,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #edfg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #ah1        
#bjbe,ms4 ,johnson ( ,texas 7= h]self & 
,mr4 ,k5n$y ( ,utah7 introduc$ ! 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 cov]age ( drugs = autoimmune
 diseases & c]ta9 blood disord]s "u     
,m$ic>e "p ,d4  #a4 ,%ort title  ,?is   
,act may be cit$ z ! ,pati5t ,access to 
,autoimmune ,treatm5ts ,act or ! ,,paat 
,act4  #b4 ,requir+ cov]age ( drugs =   
autoimmune diseases & c]ta9 blood       
disord]s "u ,m$ic>e "p ,d ,section      
#ahfj;,d-#d ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #aciew-#ajd7 is am5d$--  
7#a7 9 subsection 7b77#c71 by add+ at ! 
end ! foll[+ new subp>agraph3  7,j7     

,requir$ inclusion ( c]ta9 drugs =      
autoimmune diseases & blood disord]s    
7i7 ,9 g5]al ,= #bjbg & ea* subsequ5t   
ye>1 a ,,pdp sponsor (f]+ a prescription
 drug plan %all include ea* cov]$ "p ,d 
drug t is an autoimmune or blood disord]
 drug describ$ 9 clause 7ii74  7ii7     
,autoimmune or blood disord] drug ,=    
purposes ( clause 7i71 a drug describ$ 9
 ?is clause is a cov]$ "p ,d drug       
indicat$ & prescrib$ = ! treatm5t ( an  
autoimmune disease1 hemophilia1 or ,von 
,willebr& disease4  2 &  7#b7 9         
subsection 7c7-- 7,a7 by r$esignat+     
p>agraph 7#f71 z add$ by section #ejced 
( division ,e ( ! ,bip>tisan ,budget    
,act ( #bjah 7,public ,law #aae-abc71 z 
p>agraph 7#g72 &  7,b7 by add+ at ! end 
! foll[+ new p>agraph3  7#h7            
,prohibition on use ( prior au?orization
 = c]ta9 autoimmune or blood disord]    
drugs ,= plan ye>s beg9n+ on or aft]    
,janu>y #a1 #bjbg1 a ,,pdp sponsor (f]+ 
a prescription drug plan 7& an ,,ma     
organization (f]+ an ,,ma-,,pd plan7 may

 n require1 ) respect to an individual  
enroll$ "u su* plan1 t prior            
au?orization = an autoimmune or blood   
disord] drug 7z describ$ 9 subsection   
7b77#c77;,j77ii77 be obta9$ m ?an once  
dur+ any #ab-mon? p]iod unless su* drug 
is--  7,a7 typically us$ = a p]iod ( #ab
 mon?s or less2  7,b7 an opioid1 a      
b5zodiazep9e1 a b>biturate1 or          
c>isoprodol2 or  7,c7 a drug ) respect  
to :i* a risk evaluation & mitigation   
/rategy is requir$ "u ,section #eje-a ( 
! ,f$]al ,food1 ,drug1 & ,cosmetic ,act4
  4