,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fdja  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #c1          
#bjbe,mrs4 ,kiggans ( ,virg9ia 7= h]self
 & ,mr4 ,kri%namoor?i7 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 require ! ,secret>y (      
,heal? & ,human ,s]vices to submit to   
,congress a report on ! option to elect 
to pay co/-%>+ "u a prescription drug   
plan or ,,ma-,,pd plan 9 mon?ly capp$   
am\nts4  #a4 ,%ort title ,?is ,act may  
be cit$ z ! ,increas+ ,m$ication ,access
 = ,s5iors ,act ( #bjbe4  #b4 ,reports  
on ,m$ic>e "p ,d mon?ly capp$ co/-%>+   
option  7a7 ,reports ,n lat] ?an ! date 
t is #c mon?s aft] ! date ( ! enactm5t (
 ?is section1 n less frequ5tly ?an e #c 
mon?s !reaft] until ! date t is #a ye>  

aft] ! date ( ! enactm5t ( ?is section1 
& n less frequ5tly ?an annually !reaft] 
until ,m>* #ca1 #bjca1 ! ,secret>y (    
,heal? & ,human ,s]vices 79 ?is section 
ref]r$ to z ! ,secret>y7 %all submit to 
,congress a report on ! option to elect 
to pay co/-%>+ "u a prescription drug   
plan or ,,ma-,,pd plan 9 mon?ly capp$   
am\nts "u section                       
#ahfj;,d-#b7;b77#b77;,e77i7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajb7;b77#b77;,e77i771 includ+1 )
 respect to ! #a-ye> p]iod end+ on !    
date t is #a ye> be=e ! date on :i* !   
report is requir$ to be submitt$--  7#a7
 ! numb] ( ,m$ic>e "p ,d enrollees :o   
made su* an election dur+ su* p]iod1    
includ+-- 7,a7 ! numb] ( su* enrollees  
resid+ 9 ea* c5sus region 7z designat$  
by ! ,bureau ( ! ,c5sus72  7,b7 ! numb] 
( su* enrollees :o are enroll$ 9 a      
prescription drug plan2 &  7,c7 ! numb] 
( su* enrollees :o are enroll$ 9 an     
,,ma-,,pd plan2  7#b7 an e/imate ( !    
numb] ( ,m$ic>e "p ,d enrollees :o did n

 make su* an election & incurr$         
out-(-pocket co/s ) respect to cov]$ "p 
,d drugs dur+ su* p]iod t make x likely 
su* enrollees may b5efit f mak+ su* an  
election1 z det]m9$ by ! ,secret>y2     
7#c7 a description ( any /eps tak5 by ! 
,secret>y dur+ su* p]iod to implem5t a  
me*anism to all[ a ,m$ic>e "p ,d        
enrollee to make su* election at !      
po9t-(-sale ( a cov]$ "p ,d drug1       
includ+ in=mation on h[ su* a me*anism  
may be made available = e ,m$ic>e "p ,d 
enrollee2  7#d7 a description ( ea*     
me?od us$ by ! ,secret>y dur+ su* p]iod 
to facilitate mak+ su* an election1     
includ+-- 7,a7 ! ,m$ic>e4gov website2   
7,b7 ! notice di/ribut$ pursuant to     
section #ahjd7;a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acie;b-#b7;a77     
7commonly kn[n z ! ,m$ic>e  ,y h&book72 
7,c7 ! toll-free telephone numb]        
#a-hjj-,,m$ic>e2 &  7,d7 res\rces =     
heal? c>e provid]s2 &  7#e7 a           
description ( any o!r outrea* ef=ts !   
,secret>y conduct$ ) respect to su*     

option dur+ su* p]iod1 includ+ outrea*  
to--  7,a7 heal? c>e provid]            
associations & societies2  7,b7 pati5t &
 consum] advocacy gr\ps t repres5t      
,m$ic>e "p ,d enrollees2  7,c7 ph>macy  
b5efit manag]s2  7,d7 ph>macies2 &  7,e7
 heal? insurance provid]s4  7b7         
,def9itions ,9 ?is section3  7#a7       
,m$ic>e "p ,d enrollee ,! t]m ,m$ic>e "p
 ,d enrollee means an individual enroll$
 9 a prescription drug plan or ,,ma-,,pd
 plan "u "p ,d ( title ,,xviii ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#aja et seq474  7#b7 ,m$ic>e "p  
,d t]ms ,! t]ms cov]$ "p ,d drug1       
prescription drug plan1 & ,,ma-,,pd plan
 h ! mean+s giv5 ea* su* t]m 9 "p ,d (  
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#aja et seq474