,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #hjcb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #bj1 #bjbf,mr4   
,dunn ( ,florida 7= himself & ,mr4      
,soto7 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   
ensure equitable paym5t =1 & pres]ve    
,m$ic>e b5efici>y access to1 canc]      
treatm5ts "u ! ,m$ic>e hospital         
outpati5t prospective paym5t sy/em4  #a4
 ,%ort title  ,?is ,act may be cit$ z ! 
,facilitat+ ,access to ,innovation 9    
,canc] ,c>e ,act or ! ,,faic ,act4  #b4 
,sep>ate paym5t = c]ta9 canc] treatm5ts 
,section #ahcc7t77#af7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acie7t77#af77 is am5d$ by add+ at ! end
 ! foll[+ new subp>agraph3  7,h7        

,sep>ate paym5t = c]ta9 canc] treatm5ts 
7i7 ,9 g5]al ,not)/&+ any o!r provision 
( ?is subsection1 ) respect to a        
specifi$ canc] treatm5t 7z def9$ 9      
clause 7v77 furni%$ dur+ a ye> 7beg9n+ )
 #bjbf71 ! ,secret>y %all n package     
paym5t = su* treatm5t into a paym5t = a 
cov]$ ,,opd s]vice 7or gr\p ( s]vices71 
& %all make a sep>ate paym5t z specifi$ 
9 clause 7ii7 = su* treatm5t1 if su*    
treatm5t has an e/imat$ mean p] day     
product co/ equal to or exce$+ ! ?re%old
 specifi$ 9 clause 7iii7 = su* ye>4     
7ii7 ,sep>ate paym5t ,= purposes (      
clause 7i71 ! sep>ate paym5t specifi$ 9 
?is clause = a specifi$ canc] treatm5t  
is a paym5t 9 an am\nt equal to-- 7,i7 !
 av]age sales price = su* treatm5t      
e/abli%$ "u section #ahdg;,a1 z         
calculat$ & adju/$ by ! ,secret>y to !  
ext5t su* adju/m5t is adopt$ = o!r      
specifi$ cov]$ outpati5t drugs "u       
p>agraph 7#ad77;,a77iii77,,ii72 or      
7,,ii7 if ! data necess>y to calculate  
su* av]age sales price = su* treatm5t is

 n available1 ! :olesale acquisition co/
 7z def9$ 9 subsection                  
#ahdg;,a7c77#f77;,b77 = su* treatm5t1 z 
calculat$ & adju/$ by ! ,secret>y to !  
ext5t su* adju/m5t is adopt$ = o!r      
specifi$ cov]$ outpati5t drugs "u       
p>agraph 7#ad77;,a71 or1 if su* :olesale
 acquisition co/ is n available1 ! mean 
unit co/ = su* treatm5t 7z d]iv$ f      
hospital claims data74  7iii7 ,?re%old  
,= purposes ( clause 7i71 ! ?re%old     
specifi$ 9 ?is clause is--  7,i7 =      
#bjbf1 #cej2 &  7,,ii7 = a subsequ5t    
ye>1 ! am\nt specifi$ 9 ?is clause = !  
prec$+ ye>1 increas$ by ! ,,opd fee     
s*$ule increase factor "u p>agraph      
7#c77;,c77iv7 = ! ye>4  7iv7 ,budget    
neutrality ,! ,secret>y %all make su*   
adju/m5ts z are necess>y "u ?is         
subsection to ensure t ! am\nt (        
exp5ditures "u ?is subsection = a ye> ) 
application ( ?is subp>agraph is equal  
to ! am\nt ( exp5ditures t w\ld be made 
"u ?is subsection = su* ye> )\t         
application ( ?is subp>agraph4  7v7     

,def9ition ,= purposes ( ?is            
subp>agraph1 ! t]m specifi$ canc]       
treatm5t means a drug or biological t-- 
7,i7 is approv$ by ! ,food & ,drug      
,adm9i/ration on or aft] ,janu>y #a1    
#bjjh1 = use 9 ! detection or treatm5t (
 canc]2  7,,ii7 does n receive          
transitional pass-?r\gh paym5ts "u      
p>agraph 7#f72 &  7,,iii7 has paym5t t  
w\ld1 b = application ( ?is subp>agraph1
 be packag$ into a paym5t = a cov]$     
,,opd s]vice 7or gr\p ( s]vices74  4