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<bill bill-stage="Referred-in-House" bill-type="olc" dms-id="A1" public-print="no" public-private="public" stage-count="1" star-print="no-star-print"> 
<form display="yes"> 
<distribution-code>I</distribution-code> 
<congress display="yes">110th CONGRESS</congress> <session display="yes">2d Session</session> 
<legis-num display="yes">S. 3560</legis-num> 
<current-chamber display="yes">IN THE HOUSE OF REPRESENTATIVES</current-chamber> 
<action> 
<action-date>September 25, 2008</action-date> 
<action-desc>Referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name></action-desc> 
</action> 
<legis-type display="yes">AN ACT</legis-type> 
<official-title display="yes">To amend title XIX of the Social Security Act to provide additional funds for the qualifying individual (QI) program, and for other purposes.</official-title> 
</form> 
<legis-body display-enacting-clause="yes-display-enacting-clause" style="OLC" id="H6387818AC4FA46A881E805DC045B595"> 
<section commented="no" display-inline="no-display-inline" id="S1" section-type="section-one"><enum>1.</enum><header display-inline="yes-display-inline">Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>QI Program Supplemental Funding Act of 2008</short-title></quote>.</text> </section>
<section commented="no" display-inline="no-display-inline" id="id7C64668D3A6D4694B429BF86D87B8895" section-type="subsequent-section"><enum>2.</enum><header display-inline="yes-display-inline">Funding for the Qualifying Individual (QI) program</header><text display-inline="no-display-inline">Section 1933(g)(2) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396u-3">42 U.S.C. 1396u–3(g)(2)</external-xref>), as amended by section 111(b) of the Medicare Improvements for Patients and Providers Act of 2008 (<external-xref legal-doc="public-law" parsable-cite="pl/110/275">Public Law 110–275</external-xref>), is amended—</text> 
<paragraph commented="no" display-inline="no-display-inline" id="id291F6D1877AC498792B4316389D44BDC"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (I), by striking <quote>$300,000,000</quote> and inserting <quote>$315,000,000</quote>; and</text> </paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id85130728F6D74DABBECF78BA4530334F"><enum>(2)</enum><text display-inline="yes-display-inline">in subparagraph (J), by striking <quote>$100,000,000</quote> and inserting <quote>$130,000,000</quote>.</text> </paragraph></section>
<section commented="no" display-inline="no-display-inline" id="idCDDB3AB16DE444C79DF6C0E24207CD2E" section-type="subsequent-section"><enum>3.</enum><header display-inline="yes-display-inline">Mandatory use of State public assistance reporting information system (PARIS) project</header> 
<subsection commented="no" display-inline="no-display-inline" id="id221B1BA6237D4558A9E42087C89824D6"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Section 1903(r) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396b">42 U.S.C. 1396b(r)</external-xref>) is amended—</text> 
<paragraph commented="no" display-inline="no-display-inline" id="id2D51F5EAA99140969E669447EC8499D6"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (1), in the matter preceding subparagraph (A), by inserting <quote>, in addition to meeting the requirements of paragraph (3),</quote> after <quote>a State must</quote>; and</text> </paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id3B7B942B76784033AE44E97D7DABB17B"><enum>(2)</enum><text display-inline="yes-display-inline">by adding at the end the following new paragraph:</text> 
<quoted-block display-inline="no-display-inline" id="idDF28D932A7BC4E7A8AF1CB701232E743" style="OLC"> 
<paragraph commented="no" display-inline="no-display-inline" id="ID639ea9447bb4418daf997b61a6f50d9c" indent="up1"><enum>(3)</enum><text display-inline="yes-display-inline">In order to meet the requirements of this paragraph, a State must have in operation an eligibility determination system which provides for data matching through the Public Assistance Reporting Information System (PARIS) facilitated by the Secretary (or any successor system), including matching with medical assistance programs operated by other States.</text> </paragraph><after-quoted-block>.</after-quoted-block></quoted-block> </paragraph></subsection>
<subsection commented="no" display-inline="no-display-inline" id="id350C7C5668DF4AA4B44F983A29356CD9"><enum>(b)</enum><header display-inline="yes-display-inline">Effective date</header> 
