,,ii  #aai? ,,congress  #a/ ,session    
,s4 #ebi  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #aa1 #bjbe,mr4
 ,w>nock 7= himself1 ,ms4 ,baldw91 ,mr4 
,book]1 ,mr4 ,blum5?al1 ,mr4 ,fett]man1 
,mrs4 ,gillibr&1 ,mr4 ,he9ri*1 ,mr4     
,kim1 ,ms4 ,klobu*>1 ,mrs4 ,murray1 &   
,mr4 ,wel*7 introduc$ ! foll[+ bill2 :i*
 0 read twice & ref]r$ to ! ,committee  
on ,heal?1 ,education1 ,labor1 &        
,p5sions  ,a ,,bill  ,to limit co/-%>+ =
 prescription drugs1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,capp+ ,prescription ,co/s ,act (     
#bjbe4  #b4 ,cap on prescription drug   
co/-%>+  7a7 ,qualifi$ heal? plans      
,section #acjb7;c7 ( ! ,pati5t          
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjbb7;c77 is am5d$-- 7#a7 9 
p>agraph 7#c77;,a77i71 by ins]t+ 1      
includ+ co/-%>+ ) respect to            
prescription drugs cov]$ by ! plan aft] 
*>ges2 &  7#b7 by add+ at ! end !       
foll[+3  7#e7 ,prescription drug co/-%>+
  7,a7 #bjbf ,= plan ye>s beg9n+ 9      

#bjbf1 ! co/-%>+ incurr$ "u a heal? plan
 ) respect to prescription drugs cov]$  
by ! plan %all n exce$ #b1jjj p] ye> =  
ea* enroll$ individual1 or #d1jjj p] ye>
 = ea* family4  7,b7 #bjbg & lat]  7i7  
,9 g5]al ,9 ! case ( any plan ye> beg9n+
 9 a cal5d> ye> aft] #bjbf1 ! limitation
 "u ?is p>agraph %all be equal to !     
applicable doll> am\nt "u subp>agraph   
7,a7 = plan ye>s beg9n+ 9 #bjbf1        
increas$ by an am\nt equal to ! product 
( t am\nt & ! m$ical c>e compon5t ( !   
consum] price index = all urban consum]s
 7z publi%$ by ! ,bureau ( ,labor       
,/ati/ics7 = t ye>4  7ii7 ,adju/m5t to  
am\nt ,if ! am\nt ( any increase "u     
clause 7i7 is n a multiple ( #e1 su*    
increase %all be r\nd$ to ! next l[e/   
multiple ( #e4  4  7b7 ,gr\p heal? plans
  7#a7 ,public ,heal? ,s]vice ,act ,"p  
,d ( title ,,xxvii ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aaa
 et seq47 is am5d$ by ins]t+ aft]       
section #bgii;,a-#e 7#db ,u4,s4,c4      
#cjj;gg-#aae7 ! foll[+3  #bgii;,a-#f4   

,cap on prescription drug co/-%>+ = gr\p
 heal? plans ,a gr\p heal? plan & heal? 
insurance issu] (f]+ gr\p heal?         
insurance cov]age %all ensure t any     
co/-%>+ impos$ "u ! plan or cov]age )   
respect to prescription drugs cov]$ by !
 plan or cov]age does n exce$ !         
limitations provid$ = "u p>agraph 7#e7 (
 section #acjb7;c7 ( ! ,pati5t          
,protection & ,af=dable ,c>e ,act4  4   
7#b7 ,employee ,retirem5t ,income       
,security ,act  7,a7 ,9 g5]al ,subp>t ,b
 ( "p #g ( subtitle ,b ( title ,i ( !   
,employee ,retirem5t ,income ,security  
,act 7#bi ,u4,s4,c4 #aahe et seq47 is   
am5d$ by ins]t+ aft] section #gbj 7#bi  
,u4,s4,c4 #aahe;i7 ! foll[+3  #gba4 ,cap
 on prescription drug co/-%>+ ,a gr\p   
heal? plan & heal? insurance issu] (f]+ 
gr\p heal? insurance cov]age %all ensure
 t any co/-%>+ impos$ "u ! plan or      
cov]age ) respect to prescription drugs 
cov]$ by ! plan or cov]age does n exce$ 
! limitations provid$ = "u p>agraph 7#e7
 ( section #acjb7;c7 ( ! ,pati5t        

,protection & ,af=dable ,c>e ,act4  4   
7,b7 ,cl]ical am5dm5t ,! table ( cont5ts
 9 section #a ( ! ,employee ,retirem5t  
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #ajja note7 is am5d$ by ins]t+
 aft] ! item relat+ to section #gbj !   
foll[+3  ,sec4 #gba4 ,cap on            
prescription drug co/-%>+  4  7#c7      
,int]nal ,rev5ue ,code ( #aihf  7,a7 ,9 
g5]al ,sub*apt] ,b ( *apt] #ajj ( !     
,int]nal ,rev5ue ,code ( #aihf is am5d$ 
by ins]t+ aft] section #ihbj ! foll[+3  
#ihba4 ,cap on prescription drug co/-%>+
 ,a gr\p heal? plan %all ensure t any   
co/-%>+ impos$ "u ! plan ) respect to   
prescription drugs cov]$ by ! plan does 
n exce$ ! limitations provid$ = "u      
p>agraph 7#e7 ( section #acjb7;c7 ( !   
,pati5t ,protection & ,af=dable ,c>e    
,act4  4  7,b7 ,cl]ical am5dm5t ,! table
 ( sections = sub*apt] ,b ( *apt] #ajj (
 ! ,int]nal ,rev5ue ,code ( #aihf is    
am5d$ by ins]t+ aft] ! item relat+ to   
section #ihbj ! foll[+3  ,sec4 #ihba4   
,cap on prescription drug co/-%>+  4    

7c7 ,effective date ,! am5dm5ts made by 
subsections 7a7 & 7b7 %all take effect )
 respect to plan ye>s beg9n+ on or aft] 
,janu>y #a1 #bjbf4