3.0.0 1699 2023-01-11T13:21:59Z 2023-01-11T13:21:59Z Senate S S 2011-10-12 112 ssfi00 Finance Committee Senate Standing Referred to 2011-10-12T22:26:10Z 2011-10-12 ssfi00 Finance Committee Senate Read twice and referred to the Committee on Finance. IntroReferral 2011-10-12 Introduced in Senate IntroReferral 10000 9 Library of Congress K000305 Sen. Kohl, Herb [D-WI] HERBERT KOHL D WI H. N Health Government employee pay, benefits, personnel management Government studies and investigations Health care costs and insurance Health personnel Home and outpatient care Long-term, rehabilitative, and terminal care Medicaid Medicare Military medicine Prescription drugs Public contracts and procurement Veterans' medical care Health 00 2011-10-12 Introduced in Senate 2011-11-09T23:05:14Z Prescription Drug Cost Reduction Act - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to establish a program requiring a manufacturer to provide a rebate to the Secretary for drugs or biologicals furnished under Medicare part B (Supplementary Medical Insurance).

Requires the Secretary to negotiate a contract with a manufacturer to establish the amount of payment under Medicare part B for any drug or biological for which the Medicare part B program is the majority purchaser.

Requires that payment for both a drug or biological functionally equivalent to another drug or biological and that other drug or biological to be the same as for the least costly of them.

Directs the Secretary of HHS to study physician reimbursement for drugs and biologicals furnished under Medicare part B.

Imposes on a pharmacy benefit manager (PBM) specified fiduciary duties to the head of each federal agency with which the PBM contracts.

Requires the Secretary to develop a form for use by physicians and practitioners to certify that any off-label use (not approved by the Food and Drug Administration [FDA]) for which an applicable drug is prescribed under Medicare is for a medically accepted indication.

Amends the Public Health Service Act to: (1) include among "340B" program-covered entities (permitted to buy outpatient drugs at significant discounts) the Program of All-Inclusive Care for the Elderly (PACE); and (2) direct the Secretary to establish a mechanism to ensure that a manufacturer does not pay a duplicate discount with respect to a drug subject to a 340B program agreement if the PACE program receives any rebate (including any negotiated price concessions) for the drug under Medicare part D (Voluntary Prescription Drug Benefit Program).

Makes an organization offering prescription drug coverage eligible to receive from the Secretary 10% of the estimated annual savings to the federal government as a result of the organization's participation in the drug discount program under the Public Health Service Act.

]]> Prescription Drug Cost Reduction Act Display Title Prescription Drug Cost Reduction Act Official Title as Introduced A bill to reduce the costs of prescription drugs under the Medicare program, and for other purposes. Introduced in Senate IS Short Titles as Introduced Prescription Drug Cost Reduction Act Introduced in Senate 2011-10-12T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-112s1699is/xml/BILLS-112s1699is.xml 2011-10-12 Read twice and referred to the Committee on Finance. text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.