,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bgaj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #d1 #bjbe    
,mr4 ,grassley 7= himself & ,ms4        
,hassan7 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title ,,xi 
( ! ,social ,security ,act to require   
ph>maceutical & device manufactur]s to  
publicly disclose cov]$ paym5ts made to 
pati5t advocacy organizations4  #a4     
,%ort title  ,?is ,act may be cit$ z !  
,op5 ,paym5ts ,expansion ,act4  #b4     
,disclosure ( ph>maceutical & device    
manufactur] cov]$ paym5ts to pati5t     
advocacy organizations  7a7  ,9 g5]al   
,section #aabh;,g ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acbj;a-#g;h7 is    
am5d$--  7#a7 9 subsection 7a71 by add+ 
at ! end ! foll[+ new p>agraph3  7#c7   
,donations to pati5t advocacy           
organizations  7,a7  ,9 g5]al  ,9       
addition to ! requirem5ts "u p>agraphs  
7#a7 & 7#b71 on ,m>* #ca1 #bjbg1 & on ! 
#ij? day ( ea* cal5d> ye> beg9n+        

!reaft]1 any applicable manufactur] or  
applicable gr\p pur*as+ organization    
%all submit to ! ,secret>y1 9 su*       
electronic =m z ! ,secret>y %all        
require1 details reg>d+ any cov]$ paym5t
 made by su* manufactur] or organization
 to any pati5t advocacy organization1   
includ+--  7i7 ! "n ( ! pati5t advocacy 
organization2 &  7ii7 ! am\nt ( ! cov]$ 
paym5t4  7,b7  ,def9itions  ,9 ?is      
p>agraph3 7i7 ,cov]$ paym5t ,! t]m cov]$
 paym5t means any--  7,i7 paym5t or o!r 
transf] ( value2 or  7,,ii7 indirect    
paym5t or o!r transf] ( value4  7ii7    
,indirect paym5t or o!r transf] ( value 
,! t]m indirect paym5t or o!r transf] ( 
value means a paym5t or o!r transf] (   
value made by an applicable manufactur] 
or applicable gr\p pur*as+ organization 
to a pati5t advocacy organization ?r\gh 
a ?ird p>ty1 :]e ! applicable           
manufactur] or applicable gr\p pur*as+  
organization requires1 in/ructs1        
directs1 or o!rwise causes ! ?ird p>ty  
to provide ! paym5t or transf] ( value1 

9 :ole or 9 "p1 to a pati5t advocacy    
organization4  7iii7  ,pati5t advocacy  
organization  ,! t]m pati5t advocacy    
organization means an organization      
describ$ 9 section #eja7;c77#c7 ( !     
,int]nal ,rev5ue ,code ( #aihf t is     
exempt f taxation "u section #eja7;a7 ( 
su* ,code t--  7,i7 provides education1 
advocacy1 & support s]vices ori5t$ t[>ds
 pati5ts & c>egiv]s2  7,,ii7 is conc]n$ 
) a m$ical condition diagnos$ by a      
lic5s$ m$ical practition] :o is 9 good  
/&+ ) a ,/ate lic5s+ body2 or  7,,iii7  
has a mission t seeks to help vuln]able 
individuals affect$ by m$ical conditions
 or to help ! families ( su* vuln]able  
individuals & takes actions consi/5t )  
su* mission4  2 &  7#b7 9 subsection    
7c77#a77;,c77ix71 by /rik+ or cov]$     
recipi5t ea* place x appe>s & ins]t+    
cov]$ recipi5t1 or pati5t advocacy      
organization4  7b7  ,adm9i/ration       
,*apt] #ce ( title #dd1 ,unit$ ,/ates   
,code1 %all n apply to ?is section or ! 
am5dm5ts made by ?is section4