<paragraph commented="no" display-inline="no-display-inline" id="idBFA91048E00447FB886C16DCD4A2F3B0"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Except as provided in paragraph (2), the amendments made by subsection (a) take effect on October 1, 2009.</text> </paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id192B0D24BFF24758943FB5BA61EF27A6"><enum>(2)</enum><header display-inline="yes-display-inline">Extension of effective date for state law amendment</header><text display-inline="yes-display-inline">In the case of a State plan under title XIX of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396 et seq.</external-xref>) which the Secretary of Health and Human Services determines requires State legislation in order for the plan to meet the additional requirements imposed by the amendments made by subsection (a), the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of the session is considered to be a separate regular session of the State legislature.</text> </paragraph></subsection></section>
<section commented="no" display-inline="no-display-inline" id="idE782D5D54F1B4D89B97591012125D2E6" section-type="subsequent-section"><enum>4.</enum><header display-inline="yes-display-inline">Incentives for the development of, and access to, certain antibiotics</header> 
<subsection commented="no" display-inline="no-display-inline" id="H5D0CF2D962D64AF599F700FB6850EFF1"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Section 505 of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355</external-xref>) is amended by adding at the end the following:</text> 
<quoted-block display-inline="no-display-inline" id="H81A9279C69F94A0F80FB94BFA1CA24B2" style="OLC"> 
<subsection commented="no" display-inline="no-display-inline" id="HC841B184A9704115B54D22F1F4B7A75E"><enum>(v)</enum><header display-inline="yes-display-inline">Antibiotic drugs submitted before November 21, 1997</header> 
<paragraph commented="no" display-inline="no-display-inline" id="H9BB6037A2F934104A92E45A9BCDF38B5"><enum>(1)</enum><header display-inline="yes-display-inline">Antibiotic drugs approved before November 21, 1997</header> 
<subparagraph commented="no" display-inline="no-display-inline" id="H15680540FCA6490AB078D6B05CE1AF"><enum>(A)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Notwithstanding any provision of the Food and Drug Administration Modernization Act of 1997 or any other provision of law, a sponsor of a drug that is the subject of an application described in subparagraph (B)(i) shall be eligible for, with respect to the drug, the 3-year exclusivity period referred to under clauses (iii) and (iv) of subsection (c)(3)(E) and under clauses (iii) and (iv) of subsection (j)(5)(F), subject to the requirements of such clauses, as applicable.</text> </subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="H49B480B4AEA74E9F8D6C10B0D9BF9669"><enum>(B)</enum><header display-inline="yes-display-inline">Application; antibiotic drug described</header> 
<clause commented="no" display-inline="no-display-inline" id="H1293367C542F43C2B4A093FA9E498688"><enum>(i)</enum><header display-inline="yes-display-inline">Application</header><text display-inline="yes-display-inline">An application described in this clause is an application for marketing submitted under this section after the date of the enactment of this subsection in which the drug that is the subject of the application contains an antibiotic drug described in clause (ii).</text> </clause>
<clause commented="no" display-inline="no-display-inline" id="HCBE29893CEE3475C9150883B223C66B"><enum>(ii)</enum><header display-inline="yes-display-inline">Antibiotic drug</header><text display-inline="yes-display-inline">An antibiotic drug described in this clause is an antibiotic drug that was the subject of an application approved by the Secretary under section 507 of this Act (as in effect before November 21, 1997).</text> </clause></subparagraph></paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="H55A3EB8604BA4F51B2AE00273E52D4B"><enum>(2)</enum><header display-inline="yes-display-inline">Antibiotic drugs submitted before November 21, 1997, but not approved</header> 
<subparagraph commented="no" display-inline="no-display-inline" id="HADE9B6488DFE4421B45E3B99001B7900"><enum>(A)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Notwithstanding any provision of the Food and Drug Administration Modernization Act of 1997 or any other provision of law, a sponsor of a drug that is the subject of an application described in subparagraph (B)(i) may elect to be eligible for, with respect to the drug—</text> 
<clause commented="no" display-inline="no-display-inline" id="H641853BF8A27451DA3BE008DB0E01CA0"><enum>(i)</enum>
