,,ii  #aaith ,,congress  #ast ,session  
,s4 #bggj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #aa1
 #bjbe ,mr4 ,cornyn 7for himself1 ,ms4  
,rosen1 ,mr4 ,tillis1 and ,mr4 ,welch7  
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,finance  ,a ,,bill  ,to  
amend title ,,xviii of the ,social      
,security ,act to ensure appropriate    
cost-sharing for chronic care drugs     
under ,medicare part ,d4  #a4  ,short   
title  ,this ,act may be cited as the   
,share the ,savings with ,seniors ,act4 
#b4  ,appropriate cost-sharing for      
chronic care drugs under ,medicare part 
,d  7a7  ,in general  ,section          
#ahfj;,d-#b of the ,social ,security    
,act 7#db ,u4,s4,c4 #aciew-#ajb7 is     
amended--  7#a7 in subsection 7b7-- 7,a7
 in paragraph 7#a77;,a71 in the matter  
preceding clause 7i71 by striking and   
7#i7 and inserting 1 7#i71 and 7#aj72   
7,b7 in paragraph 7#b77;,a71 in the     
matter preceding clause 7i71 by striking

 and 7#i7 and inserting 1 7#i71 and     
7#aj72 and  7,c7 by adding at the end   
the following new paragraph3  7#aj7     
,cost-sharing for chronic care drugs    
7,a7 ,in general ,for plan years        
beginning on or after ,january #a1      
#bjbg1 in the case of a chronic care    
drug1 the following shall apply3  7i7   
,for costs below the annual deductible  
specified in paragraph 7#a71            
cost-sharing for such drug shall not    
exceed the net price of such drug4  7ii7
 ,subject to subparagraph 7,b71 for     
costs above the annual deductible       
specified in paragraph 7#a7 and below   
the out-of-pocket threshold specified in
 paragraph 7#d71 any coinsurance amount 
for such drug shall be based on a       
percentage of the net price of such     
drug4  7,b7  ,exception  ,the           
requirement under subparagraph 7,a77ii7 
shall not apply to a chronic care drug  
under a prescription drug plan if the   
cost-sharing amount for such drug under 
such plan is based on a copayment that  

is not tied to a percentage of a drug   
price 7such as the negotiated price1    
list price1 or wholesale acquisition    
cost71 a drug benchmark price 7such as  
the average wholesale price71 or a drug 
cost4  7,c7  ,definitions  ,in this     
paragraph3 7i7 ,chronic care drug ,the  
term chronic care drug means a covered  
part ,d drug that is included under any 
of the following ,united ,states        
,pharmacopeia ,convention 7,,usp7       
categories and classes of drugs1 as     
included in the most recent version of  
the ,,usp ,medicare ,model ,guidelines3 
7,i7 ,blood glucose regulators1 other   
than insulins4  7,,ii7                  
,anti-inflammatories1 inhaled           
corticosteroids4  7,,iii7               
,bronchodilators1 anticholinergic4      
7,,iv7 ,bronchodilators1                
sympathomimetic4  7,v7 ,respiratory     
tract agents1 other4  7,,vi7            
,anticoagulants4  7,,vii7               
,cardiovascular agents1 other4  7,,viii7
 ,any category or class identified by   

the ,secretary or ,,usp as a successor  
to the categories and classes described 
in subclauses 7,i7 through 7,,vii7 based
 on the most recent ,,usp ,medicare     
,model ,guidelines at the time of such  
identification4  7ii7  ,net price  ,the 
term net price means the negotiated     
price of the drug net of all price      
concessions originating from            
manufacturers that are received or      
expected to be received by the plan or  
pharmacy benefit manager on behalf of   
the plan for such product and that are  
not already reflected in the negotiated 
price4  2 and  7#b7 in subsection 7c71  
by adding at the end the following new  
paragraph3  7#g7  ,cost-sharing for     
covered chronic care drugs  ,the        
coverage is provided in accordance with 
subsection 7b77#aj74  4  7b7            
,conforming amendments to cost-,sharing 
for low-,income individuals  ,section   
#ahfj;,d-#ad7;a77#a77;,d77iii7 of the   
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#aad7;a77#a77;,d77iii77 is       

amended by adding at the end the        
following new sentence3 ,for plan year  
#bjbg and subsequent plan years1 the    
copayment amount applicable under the   
first sentence of this subclause for a  
chronic drug 7as defined in section     
#ahfj;,d-#b7;b77#aj77;,b77 furnished to 
the individual may not exceed the       
applicable cost-sharing for such drug   
under the prescription drug plan or     
,,ma-,,pd plan in which the individual  
is enrolled44  7c7  ,regulations        
,notwithstanding any other provision of 
law1 the ,secretary of ,health and      
,human ,services shall initially        
implement the amendments made by this   
section through interim final           
regulations4