,,ii  #aai? ,,congress  #a/ ,session    
,s4 #ahcf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ba1 #bjbe ,ms4   
,klobu*> 7= h]self1 ,mr4 ,wel*1 ,ms4    
,smi?1 ,mr4 ,k+1 ,ms4 ,cantwell1 ,mr4   
,re$1 ,mr4 ,:iteh\se1 ,ms4 ,duckwor?1   
,ms4 ,w>r51 ,mrs4 ,gillibr&1 ,mr4       
,m]kley1 ,mrs4 ,murray1 ,mr4 ,blum5?al1 
,mrs4 ,%ahe51 ,ms4 ,cortez ,ma/o1 ,ms4  
,baldw91 ,mr4 ,book]1 ,mr4 ,van ,holl51 
,mr4 ,durb91 ,mr4 ,murphy1 ,mr4         
,fett]man1 ,mr4 ,m>key1 ,mr4 ,lujn1 ,ms4
 ,hassan1 ,mr4 ,he9ri*1 ,ms4 ,slotk91 & 
,mr4 ,b5net7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to /r5g!n ! drug pric+ re=ms 9 !  
,inflation ,r$uction ,act4  #a4  ,%ort  
title  ,?is ,act may be cit$ z !        
,/r5g!n+ ,m$ic>e ,& ,r$uc+ ,taxpay]     
,prices ,act or ! ,,sm>t ,prices ,act4  
#b4  ,improvem5ts to ! ,m$ic>e ,drug    
,price ,negotiation ,program  7a7       
,accel]ation ( ! selection (            

negotiation-,eligible drugs  ,section   
#aaib7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acbj;f-#a7;a77 is       
am5d$--  7#a7 9 p>agraph 7#c7-- 7,a7 by 
/rik+ #bjbh1 #ae negotiation-eligible   
drugs & ins]t+ #bjbh or a subsequ5t ye>1
 #ej negotiation-eligible drugs2 &  7,b7
 by /rik+ 2 & at ! end & ins]t+ a p]iod2
 &  7#b7 by /rik+ p>agraph 7#d74  7b7   
,improvem5ts to ! def9ition ( qualify+  
s+le s\rce drug ,section #aaib7;e77#a7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acbj;f-#a7;e77#a77 is am5d$--  7#a7 9 
subp>agraph 7,a77ii71 by /rik+ #g ye>s &
 ins]t+ #c ye>s2 &  7#b7 9 subp>agraph  
7,b77ii71 by /rik+ #aa ye>s & ins]t+ #c 
ye>s4  7c7  ,improvem5t to ! ceil+ =    
maximum fair price  ,section            
#aaid7;c77#c7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acbj;f-#c7;c77#c77 is  
am5d$--  7#a7 9 subp>agraph 7,a71 by    
/rik+ #ge p]c5t & ins]t+ #gf p]c5t2     
7#b7 9 subp>agraph 7,b71 by /rik+ #fe   
p]c5t & ins]t+ #ee p]c5t2 &  7#c7 9     
subp>agraph 7,c71 by /rik+ #dj p]c5t &  

ins]t+ #cj p]c5t4  7d7  ,effective date 
,! am5dm5ts made by ?is section %all    
apply ) respect to initial price        
applicability ye>s 7z def9$ 9 section   
#aaia7;b7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acbj;f7b777 beg9n+ )    
initial price applicability ye> #bjbh4