,,ii #aai? ,,congress #a/ ,session ,s4 #aahf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #bg1 #bjbe,ms4 ,cortez ,ma/o 7= h]self1 ,ms4 ,klobu*>1 ,mr4 ,wyd51 ,ms4 ,baldw91 ,mr4 ,re$1 ,ms4 ,smi?1 ,mr4 ,blum5?al1 ,mr4 ,k+1 ,mr4 ,wel*1 ,mr4 ,hick5loop]1 ,ms4 ,slotk91 & ,mr4 ,gallego7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to apply prescription drug inflation rebates to drugs furni%$ 9 ! comm]cial m>ket & to *ange ! base ye> = rebate calculations4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,l[] ,drug ,co/s = ,families ,act4 #b4 ,application ( prescription drug inflation rebates to drugs furni%$ 9 ! comm]cial m>ket 7a7 ,"p ,b drugs 7#a7 ,application ( prescription drug inflation rebates to drugs furni%$ 9 ! comm]cial m>ket ,section #ahdg;,a7i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c;a7i77 is am5d$-- 7,a7 9 p>agraph 7#a77;,a77i71 by /rik+ units & ins]t+ bill+ units2 7,b7 9 p>agraph 7#b77;,a71 by /rik+ = :i* paym5t is made "u ?is "p & ins]t+ t w\ld be payable "u ?is "p if su* drug 7 furni%$ to an individual enroll$ "u ?is "p2 & 7,c7 9 p>agraph 7#c7-- 7i7 9 subp>agraph 7,a77i71 by /rik+ units & ins]t+ bill+ units2 & 7ii7 by /rik+ subp>agraph 7,b7 & ins]t+ ! foll[+3 7,b7 ,total numb] ( bill+ units ,= purposes ( subp>agraph 7,a77i71 ! total numb] ( bill+ units ) respect to a "p ,b rebatable drug is det]m9$ z foll[s3 7i7 ,det]m9e ! total numb] ( units equal to-- 7,i7 ! total numb] ( units1 z report$ "u subsection 7c77#a77;,b7 = ea* ,national ,drug ,code ( su* drug dur+ ! cal5d> qu>t] t is two cal5d> qu>t]s prior to ! cal5d> qu>t] z describ$ 9 subp>agraph 7,a71 m9us 7,,ii7 ! total numb] ( units ) respect to ea* ,national ,drug ,code ( su* drug = :i* paym5t 0 made "u a ,/ate plan "u title ,,xix 7or waiv] ( su* plan71 z report$ by ,/ates "u section #aibg7;b77#b77;,a7 = ! rebate p]iod t is ! same cal5d> qu>t] z describ$ 9 subclause 7,i74 7ii7 ,conv]t ! units det]m9$ "u clause 7i7 to bill+ units = ! bill+ & paym5t code ( su* drug1 us+ a me?odology simil> to ! me?odology us$ "u ?is section1 by divid+ ! units det]m9$ "u clause 7i7 = ea* ,national ,drug ,code ( su* drug by ! bill+ unit = ! bill+ & paym5t code ( su* drug4 7iii7 ,compute ! sum ( ! bill+ units = ea* ,national ,drug ,code ( su* drug 9 clause 7ii74 4 7#b7 ,*ange ( base ye> = rebate calculation ,section #ahdg;,a7i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c;a7i77 is am5d$-- 7,a7 9 p>agraph 7#c7-- 7i7 9 subp>agraph 7,d71 by /rik+ ,july #a1 #bjba & ins]t+ ,july #a1 #bjaf2 & 7ii7 9 subp>agraph 7,e71 by /rik+ ,janu>y #bjba & ins]t+ ,janu>y #bjaf2 & 7,b7 9 p>agraph 7#d7-- 7i7 9 subp>agraph 7,a7-- 7,i7 by /rik+ ,decemb] #a1 #bjbj & ins]t+ ,decemb] #ca1 #bjae2 & 7,,ii7 by /rik+ ,janu>y #bjba & ins]t+ ,janu>y #bjaf2 7ii7 9 subp>agraph 7,b71 by /rik+ ,decemb] #a1 #bjbj & ins]t+ ,decemb] #ca1 #bjae2 & 7iii7 9 subp>agraph 7,c71 by /rik+ ,janu>y #bjba & ins]t+ ,janu>y #bjaf4 7#c7 ,effective date ,! am5dm5ts made by ?is subsection %all apply ) respect to cal5d> qu>t]s beg9n+ on or aft] ,janu>y #a1 #bjbf4 7b7 ,cov]$ "p ,d drugs 7#a7 ,application ( prescription drug inflation rebates to drugs furni%$ 9 ! comm]cial m>ket ,section #ahfj;,d-#ad;,b ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad;b7 is am5d$-- 7,a7 9 subsection 7b7-- 7i7 9 p>agraph 7#a7-- 7,i7 9 subp>agraph 7,a77i71 by /rik+ ! total numb] ( units & all t foll[s ?r\gh ! semicolon & ins]t+ ! foll[+3 ! total numb] ( units t are us$ to calculate ! av]age manufactur] price ( su* dosage =m & /r5g? ) respect to su* "p ,d rebatable drug1 z report$ by ! manufactur] ( su* drug "u section #aibg = ea* mon?1 ) respect to su* p]iod22 & 7,,ii7 by /rik+ subp>agraph 7,b7 & ins]t+ ! foll[+3 7,b7 ,exclud$ units ,= purposes ( subp>agraph 7,a77i71 ! ,secret>y %all exclude f ! total numb] ( units = a dosage =m & /r5g? ) respect to a "p ,d rebatable drug1 ) respect to an applicable p]iod1 ! foll[+3 7i7 ,units ( ea* dosage =m & /r5g? ( su* "p ,d rebatable drug = :i* paym5t 0 made "u a ,/ate plan "u title ,,xix 7or waiv] ( su* plan71 z report$ by ,/ates "u section #aibg7;b77#b77;,a74 7ii7 ,units ( ea* dosage =m & /r5g? ( su* "p ,d rebatable drug = :i* a rebate is paid "u section #ahdg;,a7i74 7iii7 ,beg9n+ ) plan ye> #bjbf1 units ( ea* dosage =m & /r5g? ( su* "p ,d rebatable drug = :i* ! manufactur] provides a disc\nt "u ! program "u section #cdj;,b ( ! ,public ,heal? ,s]vice ,act4 2 & 7ii7 9 p>agraph 7#f71 by /rik+ in=mation4--,! ,secret>y & all t foll[s ?r\gh rebatable cov]$ "p ,d drug disp5s$ & ins]t+ ! foll[+3 ,,amp reports4--,! ,secret>y %all provide = a me?od & process "u :i*1 9 ! case ( a manufactur] ( a "p ,d rebatable drug t submits revisions to in=mation submitt$ "u section #aibg by ! manufactur] ) respect to su* drug2 & 7,b7 by /rik+ subsection 7d7 & ins]t+ ! foll[+3 7d7 ,in=mation ,= purposes ( c>ry+ out ?is section1 ! ,secret>y %all use in=mation submitt$ by manufactur]s "u section #aibg7;b77#c7 & in=mation submitt$ by ,/ates "u section #aibg7;b77#b77;,a74 4 7#b7 ,*ange ( base ye> = rebate calculation ,section #ahfj;,d-#ad;,b ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad;b7 is am5d$-- 7,a7 9 subsection 7b77#e7-- 7i7 9 subp>agraph 7,a7-- 7,i7 by /rik+ ,octob] #a1 #bjba & ins]t+ ,octob] #a1 #bjaf2 & 7,,ii7 by /rik+ ,janu>y #bjba & ins]t+ ,janu>y #bjaf2 & 7ii7 9 subp>agraph 7,c71 by /rik+ ,janu>y #bjba & ins]t+ ,janu>y #bjaf2 & 7,b7 9 subsection 7g7-- 7i7 9 p>agraph 7#c7-- 7,i7 by /rik+ ,janu>y #a1 #bjba & ins]t+ ,janu>y #a1 #bjaf2 & 7,,ii7 by /rik+ ,octob] #a1 #bjba & ins]t+ ,octob] #a1 #bjaf2 & 7ii7 9 p>agraph 7#d71 by /rik+ ,janu>y #bjba & ins]t+ ,janu>y #bjaf4 7#c7 ,effective date ,! am5dm5ts made by ?is subsection %all take apply ) respect to applicable p]iods 7z def9$ 9 section #ahfj;,d-#ad;,b7g77#g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad;b7g77#g777 beg9n+ on or aft] ,octob] #a1 #bjbe4