,,ii  #aaith ,,congress  #ast ,session  
,s4 #bgaj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #d1 
#bjbe ,mr4 ,grassley 7for himself and   
,ms4 ,hassan7 introduced the following  
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to amend title ,,xi of the ,social   
,security ,act to require pharmaceutical
 and device manufacturers to publicly   
disclose covered payments made to       
patient advocacy organizations4  #a4    
,short title  ,this ,act may be cited as
 the ,open ,payments ,expansion ,act4   
#b4  ,disclosure of pharmaceutical and  
device manufacturer covered payments to 
patient advocacy organizations  7a7  ,in
 general  ,section #aabh;,g of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;a-#g;h7 is amended--  7#a7 in     
subsection 7a71 by adding at the end the
 following new paragraph3  7#c7         
,donations to patient advocacy          
organizations  7,a7  ,in general  ,in   
addition to the requirements under      

paragraphs 7#a7 and 7#b71 on ,march #ca1
 #bjbg1 and on the #ijth day of each    
calendar year beginning thereafter1 any 
applicable manufacturer or applicable   
group purchasing organization shall     
submit to the ,secretary1 in such       
electronic form as the ,secretary shall 
require1 details regarding any covered  
payment made by such manufacturer or    
organization to any patient advocacy    
organization1 including--  7i7 the name 
of the patient advocacy organization2   
and  7ii7 the amount of the covered     
payment4  7,b7  ,definitions  ,in this  
paragraph3 7i7 ,covered payment ,the    
term covered payment means any--  7,i7  
payment or other transfer of value2 or  
7,,ii7 indirect payment or other        
transfer of value4  7ii7  ,indirect     
payment or other transfer of value  ,the
 term indirect payment or other transfer
 of value means a payment or other      
transfer of value made by an applicable 
manufacturer or applicable group        
purchasing organization to a patient    

advocacy organization through a third   
party1 where the applicable manufacturer
 or applicable group purchasing         
organization requires1 instructs1       
directs1 or otherwise causes the third  
party to provide the payment or transfer
 of value1 in whole or in part1 to a    
patient advocacy organization4  7iii7   
,patient advocacy organization  ,the    
term patient advocacy organization means
 an organization described in section   
#eja7;c77#c7 of the ,internal ,revenue  
,code of #aihf that is exempt from      
taxation under section #eja7;a7 of such 
,code that--  7,i7 provides education1  
advocacy1 and support services oriented 
towards patients and caregivers2  7,,ii7
 is concerned with a medical condition  
diagnosed by a licensed medical         
practitioner who is in good standing    
with a ,state licensing body2 or        
7,,iii7 has a mission that seeks to help
 vulnerable individuals affected by     
medical conditions or to help the       
families of such vulnerable individuals 

and takes actions consistent with such  
mission4  2 and  7#b7 in subsection     
7c77#a77;,c77ix71 by striking or covered
 recipient each place it appears and    
inserting covered recipient1 or patient 
advocacy organization4  7b7             
,administration  ,chapter #ce of title  
#dd1 ,united ,states ,code1 shall not   
apply to this section or the amendments 
made by this section4