,,ii #aai? ,,congress #a/ ,session ,s4 #caei ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,novemb] #g1 #bjbe ,mr4 ,lank=d 7= himself & ,mr4 ,mull97 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to tempor>ily provide = long-t]m c>e ph>macy supply fees 9 connection ) ! disp5s+ ( c]ta9 drugs4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,pres]v+ ,pati5t ,access to ,long-,t]m ,c>e ,ph>macies ,act4 #b4 ,long t]m c>e ph>macy supply fee 7a7 ,9 g5]al ,section #ahfj;,d-#d7;b77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;b77#a77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,f7 ,long-t]m c>e ph>macy supply fees 7i7 ,plan reimbursem5t to ph>macy 7,i7 ,9 g5]al ,= plan ye>s #bjbf & #bjbg1 = ea* specifi$ prescription disp5s$ by a long-t]m c>e ph>macy to an enrollee dur+ su* plan ye>1 ea* ,,pdp sponsor ( a prescription drug plan & ea* ,,ma organization (f]+ an ,,ma-,,pd plan %all pay su* ph>macy a supply fee 9 an am\nt equal to-- 7aa7 = plan ye> #bjbf1 #cj2 & 7bb7 = plan ye> #bjbg1 ! am\nt ( ! supply fee = ! prior plan ye>1 increas$ by ! annual p]c5tage increase describ$ 9 section #ahfj;,d-#b7;b77#f74 7,,ii7 ,cl>ification ,! supply fee "u ?is subp>agraph %all be paid at ! same "t & 9 addition to any o!r ph>macy reimbursem5ts1 includ+ +r$i5t co/s1 disp5s+ fees1 or o!r paym5ts negotiat$ betwe5 ! ,,pdp sponsor or ,,ma organization & ! long-t]m c>e ph>macy1 & %all n result 9 a r$uction to su* o!r reimbursem5ts4 7ii7 ,en=cem5t 7,i7 ,civil money p5alty ,! ,secret>y %all impose a civil money p5alty on ea* ,,pdp sponsor ( a prescription drug plan & ,,ma organization (f]+ an ,,ma-,,pd plan t fails to pay a supply fee = a specifi$ prescription disp5s$ to an enrollee 9 accordance ) ?is subp>agraph = ea* su* failure 9 an am\nt ( n less ?an #aj1jjj4 7,,ii7 ,application ,! provisions ( section #aabh;,a 7o!r ?an subsections 7a7 & 7b77 %all apply to a civil money p5alty "u ?is clause 9 ! same mann] z su* provisions apply to a p5alty or proce$+ "u section #aabh;,a7a74 7iii7 ,def9itions ,9 ?is subp>agraph3 7,i7 ,applicable maximum fair price eligible individual ,! t]m applicable maximum fair price eligible individual means1 ) respect to a specifi$ prescription1 a maximum fair price eligible individual :o1 ) respect to su* prescription1 is describ$ 9 section #aaia7;c77#b77;,a74 7,,ii7 ,long-t]m c>e ph>macy ,! t]m long-t]m c>e ph>macy means a ph>macy ) a national provid] id5tifi] associat$ ) taxonomy code #cccf,l#jjjc,x 7or a successor code71 z ma9ta9$ by ! ,national ,uni=m ,claim ,committee4 7,,iii7 ,maximum fair price ,! t]m maximum fair price has ! mean+ giv5 su* t]m 9 section #aaia7;c77#c74 7,,iv7 ,maximum fair price eligible individual ,! t]m maximum fair price eligible individual has ! mean+ giv5 su* t]m 9 section #aaia7;c77#b74 7,v7 ,specifi$ prescription ,! t]m specifi$ prescription means a cov]$ "p ,d drug disp5s$ by a long-t]m c>e ph>macy to an applicable maximum fair price eligible individual at ! maximum fair price pursuant to section #aaic7;a77#c77;,a74 4 7b7 ,repaym5t ( long-,t]m ph>macy supply fees ,section #ahfj;,d-#ae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aae7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7i7 ,repaym5t ( long-,t]m ph>macy supply fees 7#a7 ,9 g5]al ,9 addition to am\nts o!rwise payable "u ?is section to a ,,pdp sponsor ( a prescription drug plan or an ,,ma organization (f]+ an ,,ma-,,pd plan1 = plan ye>s #bjbf & #bjbg1 ! ,secret>y %all provide ! ,,pdp sponsor or ,,ma organization (f]+ ! plan subsidies 9 an am\nt equal to ! aggregate am\nt ( supply fees paid by su* sponsor or organization to long-t]m c>e ph>macies pursuant to section #ahfj;,d-#d7;b77#a77;,f7 dur+ ! plan ye>4 7#b7 ,tim+ ,! ,secret>y %all provide a subsidy "u p>agraph 7#a71 z applicable1 n lat] ?an #ah mon?s foll[+ ! end ( ! applicable plan ye>4 4 7c7 ,,gao /udy & report 7#a7 ,9 g5]al ,n lat] ?an #ab mon?s aft] ! date ( enactm5t ( ?is section1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all complete a /udy & submit to ,congress a report on ! economic su/a9ability ( ! p>ticipation ( long-t]m c>e ph>macies 9 ! ,m$ic>e prescription drug program4 ,su* report %all include-- 7,a7 an analysis (-- 7i7 paym5t to long-t]m c>e ph>macies "u ! ,m$ic>e prescription drug program ) respect to-- 7,i7 +r$i5t co/s-- 7aa7 = br&-"n drugs2 & 7bb7 = g5]ic drugs2 & 7,,ii7 disp5s+ fees2 7ii7 ! co/s to long-t]m c>e ph>macies ( compliance ) ! p]=mance & s]vice crit]ia = network long-t]m c>e ph>macies1 z describ$ 9 ! ,m$ic>e ,prescription ,drug ,b5efit ,manual2 & 7iii7 *anges to paym5t to long-t]m c>e ph>macies "u ! ,m$ic>e prescription drug program dur+ ! #e-ye> p]iod prec$+ ! date ( enactm5t ( ?is section2 & 7,b7 recomm5dations on /eps t ,congress & ! ,secret>y ( ,heal? & ,human ,s]vices %\ld consid] = purposes ( creat+ a su/a9able paym5t sy/em "u ! ,m$ic>e prescription drug program = long-t]m c>e ph>macies t w\ld ensure t ,m$ic>e b5efici>ies ) long-t]m c>e ne$s h un9t]rupt$ access to long-t]m c>e ph>macy s]vices 9 all m>kets1 p>ticul>ly rural m>kets4 7#b7 ,def9itions ,9 ?is subsection3 7,a7 ,long-t]m c>e ph>macy ,! t]m long-t]m c>e ph>macy has ! mean+ giv5 su* t]m 9 subp>agraph 7,f77iii77,,ii7 ( section #ahfj;,d-#d7;b77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajd7;b77#a771 z add$ by subsection 7a74 7,b7 ,m$ic>e b5efici>y ,! t]m ,m$ic>e b5efici>y means an individual :o is entitl$ to b5efits "u "p ,a ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq47 or enroll$ "u "p ,b ( su* title 7#db ,u4,s4,c4 #acie;j et seq474 7,c7 ,m$ic>e prescription drug program ,! t]m ,m$ic>e prescription drug program means ! program "u "p ,d ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aja et seq474