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    <congress>117</congress>
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        <title>Pharmacy DIR Reform To Reduce Senior Drug Costs Act</title>
        <congress>117</congress>
        <number>3554</number>
        <type>HR</type>
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          <actionDate>2021-05-26</actionDate>
          <text>Referred to the Subcommittee on Health.</text>
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        <fullName>Sen. Tester, Jon [D-MT]</fullName>
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        <fullName>Sen. Capito, Shelley Moore [R-WV]</fullName>
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        <state>WV</state>
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        <fullName>Sen. Brown, Sherrod [D-OH]</fullName>
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        <sponsorshipDate>2021-05-27</sponsorshipDate>
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        <fullName>Sen. Lankford, James [R-OK]</fullName>
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        <sponsorshipDate>2021-05-27</sponsorshipDate>
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        <fullName>Sen. Marshall, Roger [R-KS]</fullName>
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        <sponsorshipDate>2021-06-10</sponsorshipDate>
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        <fullName>Sen. Hyde-Smith, Cindy [R-MS]</fullName>
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        <lastName>Hyde-Smith</lastName>
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        <sponsorshipDate>2021-06-10</sponsorshipDate>
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        <bioguideId>B001236</bioguideId>
        <fullName>Sen. Boozman, John [R-AR]</fullName>
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        <fullName>Sen. Collins, Susan M. [R-ME]</fullName>
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        <lastName>Collins</lastName>
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        <middleName>M.</middleName>
        <sponsorshipDate>2021-06-15</sponsorshipDate>
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        <bioguideId>T000250</bioguideId>
        <fullName>Sen. Thune, John [R-SD]</fullName>
        <firstName>John</firstName>
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        <fullName>Sen. Cramer, Kevin [R-ND]</fullName>
        <firstName>Kevin</firstName>
        <lastName>Cramer</lastName>
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        <state>ND</state>
        <sponsorshipDate>2021-06-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
        <sponsorshipWithdrawnDate>2021-06-22</sponsorshipWithdrawnDate>
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        <bioguideId>W000437</bioguideId>
        <fullName>Sen. Wicker, Roger F. [R-MS]</fullName>
        <firstName>Roger</firstName>
        <lastName>Wicker</lastName>
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        <middleName>F.</middleName>
        <sponsorshipDate>2021-06-24</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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        <bioguideId>M001183</bioguideId>
        <fullName>Sen. Manchin, Joe, III [D-WV]</fullName>
        <firstName>Joseph</firstName>
        <lastName>Manchin</lastName>
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        <state>WV</state>
        <sponsorshipDate>2021-07-21</sponsorshipDate>
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        <fullName>Sen. Inhofe, James M. [R-OK]</fullName>
        <firstName>Jim</firstName>
        <lastName>Inhofe</lastName>
        <party>R</party>
        <state>OK</state>
        <sponsorshipDate>2021-09-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>K000383</bioguideId>
        <fullName>Sen. King, Angus S., Jr. [I-ME]</fullName>
        <firstName>Angus</firstName>
        <lastName>King</lastName>
        <party>I</party>
        <state>ME</state>
        <middleName>S.</middleName>
        <sponsorshipDate>2021-10-21</sponsorshipDate>
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      <item>
        <bioguideId>E000295</bioguideId>
        <fullName>Sen. Ernst, Joni [R-IA]</fullName>
        <firstName>Joni</firstName>
        <lastName>Ernst</lastName>
        <party>R</party>
        <state>IA</state>
        <sponsorshipDate>2021-12-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Health care costs and insurance</name>
        </item>
        <item>
          <name>Health care quality</name>
        </item>
        <item>
          <name>Inflation and prices</name>
        </item>
        <item>
          <name>Medicare</name>
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        <item>
          <name>Performance measurement</name>
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        <item>
          <name>Prescription drugs</name>
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        <name>Health</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2021-05-27</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2021-11-02T19:50:20Z</updateDate>
        <text><![CDATA[ <p><b>Pharmacy DIR Reform To Reduce Senior Drug Costs Act</b></p> <p>This bill establishes certain requirements for prescription drug plans and the prices of covered drugs under the Medicare prescription drug benefit. </p> <p>Specifically, the bill requires price concessions, payments, and fees that are negotiated with a pharmacy to be included in a drug's negotiated price, excluding incentive payments, and for this price to be provided at the point of sale. Additionally, prescription drug plans must report price concessions or incentive payments that are made after payment for covered drugs at the point of sale, including by contracted intermediaries, to the pharmacy at least annually.</p> <p>The Centers for Medicare &amp; Medicaid Services must establish standardized pharmacy performance measures with respect to incentive payments and price concessions; such measures must account for all pharmacy types, including specialty pharmacies, and focus on patient health outcomes and other targeted areas.</p>]]></text>
      </summary>
    </summaries>
    <title>Pharmacy DIR Reform To Reduce Senior Drug Costs Act</title>
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        <titleType>Display Title</titleType>
        <title>Pharmacy DIR Reform To Reduce Senior Drug Costs Act</title>
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        <titleType>Official Title as Introduced</titleType>
        <title>A bill to amend title XVIII of the Social Security Act to reform requirements with respect to direct and indirect remuneration under Medicare part D, and for other purposes.</title>
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        <titleType>Short Title(s) as Introduced</titleType>
        <title>Pharmacy DIR Reform To Reduce Senior Drug Costs Act</title>
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        <type>Introduced in Senate</type>
        <date>2021-05-27T04:00:00Z</date>
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          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-117s1909is/xml/BILLS-117s1909is.xml</url>
          </item>
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      </item>
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    <latestAction>
      <actionDate>2021-05-27</actionDate>
      <text>Read twice and referred to the Committee on Finance.</text>
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    <dc:language>EN</dc:language>
    <dc:rights>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.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>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.</dc:description>
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