,,ii #aaith ,,congress #ast ,session ,s4 #cjai ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,october #ba1 #bjbe ,mr4 ,welch 7for himself1 ,mr4 ,wyden1 and ,ms4 ,cortez ,masto7 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 provide for the treatment of orphan drugs under the ,medicare ,drug ,price ,negotiation ,program4 #a4 ,short title ,this ,act may be cited as the ,no ,big ,blockbuster ,bailouts ,act4 #b4 ,treatment of orphan drugs under the ,medicare ,drug ,price ,negotiation ,program 7a7 ,in general ,section #aaib7;e7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;f-#a7;e77 is amended-- 7#a7 in paragraph 7#a71 in the matter preceding subparagraph 7,a71 by striking through 7#d7 and inserting and 7#c72 7#b7 in paragraph 7#c7-- 7,a7 by striking subparagraph 7,a72 7,b7 by redesignating subparagraphs 7,b7 and 7,c7 as subparagraphs 7,a7 and 7,b71 respectively2 and 7,c7 in subparagraph 7,a77iii71 as redesignated by subparagraph 7,b7 of this paragraph1 by striking with respect to and inserting subject to paragraph 7#d71 with respect to2 and 7#c7 by striking paragraph 7#d7 and inserting the following new paragraph3 7#d7 ,treatment of orphan drugs ,in the case of a drug that is designated as a drug for one or more rare diseases or conditions and for which the only approved indication 7or indications7 is for one or more such rare diseases or conditions 7as such term is defined in section #ebf7;a77#b7 of the ,federal ,food1 ,drug1 and ,cosmetic ,act71 paragraph 7#c77;,a7 shall be applied by substituting #djj1jjj1jjj for #bjj1jjj1jjj in clause 7i7 of such paragraph4 4 7b7 ,application ,the amendments made by subsection 7a7 shall apply with respect to initial price applicability years 7as defined in section #aaia7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;f7b777 beginning on or after ,january #a1 #bjbh4