,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #gcia  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #e1 #bjbf,mr4
 ,b]gman 7= himself1 ,mr4 ,au*9closs1   
,mr4 ,m\lton1 ,mr4 ,lyn*1 ,mr4 ,smuck]1 
,ms4 ,lois ,frankel ( ,florida1 ,ms4    
,norton1 ,mr4 ,mann1 ,mr4 ,mrvan1 ,ms4  
,bal9t1 ,ms4 ,davids ( ,kansas1 ,ms4    
,maloy1 ,mr4 ,bresnahan1 ,mr4 ,cleav]1  
,ms4 ,ans>i1 ,mr4 ,huiz5ga1 ,ms4        
,mc,bride1 ,ms4 ,titus1 ,ms4 ,tlaib1    
,mr4 ,neguse1 ,mr4 ,crank1 ,ms4 ,lee (  
,nevada1 ,mr4 ,lucas1 ,mr4 ,l>s5 (      
,wa%+ton1 & ,mr4 ,coh57 introduc$ !     
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d title ,,iii ( ! ,public
 ,heal? ,s]vice ,act to ensure t        
,f$]ally-qualifi$ heal? c5t]s are n     
requir$ to pay m ?an ! #cdj;,b ceil+    
price = cov]$ outpati5t drugs at ! "t ( 
pur*ase4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,community ,heal? ,c5t]     
,drug ,pric+ ,protection ,act4  #b4     
,ensur+ upfront #cdj;,b disc\nt$ pric+ =

 ,f$]ally-qualifi$ heal? c5t]s  7a7 ,9  
g5]al ,section #cdj;,b7a7 ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bef;b7a77 is am5d$ by add+ at ! end !  
foll[+ new p>agraph3  7#aa7 ,upfront    
disc\nt$ pric+ = ,f$]ally-qualifi$ heal?
 c5t]s ,! ,secret>y may n ent] into an  
agreem5t ) a manufactur] ( cov]$        
outpati5t drugs "u p>agraph 7#a7 "u :i* 
! am\nt requir$ to be paid to !         
manufactur] = cov]$ outpati5t drugs by a
 cov]$ entity describ$ 9 p>agraph       
7#d77;,a7 exce$s1 at ! po9t ( pur*ase ( 
su* drug1 ! applicable ceil+ price = su*
 drug 7z describ$ 9 p>agraph 7#a774  4  
7b7 ,rule ( con/ruction ,no?+ 9 ?is     
section1 or ! am5dm5t made by ?is       
section1 %all be con/ru$ to p]mit "u    
p>agraph 7#a7 ( section #cdj;,b7a7 ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bef;b7a77 any arrangem5t "u  
:i* a cov]$ entity describ$ 9 p>agraph  
7#d77;,a7 ( su* section pays to !       
manufactur] ( a cov]$ outpati5t drug an 
am\nt 9 excess ( ! applicable ceil+     

price = su* drug 7z describ$ 9 su*      
p>agraph 7#a77 at ! "t ( pur*ase1 ) lat]
 reconciliation by rebate1 reimbursem5t1
 or o!r paym5t4  7c7 ,effective dates   
7#a7 ,9 g5]al ,! am5dm5ts made by ?is   
section %all take effect on ! date ( !  
enactm5t ( ?is section & %all apply to  
drugs pur*as$ on or aft] ! date ( !     
enactm5t ( ?is section4  7#b7           
,application to exi/+ agreem5ts ,beg9n+ 
on ! date ( ! enactm5t ( ?is section1 ! 
am5dm5ts made by ?is section %all be    
tak5 into acc\nt 9 det]m9+ :e!r an      
agreem5t ) a manufactur] ( cov]$        
outpati5t drugs meets ! requirem5ts (   
section #cdj;,b7a7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bef;b7a774