110 HR 3025 IH: Medicare Prescription Drug U.S. House of Representatives 2007-07-12 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.

I 110th CONGRESS 1st Session H. R. 3025 IN THE HOUSE OF REPRESENTATIVES July 12, 2007 Mr. Doggett (for himself, Mr. Ackerman, Mr. Allen, Mr. Becerra, Mr. Berman, Mrs. Capps, Mr. Cohen, Mr. Davis of Illinois, Ms. DeLauro, Ms. Eddie Bernice Johnson of Texas, Mr. Ellison, Mr. Emanuel, Mr. Engel, Mr. Frank of Massachusetts, Mr. Al Green of Texas, Mr. Grijalva, Mr. Gutierrez, Mr. Hinchey, Ms. Jackson-Lee of Texas, Ms. Kaptur, Mr. Kennedy, Mr. Larson of Connecticut, Mr. Lewis of Georgia, Mrs. Lowey, Mrs. Maloney of New York, Ms. Matsui, Ms. McCollum of Minnesota, Mr. McDermott, Mr. McGovern, Mr. McNulty, Mr. Michaud, Ms. Moore of Wisconsin, Mr. Moran of Virginia, Mr. Nadler, Mr. Neal of Massachusetts, Ms. Norton, Mr. Ortiz, Mr. Ruppersberger, Ms. Schakowsky, Mr. Scott of Virginia, Mr. Stark, Mr. Weiner, and Mr. Wynn) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To amend title XVIII of the Social Security Act to provide comprehensive improvements to the Medicare Prescription Drug Program, and for other purposes.

1.

Short title; table of contents

(a)

Short title

This Act may be cited as the Medicare Prescription Drug Savings for Our Seniors (Medicare Prescription Drug SOS) Act of 2007. (b)

Table of contents

The table of contents of this Act is as follows: Sec. 1. Short title; table of contents. Title I—Medicare Operated Prescription Drug Plan Option Sec. 101. Establishment of Medicare operated prescription drug plan option. Title II—Medicaid and Low-Income Improvements Sec. 201. Change in base used in computing State clawback provision. Sec. 202. Elimination of part D cost-sharing for certain non-institutionalized full-benefit dual eligible individuals. Sec. 203. Expediting low-income subsidies under the Medicare Prescription Drug Program. Sec. 204. Modification of resource standards for determination of eligibility for low-income subsidy; simplification of income and asset rules. Sec. 205. Indexing deductible and cost-sharing above annual out-of-pocket threshold for individuals with income below 150 percent of poverty line. Sec. 206. No impact on eligibility for benefits under other programs. Sec. 207. Screening by Commissioner of Social Security for eligibility under Medicare savings programs. Sec. 208. Special enrollment period for subsidy eligible individuals. Sec. 209. Waiver of late enrollment penalty for subsidy eligible individuals. Title III—Fraud and Abuse Provisions Sec. 301. Criminal penalty for fraud in connection with enrollment under an MA plan or prescription drug plan. Sec. 302. Recourse for slamming practices. Sec. 303. Protection from loss of employment-based retiree health coverage upon enrollment for Medicare prescription drug benefit during 2007. Sec. 304. Required application of intermediate sanctions to protect against fraud and abuse. Sec. 305. Repeal of special waiver authority for State licensure. Title IV—Relation to Social Security Benefits Sec. 401. Protection of Social Security benefits against decrease due to part D Medicare premium increases. Title V—Beneficiary Protection Provisions Sec. 501. Suspension of late enrollment penalties; allowing one-time change in plan during first year of enrollment. Sec. 502. Counting expenditures under State drug assistance programs against true out-of-pocket costs. Sec. 503. Price disclosure. Sec. 504. Removal of covered part D drugs from the prescription drug plan formulary. Sec. 505. Special treatment under Medicare part D for drugs in 6 specified therapeutic categories. Sec. 506. Removal of exclusion of benzodiazepines from required coverage under the Medicare Prescription Drug Program. Sec. 507. Standardized forms and procedures for reconsiderations and appeals. Sec. 508. Elimination of MA Regional Stabilization Fund (Slush Fund); elimination of certain MA overpayments. Sec. 509. Beneficiary complaints. Sec. 510. Fill of drugs for dual eligibles. Title W—Fair and Speedy Treatment of Medicare Prescription Drug Claims Sec. 601. Prompt payment by Medicare prescription drug plans and MA–PD plans under part D. Sec. 602. Restriction on co-branding. Sec. 603. Provision of medication therapy management services under part D.