,i #aaith ,,congress #b;d ,session ,h4 ,r4 #hbgj ,,in ,,the ,,house ,,of ,,representatives ,april #ad1 #bjbf,mr4 ,murphy 7for himself1 ,mr4 ,moore of ,utah1 ,mr4 ,barrett1 ,mr4 ,edwards1 and ,ms4 ,tenney7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committees on ,education and ,workforce1 and ,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 amend title ,,xxvii of the ,public ,health ,service ,act1 the ,employee ,retirement ,income ,security ,act of #aigd1 and the ,internal ,revenue ,code of #aihf to require out-of-pocket expenditures for drugs to count towards an individual's deductible and out-of-pocket maximum4 #a4 ,short title ,this ,act may be cited as the ,every ,dollar ,counts ,act of #bjbf4 #b4 ,requiring out-of-pocket expenditures for drugs to count towards an individual's deductible and out-of-pocket maximum 7a7 ,,phsa ,part ,d of title ,,xxvii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#aaa et seq47 is amended by adding at the end the following new section3 #bgii;,a-#aa4 ,counting out-of-pocket expenditures for certain drugs towards a deductible and out-of-pocket maximum ,a group health plan and a health insurance issuer offering group or individual health insurance coverage shall1 in the case of an individual enrolled under such plan or coverage who elects to purchase a drug for which benefits are available under such plan or coverage without applying such benefits1 count any out-of-pocket expenditures incurred by such individual with respect to such drug towards any deductible and out-of-pocket maximum that would have applied had such individual applied such benefits4 4 7b7 ,,erisa 7#a7 ,in general ,subpart ,b of part #g of subtitle ,b of title ,i of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe et seq47 is amended by adding at the end the following new section3 #gbf4 ,counting out-of-pocket expenditures for certain drugs towards a deductible and out-of-pocket maximum ,a group health plan and a health insurance issuer offering group health insurance coverage shall1 in the case of a participant or beneficiary enrolled under such plan or coverage who elects to purchase a drug for which benefits are available under such plan or coverage without applying such benefits1 count any out-of-pocket expenditures incurred by such participant or beneficiary with respect to such drug towards any deductible and out-of-pocket maximum that would have applied had such participant or beneficiary applied such benefits4 4 7#b7 ,clerical amendment ,the table of contents in section #a of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #ajja note7 is amended by inserting after the item relating to section #gbe the following new item3 ,sec4 #gbf4 ,counting out-of-pocket expenditures for certain drugs towards a deductible and out-of-pocket maximum4 4 7c7 ,,irc 7#a7 ,in general ,subchapter ,b of chapter #ajj of the ,internal ,revenue ,code of #aihf is amended by adding at the end the following new section3 #ihbf4 ,counting out-of-pocket expenditures for certain drugs towards a deductible and out-of-pocket maximum ,a group health plan shall1 in the case of an individual enrolled under such plan who elects to purchase a drug for which benefits are available under such plan without applying such benefits1 count any out-of-pocket expenditures incurred by such individual with respect to such drug towards any deductible and out-of-pocket maximum that would have applied had such individual applied such benefits4 4 7#b7 ,clerical amendment ,the table of sections for subchapter ,b of chapter #ajj of the ,internal ,revenue ,code of #aihf is amended by adding at the end the following new item3 ,sec4 #ihbf4 ,counting out-of-pocket expenditures for certain drugs towards a deductible and out-of-pocket maximum4 4 7d7 ,conforming amendments 7#a7 ,best price ,section #aibg7;c77#a77;,c77ii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#h7;c77#a77;,c77ii77 is amended-- 7,a7 in subclause 7,,iv71 by striking and at the end2 7,b7 in subclause 7,v71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following new subclause3 7,,vi7 shall exclude any reduction in price with respect to an individual purchasing such drug without applying any benefits under a group health plan 7as defined in section #bgia of the ,public ,health ,service ,act71 group or individual health insurance coverage 7as so defined71 or a ,federal health care program 7as defined in section #aabh;,b but including the program established under chapter #hi of title #e1 ,united ,states ,code74 4 7#b7 ,average manufacturer price ,section #aibg7k77#a77;,b77i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#h7k77#a77;,b77i77 is amended-- 7,a7 in subclause 7,,vii71 by striking and at the end2 7,b7 in subclause 7,,viii71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following new subclause3 7,,ix7 any reduction in price with respect to an individual purchasing such drug without applying any benefits under a group health plan 7as defined in section #bgia of the ,public ,health ,service ,act71 group or individual health insurance coverage 7as so defined71 or a ,federal health care program 7as defined in section #aabh;,b but including the program established under chapter #hi of title #e1 ,united ,states ,code74 4 7e7 ,effective date ,the amendments made by subsections 7a7 through 7c7 shall apply with respect to plan years beginning on or after ,january #a1 #bjbg4