,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #abdd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,febru>y #ab1         
#bjbe,mr4 ,davis ( ,nor? ,c>ol9a 7=     
himself & ,mr4 ,pflug]7 introduc$ !     
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,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 actual acquisition co/ 
& n ! drug's :olesale acquisition co/4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,r$uc+ ,drug ,prices = ,s5iors ,act4  
#b4 ,requir+ t co9surance = drugs "u    
,m$ic>e "p ,d be bas$ on ! drug's actual
 acquisition co/ & n ! drug's :olesale  
acquisition co/ ,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 ! actual acquisition co/ ( ! drug    
7,a7 ,9 g5]al ,= plan ye>s beg9n+ on or 
aft] ,janu>y #a1 #bjbf1 = 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 ! actual acquisition co/ 7& n !      
:olesale acquisition co/7 ( su* cov]$ "p
 ,d drug if su* actual acquisition co/  
is l[] ?an ! :olesale acquisition co/ ( 
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 
,actual acquisition co/ def9$ ,9 ?is    
p>agraph1 ! t]m actual acquisition co/  

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  2 &  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