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US S3013

Encouraging Innovative Benefit Design to Lower Costs for Seniors Act


summary

Introduced
12/10/2019
In Committee
12/10/2019
Crossed Over
Passed
Dead
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)

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