,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #iaib  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #h1 #bjbf,ms4   
,johnson ( ,texas 7= h]self & ,mr4      
,lawl]7 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 ! ,employee ,retirem5t
 ,income ,security ,act ( #aigd1 title  
,,xxvii ( ! ,public ,heal? ,s]vice ,act1
 & ! ,int]nal ,rev5ue ,code ( #aihf to  
require heal? insurance cov]age ( drugs 
indicat$ = ! treatm5t ( autoimmune      
diseases & c]ta9 blood disord]s4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,prior ,au?orization ,re=m = ,autoimmune
 & ,blood ,disord]s ,act4  #b4 ,requir+ 
cov]age ( drugs indicat$ = ! treatm5t ( 
autoimmune diseases & c]ta9 blood       
disord]s  7a7 ,,erisa am5dm5ts  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     
#gbg4 ,requirem5ts ) respect to cov]age 
( drugs = autoimmune diseases & c]ta9   
blood disord]s  7a7 ,9 g5]al ,a gr\p    
heal? plan1 & a heal? insurance issu]   
(f]+ gr\p heal? insurance cov]age-- 7#a7
 %all provide cov]age = any drug t is an
 autoimmune or blood disord] drug1 )\t  
reg>d to :e!r su* drug is disp5s$ by a  
ph>macy or furni%$ incid5t to ano!r item
 or s]vice = :i* b5efits are available  
"u su* plan or cov]age2 &  7#b7 may n   
require1 ) respect to an individual     
enroll$ "u su* plan or cov]age1 t prior 
au?orization = su* a drug be obta9$ m   
?an once dur+ any #ab-mon? p]iod unless 
su* drug is-- 7,a7 typically us$ = a    
p]iod ( #ab mon?s or less2  7,b7 an     
opioid1 a b5zodiazep9e1 a b>biturate1 or
 c>isoprodol2 or  7,c7 a drug ) respect 
to :i* a risk evaluation & mitigation   

/rategy is requir$ "u ,section #eje-a ( 
! ,f$]al ,food1 ,drug1 & ,cosmetic ,act4
  7b7 ,autoimmune or blood disord] drug 
def9$ ,9 ?is section1 ! t]m autoimmune  
or blood disord] drug means a drug or   
biological product t is indicat$ &      
prescrib$ = ! treatm5t ( an autoimmune  
disease1 hemophilia1 or ,von ,willebr&  
disease4  4  7#b7 ,cl]ical am5dm5t ,!   
table ( cont5ts 9 section #a ( !        
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #ajja et    
seq47 is am5d$ by ins]t+ aft] ! item    
relat+ to section #gbf ! foll[+3  ,sec4 
#gbg4 ,requirem5ts ) respect to cov]age 
( drugs = autoimmune diseases & c]ta9   
blood disord]s4  4  7b7 ,public ,heal?  
,s]vice ,act am5dm5ts ,"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-#ab4 ,requirem5ts )  
respect to cov]age ( drugs = autoimmune 
diseases & c]ta9 blood disord]s  7a7 ,9 
g5]al ,a gr\p heal? plan1 & a heal?     

insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age--  7#a7 %all    
provide cov]age = any drug t is an      
autoimmune or blood disord] drug1 )\t   
reg>d to :e!r su* drug is disp5s$ by a  
ph>macy or furni%$ incid5t to ano!r item
 or s]vice = :i* b5efits are available  
"u su* plan or cov]age2 &  7#b7 may n   
require1 ) respect to an individual     
enroll$ "u su* plan or cov]age1 t prior 
au?orization = su* a drug be obta9$ m   
?an once dur+ any #ab-mon? p]iod unless 
su* drug is--  7,a7 typically us$ = a   
p]iod ( #ab mon?s or less2  7,b7 an     
opioid1 a b5zodiazep9e1 a b>biturate1 or
 c>isoprodol2 or  7,c7 a drug ) respect 
to :i* a risk evaluation & mitigation   
/rategy is requir$ "u ,section #eje-a ( 
! ,f$]al ,food1 ,drug1 & ,cosmetic ,act4
  7b7 ,autoimmune or blood disord] drug 
def9$ ,9 ?is section1 ! t]m autoimmune  
or blood disord] drug means a drug or   
biological product t is indicat$ &      
prescrib$ = ! treatm5t ( an autoimmune  
disease1 hemophilia1 or ,von ,willebr&  

disease4  4  7c7 ,int]nal ,rev5ue ,code 
am5dm5ts  7#a7 ,9 g5]al ,sub*apt] ,b (  
*apt] #ajj ( ! ,int]nal ,rev5ue ,code ( 
#aihf is am5d$ by add+ at ! end ! foll[+
 new section3  #ihbg4 ,requirem5ts )    
respect to cov]age ( drugs = autoimmune 
diseases & c]ta9 blood disord]s  7a7 ,9 
g5]al ,a gr\p heal? plan--  7#a7 %all   
provide cov]age = any drug t is an      
autoimmune or blood disord] drug1 )\t   
reg>d to :e!r su* drug is disp5s$ by a  
ph>macy or furni%$ incid5t to ano!r item
 or s]vice = :i* b5efits are available  
"u su* plan2 &  7#b7 may n require1 )   
respect to an individual enroll$ "u su* 
plan1 t prior au?orization = su* a drug 
be obta9$ m ?an once dur+ any #ab-mon?  
p]iod unless su* drug is--  7,a7        
typically us$ = a p]iod ( #ab mon?s or  
less2  7,b7 an opioid1 a b5zodiazep9e1 a
 b>biturate1 or c>isoprodol2 or  7,c7 a 
drug ) respect to :i* a risk evaluation 
& mitigation /rategy is requir$ "u      
,section #eje-a ( ! ,f$]al ,food1 ,drug1
 & ,cosmetic ,act4  7b7 ,autoimmune or  

blood disord] drug def9$ ,9 ?is section1
 ! t]m autoimmune or blood disord] drug 
means a drug or biological product t is 
indicat$ & prescrib$ = ! treatm5t ( an  
autoimmune disease1 hemophilia1 or ,von 
,willebr& disease4  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 #ihbg4        
,requirem5ts ) respect to cov]age (     
drugs = autoimmune diseases & c]ta9     
blood disord]s4  4  7d7 ,effective date 
,! am5dm5ts made by ?is section %all    
apply ) respect to plan ye>s beg9n+ on  
or aft] ,janu>y #a1 #bjbg4