,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #hffg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #g1 #bjbf,mr4    
,v9dman 7= himself1 ,mr4 ,ryan1 ,ms4    
,h\lahan1 ,mr4 ,keat+1 ,ms4 ,goodl&]1   
,mr4 ,deluzio1 & ,mr4 ,m\lton7 introduc$
 ! foll[+ bill2 :i* 0 ref]r$ to !       
,committee on ,vet]ans' ,affairs1 & 9   
addition to ! ,committee on ,arm$       
,s]vices1 = 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 titles #aj & #ch1     
,unit$ ,/ates ,code1 to set ! maximum   
co/-%>+ am\nt paid by an eligible cov]$ 
b5efici>y "u ! ,,tric>e program & a     
vet]an = su* select$ drug1 z e/abli%$ "u
 ! ,social ,security ,act1 & ! maximum  
price ( a select$ drug procur$ by ,f$]al
 ag5cies1 & = o!r purposes4  #a4 ,%ort  
title  ,?is ,act may be cit$ z !        
,maximiz+ ,individual ,sav+s =          
,s]vicememb]s ,9 ,obta9+ ,negotiat$ ,rx 
,act or ! ,,mission ,rx ,act4  #b4      

,maximum price = a select$ drug = !     
co/-%>+ am\nt paid by an eligible cov]$ 
b5efici>y "u ,,tric>e & a vet]an & =    
,f$]al procurem5t  7a7 ,ph>macy b5efits 
program ,section #ajgd;g ( title #aj1   
,unit$ ,/ates ,code1 is am5d$-- 7#a7 9  
subsection 7a77#f71 by add+ at ! end !  
foll[+ new subp>agraphs3  7,f7 ,not)/&+ 
subp>agraphs 7,a71 7,b71 & 7,c71 dur+   
any ye> a select$ drug is cov]$ "u !    
,drug ,price ,negotiation ,program      
e/abli%$ "u section #aaia ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #acbj;f71 
! co/-%>+ am\nt "u ?is subsection dur+ a
 ye> = su* select$ drug = an eligible   
cov]$ b5efici>y may n exce$ ! co/-%>+   
am\nt paid by a ,m$ic>e b5efici>y = su* 
select$ drug 9 t ye> "u "p ,d ( title   
,,xviii ( t ,act 7#db ,u4,s4,c4         
#aciew-#aja et seq47 pursuant to su*    
,drug ,price ,negotiation ,program4  2 &
  7#b7 9 subsection 7i71 by add+ at !   
end ! foll[+ new p>agraph3  7#e7 ,! t]m 
select$ drug has ! mean+ giv5 su* t]m 9 
section #aaib7;c7 ( ! ,social ,security 

,act 7#db ,u4,s4,c4 #acbj;f-#a7;c774  4 
7b7 ,copaym5t = m$ications ,section     
#agbb;,a ( title #ch1 ,unit$ ,/ates     
,code1 is am5d$ by add+ at ! end !      
foll[+ new subsections3  7d7 ,not)/&+   
subsections 7a7 & 7b71 dur+ any ye> a   
select$ drug is cov]$ "u ! ,drug ,price 
,negotiation ,program e/abli%$ "u       
section #aaia ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acbj;f71 ! copaym5t    
am\nt det]m9$ "u ?is section dur+ a ye> 
= su* select$ drug = a vet]an may n     
exce$ ! copaym5t am\nt paid by a ,m$ic>e
 b5efici>y = su* select$ drug 9 t ye> "u
 "p ,d ( title ,,xviii ( t ,act 7#db    
,u4,s4,c4 #aciew-#aja et seq47 pursuant 
to su* ,drug ,price ,negotiation        
,program4  7e7 ,9 ?is section1 ! t]m    
select$ drug has ! mean+ giv5 su* t]m 9 
section #aaib7;c7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acbj;f-#a7;c774  4 
7c7 ,limitation on prices ( drugs       
procur$ by ,dep>tm5t & c]ta9 o!r ,f$]al 
ag5cies ,section #habf ( title #ch1     
,unit$ ,/ates ,code1 is am5d$-- 7#a7 9  

