,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #fdja  ,,in ,,the ,,house ,,of  
,,representatives  ,december #c1        
#bjbe,mrs4 ,kiggans of ,virginia 7for   
herself and ,mr4 ,krishnamoorthi7       
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce1 and in addition to the   
,committee on ,ways and ,means1 for a   
period to be subsequently determined by 
the ,speaker1 in each case for          
consideration of such provisions as fall
 within the jurisdiction of the         
committee concerned  ,a ,,bill  ,to     
require the ,secretary of ,health and   
,human ,services to submit to ,congress 
a report on the option to elect to pay  
cost-sharing under a prescription drug  
plan or ,,ma-,,pd plan in monthly capped
 amounts4  #a4 ,short title ,this ,act  
may be cited as the ,increasing         
,medication ,access for ,seniors ,act of
 #bjbe4  #b4 ,reports on ,medicare part 
,d monthly capped cost-sharing option   
7a7 ,reports ,not later than the date   

that is #c months after the date of the 
enactment of this section1 not less     
frequently than every #c months         
thereafter until the date that is #a    
year after the date of the enactment of 
this section1 and not less frequently   
than annually thereafter until ,march   
#ca1 #bjca1 the ,secretary of ,health   
and ,human ,services 7in this section   
referred to as the ,secretary7 shall    
submit to ,congress a report on the     
option to elect to pay cost-sharing     
under a prescription drug plan or       
,,ma-,,pd plan in monthly capped amounts
 under section                          
#ahfj;,d-#b7;b77#b77;,e77i7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#ajb7;b77#b77;,e77i771 including1
 with respect to the #a-year period     
ending on the date that is #a year      
before the date on which the report is  
required to be submitted--  7#a7 the    
number of ,medicare part ,d enrollees   
who made such an election during such   
period1 including-- 7,a7 the number of  

such enrollees residing in each census  
region 7as designated by the ,bureau of 
the ,census72  7,b7 the number of such  
enrollees who are enrolled in a         
prescription drug plan2 and  7,c7 the   
number of such enrollees who are        
enrolled in an ,,ma-,,pd plan2  7#b7 an 
estimate of the number of ,medicare part
 ,d enrollees who did not make such an  
election and incurred out-of-pocket     
costs with respect to covered part ,d   
drugs during such period that make it   
likely such enrollees may benefit from  
making such an election1 as determined  
by the ,secretary2  7#c7 a description  
of any steps taken by the ,secretary    
during such period to implement a       
mechanism to allow a ,medicare part ,d  
enrollee to make such election at the   
point-of-sale of a covered part ,d drug1
 including information on how such a    
mechanism may be made available for     
every ,medicare part ,d enrollee2  7#d7 
a description of each method used by the
 ,secretary during such period to       

facilitate making such an election1     
including-- 7,a7 the ,medicare4gov      
website2  7,b7 the notice distributed   
pursuant to section #ahjd7;a7 of the    
,social ,security ,act 7#db ,u4,s4,c4   
#acie;b-#b7;a77 7commonly known as the  
,medicare  ,you handbook72  7,c7 the    
toll-free telephone number              
#a-hjj-,,medicare2 and  7,d7 resources  
for health care providers2 and  7#e7 a  
description of any other outreach       
efforts the ,secretary conducted with   
respect to such option during such      
period1 including outreach to--  7,a7   
health care provider associations and   
societies2  7,b7 patient and consumer   
advocacy groups that represent ,medicare
 part ,d enrollees2  7,c7 pharmacy      
benefit managers2  7,d7 pharmacies2 and 
7,e7 health insurance providers4  7b7   
,definitions ,in this section3  7#a7    
,medicare part ,d enrollee ,the term    
,medicare part ,d enrollee means an     
individual enrolled in a prescription   
drug plan or ,,ma-,,pd plan under part  

,d of title ,,xviii of the ,social      
,security ,act 7#db ,u4,s4,c4           
#aciew-#aja et seq474  7#b7 ,medicare   
part ,d terms ,the terms covered part ,d
 drug1 prescription drug plan1 and      
,,ma-,,pd plan have the meanings given  
each such term in part ,d of title      
,,xviii of the ,social ,security ,act   
7#db ,u4,s4,c4 #aciew-#aja et seq474