,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #eaig  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #h1         
#bjbe,ms4 ,malliotakis 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 limit co/ %>+ 
= drugs "u ! ,m$ic>e program4  #a4 ,%ort
 title ,?is ,act may be cit$ z !        
,protect ,b5efici>ies f ,middlem5 ,act4 
#b4 ,limitation on co/ %>+ to net price 
am\nt "u ,m$ic>e "p ,d  7a7 ,9 g5]al    
,section #ahfj;,d-#b ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajb7 is am5d$-- 7#a7 9          
subsection 7b7-- 7,a7 9 p>agraph        
7#b77;,a71 by /rik+ 7#h7 & 7#i7 & ins]t+
 7#h71 7#i71 & 7#aj72  7,b7 9 p>agraph  
7#i77;,b77ii71 by /rik+ ,= a plan ye> & 

ins]t+ ,subject to p>agraph 7#aj71 = a  
plan ye>2 &  7,c7 by add+ at ! end !    
foll[+ new p>agraph3  7#aj7 ,limitation 
on co/ %>+ to net price am\nt  7,a7 ,9  
g5]al ,= a plan ye> beg9n+ on or aft]   
,janu>y #a1 #bjbg1 ! cov]age provides   
b5efits = a supply ( a cov]$ "p ,d drug 
disp5s$ by a ph>macy1 = co/s 9 excess ( 
! d$uctible specifi$ 9 p>agraph 7#a7 &  
prior to an individual rea*+ !          
out-(-pocket ?re%old "u p>agraph 7#d71 )
 co/-%>+ = a mon?'s supply t does n     
exce$ ! av]age net price = su* a supply 
( su* drug dur+ su* plan ye> 7or1 if    
l[]1 ! applicable ca% price = su* a     
supply ( su* drug s disp5s$ by su*      
ph>macy74  7,b7 ,def9itions ,9 ?is      
p>agraph3 7i7 ,applicable ca% price ,!  
t]m applicable ca% price means1 )       
respect to a supply ( a cov]$ "p ,d drug
 disp5s$ by a ph>macy1 ! price t su*    
ph>macy w\ld *>ge = su* supply ( su*    
drug disp5s$ to an individual )\t       
b5efits = su* drug "u any ,f$]al heal?  
c>e program 7z def9$ 9 section          

#aabh;,b71 a gr\p heal? plan or gr\p or 
individual heal? insurance cov]age 7z   
su* t]ms are def9$ 9 section #bgia ( !  
,public ,heal? ,s]vice ,act71 or !      
program e/abli%$ "u *apt] #hi ( title   
#e1 ,unit$ ,/ates ,code4  7ii7 ,av]age  
net price ,! t]m av]age net price means1
 ) respect to a supply ( a cov]$ "p ,d  
drug1 a prescription drug plan1 & a plan
 ye>1 ! av]age am\nt paid "u su* plan   
7includ+ any am\nts paid by an          
individual enroll$ "u su* plan z co/ %>+
 = su* drug7 z paym5t = su* a supply (  
su* drug disp5s$ dur+ su* ye>1 less any 
rebates or o!r =ms ( remun]ation receiv$
 "u su* plan ) respect to su* drug4  2 &
  7#b7 9 subsection 7c71 by add+ at !   
end ! foll[+ new p>agraph3  7#g7 ,co/   
%>+ limit$ to net price ,! cov]age is   
provid$ 9 accordance ) subsection       
7b77#aj74  4  7b7 ,con=m+ am5dm5t to    
co/-,%>+ = l[-,income individuals       
,section #ahfj;,d-#ad7;a77#a77;,d77iii7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#aad7;a77#a77;,d77iii77

 is am5d$ by add+ at ! end ! foll[+ new 
s5t5ce3 ,= plan ye> #bjbg & subsequ5t   
plan ye>s1 ! copaym5t am\nt applicable  
"u ?is clause to a supply ( a cov]$ "p  
,d drug disp5s$ to ! individual may n   
exce$ ! am\nt provid$ "u section        
#ahfj;,d-#b7;b77#aj744  7c7 ,,gao report
 ,n lat] ?an ,janu>y #a1 #bjbi1 !       
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all submit to ,congress a report       
conta9+-- 7#a7 an analysis ( compliance 
) ! am5dm5ts made by ?is section2  7#b7 
an analysis ( en=cem5t ( su* am5dm5ts2  
7#c7 recomm5dations ) respect to improv+
 su* en=cem5t2 &  7#d7 recomm5dations   
relat+ to improv+ public disclosure1 &  
public aw>5ess (1 ! requirem5ts ( su*   
am5dm5ts4