subsection 7a7--  7,a7 9 p>agraph 7#c71 
by /rik+ 2 & & ins]t+ a semicolon2  7,b7
 9 p>agraph 7#d77;,c71 by /rik+ ! p]iod 
& ins]t+ 2 &2 &  7,c7 by add+ at ! end !
 foll[+ new p>agraph3  7#e7 ) respect to
 ea* select$ drug ( ! manufactur]       
procur$ by a ,f$]al ag5cy1 z describ$ 9 
subsection 7b71 su* ma/] agreem5t %all  
be subject to ! requirem5ts 9 subsection
 7j74  4  7#b7 9 subsection 7g77#a71 by 
/rik+ #aiib & ins]t+ #aiib1 except )    
respect to any ref]5ce to a provision ( 
su* ,act 9 p>agraphs 7#g7 & 7#h7 (      
subsection 7h7 & 9 subsection 7j72  7#c7
 9 subsection 7h7--  7,a7 by r$esignat+ 
p>agraphs 7#e7 & 7#f7 z p>agraphs 7#f7 &
 7#h71 respectively2  7,b7 by ins]t+    
aft] p>agraph 7#d7 ! foll[+ new         
p>agraph3  7#e7 ,! t]m maximum fair     
price has ! mean+ giv5 su* t]m 9 section
 #aaia7;c77#c7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acbj;f7c77#c774  2 
&  7,c7 by ins]t+ aft] p>agraph 7#f71 z 
r$esignat$ by subp>agraph 7,a71 ! foll[+
 new p>agraph3  7#g7 ,! t]m select$ drug

 has ! mean+ giv5 su* t]m 9 section     
#aaib7;c7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acbj;f-#a7;c774  2 &    
7#d7 by add+ at ! end ! foll[+ new      
subsections3  7j7 ,dur+ any ye> a       
select$ drug is cov]$ "u ! ,drug ,price 
,negotiation ,program e/abli%$ "u       
section #aaia ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acbj;f71 ea*           
manufactur] ent]+ into a ma/] agreem5t  
may n set ! maximum price = su* select$ 
drug includ$ 9 su* ma/] agreem5t at ! "t
 su* ma/] agreem5t is execut$ at a price
 exce$+ ! maximum fair price = su* drug 
z set by su* ,drug ,price ,negotiation  
,program = ! duration ( su* ma/]        
agreem5t4  4  7d7 ,application  7#a7 ,9 
g5]al ,! am5dm5ts made 9 subsection 7c7 
%all apply ) respect to ea* ma/]        
agreem5t "u section #habf ( title #ch1  
,unit$ ,/ates ,code1 cov]+ a select$    
drug1 z def9$ by su* section1 t is 9    
effect on ! date ( ! enactm5t ( ?is ,act
 or ent]s into =ce on or aft] su* date4 
7#b7 ,t]m9ation ( ! ,drug ,price        

,negotiation ,program ,^u t]m9ation ( ! 
,drug ,price ,negotiation ,program      
e/abli%$ "u section #aaia ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #acbj;f71 
ea* ma/] agreem5t describ$ 9 p>agraph   
7#a7 %all be modifi$ to reflect ! drug  
price maximums z ( ! date ( su*         
modification "u exi/+ law = ea* select$ 
drug1 z def9$ 9 section #habf ( title   
#ch1 ,unit$ ,/ates ,code1 z am5d$ by    
subsection 7c74  7e7 ,con=m+ am5dm5ts   
,"p ,e ( ! ,social ,security ,act 7#db  
,u4,s4,c4 #acbj;f et seq47 is am5d$--   
7#a7 9 section #aaic7;a77#d77;,a71 by   
/rik+ #habf7;h77#e7 & ins]t+ #habf7;h72 
&  7#b7 9 section #aaid7;c77#f71 by     
/rik+ #habf7;h77#e7 & ins]t+ #habf7;h74