,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #hbgj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #ad1 #bjbf,mr4 
,murphy 7= himself1 ,mr4 ,moore ( ,utah1
 ,mr4 ,b>rett1 ,mr4 ,edw>ds1 & ,ms4     
,t5ney7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committees 
on ,education & ,work=ce1 & ,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 ,,xxvii ( !     
,public ,heal? ,s]vice ,act1 ! ,employee
 ,retirem5t ,income ,security ,act (    
#aigd1 & ! ,int]nal ,rev5ue ,code (     
#aihf to require out-(-pocket           
exp5ditures = drugs to c\nt t[>ds an    
individual's d$uctible & out-(-pocket   
maximum4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,e ,doll> ,c\nts ,act (     
#bjbf4  #b4 ,requir+ out-(-pocket       
exp5ditures = drugs to c\nt t[>ds an    
individual's d$uctible & out-(-pocket   

maximum  7a7 ,,phsa ,"p ,d ( title      
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #cjj;gg-#aaa et seq47 is 
am5d$ by add+ at ! end ! foll[+ new     
section3  #bgii;,a-#aa4 ,c\nt+          
out-(-pocket exp5ditures = c]ta9 drugs  
t[>ds a d$uctible & out-(-pocket maximum
 ,a gr\p heal? plan & a heal? insurance 
issu] (f]+ gr\p or individual heal?     
insurance cov]age %all1 9 ! case ( an   
individual enroll$ "u su* plan or       
cov]age :o elects to pur*ase a drug =   
:i* b5efits are available "u su* plan or
 cov]age )\t apply+ su* b5efits1 c\nt   
any out-(-pocket exp5ditures incurr$ by 
su* individual ) respect to su* drug    
t[>ds any d$uctible & out-(-pocket      
maximum t w\ld h appli$ _h su*          
individual appli$ su* b5efits4  4  7b7  
,,erisa  7#a7 ,9 g5]al ,subp>t ,b ( "p  
#g ( subtitle ,b ( title ,i ( !         
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #aahe et    
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #gbf4 ,c\nt+ out-(-pocket

 exp5ditures = c]ta9 drugs t[>ds a      
d$uctible & out-(-pocket maximum ,a gr\p
 heal? plan & a heal? insurance issu]   
(f]+ gr\p heal? insurance cov]age %all1 
9 ! case ( a p>ticipant or b5efici>y    
enroll$ "u su* plan or cov]age :o elects
 to pur*ase a drug = :i* b5efits are    
available "u su* plan or cov]age )\t    
apply+ su* b5efits1 c\nt any            
out-(-pocket exp5ditures incurr$ by su* 
p>ticipant or b5efici>y ) respect to su*
 drug t[>ds any d$uctible & out-(-pocket
 maximum t w\ld h appli$ _h su*         
p>ticipant or b5efici>y appli$ su*      
b5efits4  4  7#b7 ,cl]ical am5dm5t ,!   
table ( cont5ts 9 section #a ( !        
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #ajja note7 
is am5d$ by ins]t+ aft] ! item relat+ to
 section #gbe ! foll[+ new item3  ,sec4 
#gbf4 ,c\nt+ out-(-pocket exp5ditures = 
c]ta9 drugs t[>ds a d$uctible &         
out-(-pocket maximum4  4  7c7 ,,irc     
7#a7 ,9 g5]al ,sub*apt] ,b ( *apt] #ajj 
( ! ,int]nal ,rev5ue ,code ( #aihf is   

am5d$ by add+ at ! end ! foll[+ new     
section3  #ihbf4 ,c\nt+ out-(-pocket    
exp5ditures = c]ta9 drugs t[>ds a       
d$uctible & out-(-pocket maximum ,a gr\p
 heal? plan %all1 9 ! case ( an         
individual enroll$ "u su* plan :o elects
 to pur*ase a drug = :i* b5efits are    
available "u su* plan )\t apply+ su*    
b5efits1 c\nt any out-(-pocket          
exp5ditures incurr$ by su* individual ) 
respect to su* drug t[>ds any d$uctible 
& out-(-pocket maximum t w\ld h appli$  
_h su* individual appli$ su* b5efits4  4
  7#b7 ,cl]ical am5dm5t ,! table (      
sections = sub*apt] ,b ( *apt] #ajj ( ! 
,int]nal ,rev5ue ,code ( #aihf is am5d$ 
by add+ at ! end ! foll[+ new item3     
,sec4 #ihbf4 ,c\nt+ out-(-pocket        
exp5ditures = c]ta9 drugs t[>ds a       
d$uctible & out-(-pocket maximum4  4    
7d7 ,con=m+ am5dm5ts  7#a7 ,be/ price   
,section #aibg7;c77#a77;,c77ii7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acifr-#h7;c77#a77;,c77ii77 is am5d$--  
7,a7 9 subclause 7,,iv71 by /rik+ & at !

 end2  7,b7 9 subclause 7,v71 by /rik+ !
 p]iod at ! end & ins]t+ 2 &2 &  7,c7 by
 add+ at ! end ! foll[+ new subclause3  
7,,vi7 %all exclude any r$uction 9 price
 ) respect to an individual pur*as+ su* 
drug )\t apply+ any b5efits "u a gr\p   
heal? plan 7z def9$ 9 section #bgia ( ! 
,public ,heal? ,s]vice ,act71 gr\p or   
individual heal? insurance cov]age 7z s 
def9$71 or a ,f$]al heal? c>e program 7z
 def9$ 9 section #aabh;,b b includ+ !   
program e/abli%$ "u *apt] #hi ( title   
#e1 ,unit$ ,/ates ,code74  4  7#b7      
,av]age manufactur] price ,section      
#aibg7k77#a77;,b77i7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acifr-#h7k77#a77;,b77i77 is am5d$--    
7,a7 9 subclause 7,,vii71 by /rik+ & at 
! end2  7,b7 9 subclause 7,,viii71 by   
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7,c7 by add+ at ! end ! foll[+ new      
subclause3  7,,ix7 any r$uction 9 price 
) respect to an individual pur*as+ su*  
drug )\t apply+ any b5efits "u a gr\p   
heal? plan 7z def9$ 9 section #bgia ( ! 

,public ,heal? ,s]vice ,act71 gr\p or   
individual heal? insurance cov]age 7z s 
def9$71 or a ,f$]al heal? c>e program 7z
 def9$ 9 section #aabh;,b b includ+ !   
program e/abli%$ "u *apt] #hi ( title   
#e1 ,unit$ ,/ates ,code74  4  7e7       
,effective date  ,! am5dm5ts made by    
subsections 7a7 ?r\gh 7c7 %all apply )  
respect to plan ye>s beg9n+ on or aft]  
,janu>y #a1 #bjbg4