = su* drug 7z describ$ 9 su*
 p>agraph 7#a77 at ! "t ( pur*ase1 )    
lat] reconciliation by rebate1          
reimbursem5t1 or o!r paym5t4  7c7       
,effective dates  7#a7 ,9 g5]al ,!      
am5dm5ts made by ?is section %all take  
effect on ! date ( ! enactm5t ( ?is     
section & %all apply to drugs pur*as$ on
 or aft] ! date ( ! enactm5t ( ?is      
section4  7#b7 ,application to exi/+    
agreem5ts ,beg9n+ on ! date ( ! enactm5t
 ( ?is section1 ! am5dm5ts made by ?is  
section %all be tak5 into acc\nt 9      
det]m9+ :e!r an agreem5t ) a manufactur]
 ( cov]$ outpati5t drugs meets !        
requirem5ts ( section #cdj;,b7a7 ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bef;b7a774