,,ii  #aai? ,,congress  #b;d ,session   
,s4 #dajf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #ag1 #bjbf,mr4    
,cotton 7= himself & ,mr4 ,ka9e7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on ,arm$ 
,s]vices  ,a ,,bill  ,to am5d title #aj1
 ,unit$ ,/ates ,code1 to improve access 
to c]ta9 m$ications "u ! ,,tric>e       
program1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,rx     
,access1 ,*oice1 ,co/ ,equity1 & ,supply
 ,/ability ,act or ! ,rx ,,access ,act4 
#b4 ,improvem5ts relat+ to access1      
fairness1 & transp>5cy "u ,,tric>e      
ph>macy b5efits program  7a7 ,b5efici>y 
election ( prescription refill means    
,section #ajgd;g7a77#i7 ( title #aj1    
,unit$ ,/ates ,code1 is am5d$-- 7#a7 9  
subp>agraph 7,a71 by ins]t+ 1 & end+ on 
,octob] #a1 #bjbf aft] ,beg9n+ on       
,octob] #a1 #bjae2 &  7#b7 by add+ at ! 
end ! foll[+ new subp>agraph3  7,d7     
,beg9n+ on ,octob] #a1 #bjbf1 an        
eligible cov]$ b5efici>y may elect to   

receive non-g5]ic prescription ma9t5ance
 m$ications ?r\gh any means describ$ 9  
p>agraph 7#b77;,e74  4  7b7 ,ph>macy    
b5efit manag] reimbursem5t /&>ds2       
indep5d5t audits ,section #ajgd;g (     
title #aj1 ,unit$ ,/ates ,code1 z am5d$ 
by subsection 7a71 is fur!r am5d$-- 7#a7
 by r$esignat+ subsections 7i7 & 7j7 z  
subsections 7j7 & 7k71 respectively2 &  
7#b7 by ins]t+ aft] subsection 7h7 !    
foll[+ new subsection3  7i7 ,ph>macy    
b5efit manag] reimbursem5t /&>ds  7#a7  
,! ,secret>y ( ,def5se %all ensure t1 z 
a condition ( any contract ent]$ into = 
! adm9i/ration ( ! ph>macy b5efits      
program1 reimbursem5t to a retail       
ph>macy describ$ 9 subsection           
7a77#b77;,e77ii7 = a ph>maceutical ag5t 
provid$ "u su* program %all be an am\nt 
t is equal to n less ?an ! sum (-- 7,a7 
ei!r-- 7i7 ! actual co/ to ! ph>macy (  
acquir+ su* ph>maceutical ag5t f a      
:olesal]1 or  7ii7 9 ! case ( a         
ph>maceutical ag5t includ$ on ! national
 av]age drug acquisition co/ index      

publi%$ by ! ,adm9i/rator ( ! ,c5t]s =  
,m$ic>e  ,m$icaid ,s]vices1 a proxy     
am\nt calculat$ at a rate t is n l[] ?an
 ! national av]age acquisition co/ = su*
 ph>maceutical ag5t1 z id5tifi$ on su*  
co/ index z ( ! date ( ! adjudication ( 
! claim = su* reimbursem5t1 &  7,b7 a   
pr(essional disp5s+ fee t is equal to ! 
pr(essional disp5s+ fee paid by ! ,/ate 
9 :i* ! ph>macy is locat$ "u title ,,xix
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acif et seq47 = disp5s+ a    
prescription drug4  7#b7 ,! contractor  
adm9i/]+ ! ph>macy b5efits program may n
 impose any fees on a retail ph>macy    
describ$ 9 subsection 7a77#b77;,e77ii71 
includ+ po9t-(-sale fees1 retroactive   
fees1 or o!r indirect or hidd5 fees4    
7#c7 7,a7 ,n less frequ5tly ?an         
annually1 ! ,comptroll] ,g5]al ( !      
,unit$ ,/ates %all-- 7i7 conduct an     
audit (-- 7,i7 data report$ by !        
contractor responsible = ! adm9i/ration 
( ! ph>macy b5efits program relat+ to ! 
rates ( reimbursem5t "u p>agraph 7#a7 & 

any price concessions2 &  7,,ii7 !      
adequacy ( ! retail ph>macy network "u !
 ,,tric>e program & access by eligible  
cov]$ b5efici>ies to su* network1       
includ+ ) respect to cont9uity ( c>e1   
geographic accessibility 7tak+ into     
acc\nt factors 9 addition to travel "t  
to & f a ph>macy1 ) special consid]ation
 = rural & und]s]v$ areas71 & ! ext5t to
 :i* elections by su* b5efici>ies "u    
subsection 7a77#i7 reflect p]sonal      
pref]5ce2 &  7ii7 submit ! results ( su*
 audit to ! ,committee on ,arm$ ,s]vices
 ( ! ,s5ate & ! ,committee on ,arm$     
,s]vices ( ! ,h\se ( ,repres5tatives4   
7,b7 ,! ,secret>y %all ensure t1 z a    
condition ( any contract ent]$ into = ! 
adm9i/ration ( ! ph>macy b5efits        
program1 ! contractor provides !        
,comptroll] ,g5]al in=mation requir$ to 
conduct ! audit "u subp>agraph 7,a74  4 
7c7 ,report ,n lat] ?an #ij days aft] ! 
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,def5se %all submit to !    
congressional def5se committees 7z def9$

 9 section #aja7;a77#af7 ( title #aj1   
,unit$ ,/ates ,code7 a plan = !         
implem5tation ( ?is section4