summary
Introduced
12/10/2019
12/10/2019
In Committee
12/10/2019
12/10/2019
Crossed Over
Passed
Dead
12/31/2020
12/31/2020
Introduced Session
116th Congress
Bill Summary
A bill to amend title XVIII of the Social Security Act to allow for the offering of additional prescription drug plans under Medicare part D. This bill allows prescription drug plan (PDP) sponsors under the Medicare prescription drug benefit to offer additional plans in a region. Specifically, the Centers for Medicare & Medicaid Services (CMS) must update guidance to allow PDP sponsors to offer up to four plans in a region; the CMS may also set a greater limit, as appropriate. PDP sponsors may offer up to two additional plans beyond this limit if the PDP sponsor ensures that, under at least one of the plans, pharmacy benefit managers do not receive any remuneration unless at least 10% of price reductions received from drug manufacturers are reflected at the point-of-sale or otherwise used to reduce beneficiary cost-sharing.
AI Summary
This bill, the Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, allows prescription drug plan (PDP) sponsors under the Medicare prescription drug benefit to offer additional plans in a region. Specifically, the Centers for Medicare & Medicaid Services (CMS) must update guidance to allow PDP sponsors to offer up to four plans in a region, and may set a greater limit as appropriate. PDP sponsors may also offer up to two additional plans beyond this limit if they ensure that at least 10% of price reductions received from drug manufacturers are reflected at the point-of-sale or used to reduce beneficiary cost-sharing under at least one of the additional plans.
Committee Categories
Budget and Finance
Sponsors (3)
Last Action
Read twice and referred to the Committee on Finance. (on 12/10/2019)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
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State Bill Page | https://www.congress.gov/bill/116th-congress/senate-bill/3013/all-info |
BillText | https://www.congress.gov/116/bills/s3013/BILLS-116s3013is.pdf |
Bill | https://www.congress.gov/116/bills/s3013/BILLS-116s3013is.pdf.pdf |
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