,,ii  #aai? ,,congress  #a/ ,session    
,s4 #fid  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #bd1 #bjbe,mr4
 ,tillis 7= himself & ,mr4 ,kelly7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide a phase-9 = plasma-d]iv$        
products "u ! manufactur] disc\nt       
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,pres]v+ ,life-sav+ ,access 
to ,specialty ,m$ic9es 9 ,am]ica ,act or
 ! ,,plasma ,act4  #b4 ,phase-9 =       
plasma-d]iv$ products "u manufactur]    
disc\nt program ,section                
#ahfj;,d-#ad;,c7g77#d7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciew-#aad;c7g77#d77 is am5d$-- 7#a7 9 
subp>agraph 7,a71 9 ! matt] prec$+      
clause 7i71 by /rik+ & 7,c7 & ins]t+ 1  
7,c71 & 7,d72  7#b7 by r$esignat+       
subp>agraphs 7,d7 & 7,e7 z subp>agraphs 
7,e7 & 7,f71 respectively2 &  7#c7 by   
ins]t+ aft] subp>agraph 7,c7 ! foll[+3  

7,d7 ,phase-9 = plasma-d]iv$ products   
7i7 ,9 g5]al ,= #bjbf & subsequ5t ye>s1 
subject to clause 7iv71 9 ! case ( an   
applicable drug ( a manufactur] t is a  
plasma-d]iv$ product 7z def9$ 9 clause  
7ii771 & t is m>ket$ z ( ,augu/ #af1    
#bjbb1 & disp5s$ = an applicable        
b5efici>y1 ! t]m disc\nt$ price means ! 
specifi$ plasma-d]iv$ product p]c5t 7z  
def9$ 9 clause 7iii77 ( ! negotiat$     
price ( ! applicable drug ( !           
manufactur]4  7ii7 ,plasma-d]iv$ product
 ,9 ?is subp>agraph1 ! t]m plasma-d]iv$ 
product means an applicable drug t is a 
biological product t is d]iv$ f human   
:ole blood or plasma4  7iii7 ,specifi$  
plasma-d]iv$ product p]c5t ,9 ?is       
subp>agraph1 ! t]m specifi$ plasma-d]iv$
 product p]c5t means1 ) respect to a    
ye>-- 7,i7 = an applicable drug t is a  
plasma-d]iv$ product disp5s$ = an       
applicable b5efici>y :o has n incurr$   
co/s1 z det]m9$ 9 accordance ) section  
#ahfj;,d-#b7;b77#d77;,c71 = cov]$ "p ,d 
drugs 9 ! ye> t are equal to or exce$ ! 

annual out-(-pocket ?re%old specifi$ 9  
section #ahfj;,d-#b7;b77#d77;,b77i7 = ! 
ye>-- 7aa7 = #bjbf1 #ii p]c5t2  7bb7 =  
#bjbg1 #ih p]c5t2  7cc7 = #bjbh1 #ie    
p]c5t2  7dd7 = #bjbi1 #ib p]c5t2 &  7ee7
 = #bjcj & ea* subsequ5t ye>1 #ij p]c5t2
 &  7,,ii7 = an applicable drug t is a  
plasma-d]iv$ product disp5s$ = an       
applicable b5efici>y :o has incurr$     
co/s1 z det]m9$ 9 accordance ) section  
#ahfj;,d-#b7;b77#d77;,c71 = cov]$ "p ,d 
drugs 9 ! ye> t are equal to or exce$ ! 
annual out-(-pocket ?re%old specifi$ 9  
section #ahfj;,d-#b7;b77#d77;,b77i7 = ! 
ye>-- 7aa7 = #bjbf1 #ii p]c5t2  7bb7 =  
#bjbg1 #ih p]c5t2  7cc7 = #bjbh1 #ie    
p]c5t2  7dd7 = #bjbi1 #ib p]c5t2  7ee7 =
 #bjcj1 #ij p]c5t2  7ff7 = #bjca1 #he   
p]c5t2 &  7gg7 = #bjcb & ea* subsequ5t  
ye>1 #hj p]c5t4  7iv7 ,limitations ,?is 
subp>agraph %all n apply ) respect to ! 
foll[+3 7,i7 ,c]ta9 drugs disp5s$ to    
,,lis b5efici>ies ,an applicable drug   
describ$ 9 subp>agraph 7,b77i74  7,,ii7 
,specifi$ small manufactur]s ,an        

applicable drug describ$ 9 subp>agraph  
7,c77i74  4