<subclause commented="no" display-inline="yes-display-inline" id="H3855D0DD43EF4EECA6CB5D50CB50B12D"><enum>(I)</enum><text display-inline="yes-display-inline">the 3-year exclusivity period referred to under clauses (iii) and (iv) of subsection (c)(3)(E) and under clauses (iii) and (iv) of subsection (j)(5)(F), subject to the requirements of such clauses, as applicable; and</text> </subclause>
<subclause commented="no" display-inline="no-display-inline" id="HE7C11EB62F6D42BA9D7FA3CC2433A862" indent="up1"><enum>(II)</enum><text display-inline="yes-display-inline">the 5-year exclusivity period referred to under clause (ii) of subsection (c)(3)(E) and under clause (ii) of subsection (j)(5)(F), subject to the requirements of such clauses, as applicable; or</text> </subclause></clause>
<clause commented="no" display-inline="no-display-inline" id="HA892701910FB441A000093F800294492"><enum>(ii)</enum><text display-inline="yes-display-inline">a patent term extension under <external-xref legal-doc="usc" parsable-cite="usc/35/156">section 156</external-xref> of title 35, United States Code, subject to the requirements of such section.</text> </clause></subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="H66242918720340B2B7EBD0F2F641FDD"><enum>(B)</enum><header display-inline="yes-display-inline">Application; antibiotic drug described</header> 
<clause commented="no" display-inline="no-display-inline" id="H86B3802B49284102A3E3347717762CEB"><enum>(i)</enum><header display-inline="yes-display-inline">Application</header><text display-inline="yes-display-inline">An application described in this clause is an application for marketing submitted under this section after the date of the enactment of this subsection in which the drug that is the subject of the application contains an antibiotic drug described in clause (ii).</text> </clause>
<clause commented="no" display-inline="no-display-inline" id="HCF9C39B6244F4C4500D50402155822DA"><enum>(ii)</enum><header display-inline="yes-display-inline">Antibiotic drug</header><text display-inline="yes-display-inline">An antibiotic drug described in this clause is an antibiotic drug that was the subject of 1 or more applications received by the Secretary under section 507 of this Act (as in effect before November 21, 1997), none of which was approved by the Secretary under such section.</text> </clause></subparagraph></paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="H7C04F348175348769BBC254C6D43BE87"><enum>(3)</enum><header display-inline="yes-display-inline">Limitations</header> 
<subparagraph commented="no" display-inline="no-display-inline" id="HBEE0D736FC9C4724A24FFE1806F0081"><enum>(A)</enum><header display-inline="yes-display-inline">Exclusivities and extensions</header><text display-inline="yes-display-inline">Paragraphs (1)(A) and (2)(A) shall not be construed to entitle a drug that is the subject of an approved application described in subparagraphs (1)(B)(i) or (2)(B)(i), as applicable, to any market exclusivities or patent extensions other than those exclusivities or extensions described in paragraph (1)(A) or (2)(A).</text> </subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="H0442274CF9D74E6DB97E8BEC2500B61F"><enum>(B)</enum><header display-inline="yes-display-inline">Conditions of use</header><text display-inline="yes-display-inline">Paragraphs (1)(A) and (2)(A)(i) shall not apply to any condition of use for which the drug referred to in subparagraph (1)(B)(i) or (2)(B)(i), as applicable, was approved before the date of the enactment of this subsection.</text> </subparagraph></paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="HF067A0067C9A4ADBB15D01E6DA53FDBB"><enum>(4)</enum><header display-inline="yes-display-inline">Application of certain provisions</header><text display-inline="yes-display-inline">Notwithstanding section 125, or any other provision, of the Food and Drug Administration Modernization Act of 1997, or any other provision of law, and subject to the limitations in paragraphs (1), (2), and (3), the provisions of the Drug Price Competition and Patent Term Restoration Act of 1984 shall apply to any drug subject to paragraph (1) or any drug with respect to which an election is made under paragraph (2)(A).</text> </paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block> </subsection>
<subsection commented="no" display-inline="no-display-inline" id="H35DBD2C4B1F14D8384C55B50E99C3DFC"><enum>(b)</enum><header display-inline="yes-display-inline">Transitional rules</header> 
