[Congressional Record Volume 164, Number 139 (Tuesday, August 21, 2018)]
[Senate]
[Page S5781]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 3874. Ms. KLOBUCHAR (for herself, Mr. Grassley, and Mr. Menendez) 
submitted an amendment intended to be proposed to amendment SA 3695 
proposed by Mr. Shelby to the bill H.R. 6157, making appropriations for 
the Department of Defense for the fiscal year ending September 30, 
2019, and for other purposes; which was ordered to lie on the table; as 
follows:

       At the appropriate place in division B, insert the 
     following:
       Sec. __. (a) Joint Action Plan.--The Commissioner of Food 
     and Drugs, in coordination with the Administrator of the 
     Centers for Medicare & Medicaid Services, shall develop a 
     joint action plan, in consultation with healthcare providers 
     and patient advocates (including relevant Federal advisory 
     committees) that--
       (1) utilizes data from Medicare claims on how much of a 
     single-use drug was not administered, examines single-use 
     vial sizes in other countries, and analyzes the drug approval 
     process for alternative vial size safety and efficacy 
     approaches, to reduce drug waste and better manage costs with 
     respect to drug vial sizes and other drug delivery systems, 
     as appropriate; and
       (2) includes quantifiable metrics and specific timelines.
       (b) Report.--Not later than 1 year after the date of 
     enactment of this Act, the Commissioner of Food and Drugs, in 
     coordination with the Administrator of the Centers for 
     Medicare & Medicaid Services, shall submit to Congress the 
     joint action plan described in subsection (a) and a report 
     containing recommendations for any legislative action needed 
     to reduce drug waste and better manage costs with respect to 
     drug vial sizes and other drug delivery systems, as 
     appropriate.
                                 ______