<paragraph commented="no" display-inline="no-display-inline" id="HDF6F2475F16949158D980177105455DF"><enum>(1)</enum><text display-inline="yes-display-inline">With respect to a patent issued on or before the date of the enactment of this Act, any patent information required to be filed with the Secretary of Health and Human Services under subsection (b)(1) or (c)(2) of section 505 of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355</external-xref>) to be listed on a drug to which subsection (v)(1) of such section 505 (as added by this section) applies shall be filed with the Secretary not later than 60 days after the date of the enactment of this Act.</text> </paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="H501308AD973D416C89AEB7493F5BE151"><enum>(2)</enum><text display-inline="yes-display-inline">With respect to any patent information referred to in paragraph (1) of this subsection that is filed with the Secretary within the 60-day period after the date of the enactment of this Act, the Secretary shall publish such information in the electronic version of the list referred to at section 505(j)(7) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355(j)(7)</external-xref>) as soon as it is received, but in no event later than the date that is 90 days after the enactment of this Act.</text> </paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="HEBAFCBFEA89D45C88DC4F55D502BAC1"><enum>(3)</enum><text display-inline="yes-display-inline">With respect to any patent information referred to in paragraph (1) that is filed with the Secretary within the 60-day period after the date of enactment of this Act, each applicant that, not later than 120 days after the date of the enactment of this Act, amends an application that is, on or before the date of the enactment of this Act, a substantially complete application (as defined in paragraph (5)(B)(iv) of section 505(j) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355(j)</external-xref>)) to contain a certification described in paragraph (2)(A)(vii)(IV) of such section 505(j) with respect to that patent shall be deemed to be a first applicant (as defined in paragraph (5)(B)(iv) of such section 505(j)).</text> </paragraph></subsection></section>
<section commented="no" display-inline="no-display-inline" id="idFEEFF300DD4F4B55961A572F2C270295" section-type="subsequent-section"><enum>5.</enum><header display-inline="yes-display-inline"> Clarification of authority for use of Medicaid Integrity Program funds</header> 
<subsection commented="no" display-inline="no-display-inline" id="id9816894FEDE94C3EB9431DF669AC82AD"><enum>(a)</enum><header display-inline="yes-display-inline">Clarification of authority for use of funds</header> 
<paragraph commented="no" display-inline="no-display-inline" id="id02D563352D944A6BA44485F68910DCD1"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Section 1936 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396u-6">42 U.S.C. 1396u–6</external-xref>) is amended—</text> 
<subparagraph commented="no" display-inline="no-display-inline" id="id90B7FE7C952A42068E62C47CD843FC05"><enum>(A)</enum><text display-inline="yes-display-inline">in subsection (b)(4), by striking <quote>Education of</quote> and inserting <quote>Education or training, including at such national, State, or regional conferences as the Secretary may establish, of State or local officers, employees, or independent contractors responsible for the administration or the supervision of the administration of the State plan under this title,</quote>; and</text> </subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="id2425E077D418411B85684C36C35DAA4F"><enum>(B)</enum><text display-inline="yes-display-inline">in subsection (e), by striking paragraph (2) and inserting the following:</text> 
<quoted-block display-inline="no-display-inline" id="id9EB8DED8A458453A9C6550DCC6B93C2B" style="OLC"> 
<paragraph commented="no" display-inline="no-display-inline" id="idDB7116165CC642228B396DBD8260B573"><enum>(2)</enum><header display-inline="yes-display-inline">Availability; authority for use of funds</header> 
<subparagraph commented="no" display-inline="no-display-inline" id="idE210ED0E7DE3456A951873A8DFF56027"><enum>(A)</enum><header display-inline="yes-display-inline">Availability</header><text display-inline="yes-display-inline">Amounts appropriated pursuant to paragraph (1) shall remain available until expended.</text> </subparagraph>
<subparagraph commented="no" display-inline="no-display-inline" id="idD7AB70ABA2754C93BB522FF47CB0C0E0"><enum>(B)</enum><header display-inline="yes-display-inline">Authority for use of funds for transportation and travel expenses for attendees at education, training, or consultative activities</header> 
<clause commented="no" display-inline="no-display-inline" id="id3D10D9ACE7A24A7C9768EA32621570DF"><enum>(i)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">The Secretary may use amounts appropriated pursuant to paragraph (1) to pay for transportation and the travel expenses, including per diem in lieu of subsistence, at rates authorized for employees of agencies under subchapter I of <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/5/57">chapter 57</external-xref> of title 5, United States Code, while away from their homes or regular places of business, of individuals described in subsection (b)(4) who attend education, training, or consultative activities conducted under the authority of that subsection.</text> </clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block> </subparagraph></paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id4BF84E5771D141D0B4143123F16B8619"><enum>(2)</enum><header display-inline="yes-display-inline">Effective date</header><text display-inline="yes-display-inline">The amendments made by paragraph (1) shall take effect as if included in the enactment of section 1936 of the Social Security Act, as added by section 6034(a) of the Deficit Reduction Act of 2005 (<external-xref legal-doc="public-law" parsable-cite="pl/109/171">Public Law 109–171</external-xref>).</text> </paragraph></subsection>
<subsection commented="no" display-inline="no-display-inline" id="idBD15C144D8534612AB21CF85B929D0B4"><enum>(b)</enum><header display-inline="yes-display-inline">Public disclosure</header> 
<paragraph commented="no" display-inline="no-display-inline" id="id7049BCC67A3F4B77BC41060E210E6F5D"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Section 1936(e)(2)(B) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396u-6">42 U.S.C. 1396u–6(e)(2)(B)</external-xref>), as added by subsection (a) of this section, is amended by adding at the end the following:</text> 
<quoted-block display-inline="no-display-inline" id="idC33AB3393A6C44ECAF1D5DBF315DDC6B" style="OLC"> 
<clause commented="no" display-inline="no-display-inline" id="id4C5701F982AD4F5691C3AA2FA16E2BD6"><enum>(ii)</enum><header display-inline="yes-display-inline">Public disclosure</header><text display-inline="yes-display-inline">The Secretary shall make available on a website of the Centers for Medicare &amp; Medicaid Services that is accessible to the public—</text> 
<subclause commented="no" display-inline="no-display-inline" id="idB13712D8752A46A69423FD2B4C1516E6"><enum>(I)</enum><text display-inline="yes-display-inline">the total amount of funds expended for each conference conducted under the authority of subsection (b)(4); and</text> </subclause>
<subclause commented="no" display-inline="no-display-inline" id="id419FE9E768D44F34BAA2BE801565385B"><enum>(II)</enum><text display-inline="yes-display-inline">the amount of funds expended for each such conference that were for transportation and for travel expenses.</text> </subclause></clause><after-quoted-block>.</after-quoted-block></quoted-block> </paragraph>
<paragraph commented="no" display-inline="no-display-inline" id="id802184655EE7423EB373A85B73B9B00E"><enum>(2)</enum><header display-inline="yes-display-inline">Effective date</header><text display-inline="yes-display-inline">The amendment made by paragraph (1) shall apply to conferences conducted under the authority of section 1936(b)(4) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396u-6">42 U.S.C. 1396u–6(b)(4)</external-xref>) after the date of enactment of this Act.</text> </paragraph></subsection></section>
<section commented="no" display-inline="no-display-inline" id="id73E9631823414F8F91C83A243F7BB536" section-type="subsequent-section"><enum>6.</enum><header display-inline="yes-display-inline">Funding for the Medicare Improvement Fund</header><text display-inline="no-display-inline">Section 1898(b)(1) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395iii">42 U.S.C. 1395iii(b)(1)</external-xref>) is amended by striking <quote>$2,220,000,000</quote> and inserting <quote>$2,290,000,000</quote>.</text> </section>
</legis-body> <attestation> <attestation-group> <attestation-date chamber="Senate" date="20080925" legis-day="20080925">Passed the Senate September 25 (legislative day, September 17), 2008.</attestation-date> <attestor display="yes">Nancy Erickson,</attestor> <role>Secretary</role> </attestation-group> </attestation> 
</bill> 


