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 <subject>Beneficiaries</subject>
 <subject>Drugs</subject>
 <subject>Health care programs</subject>
 <subject>Medicare</subject>
 <subject>Monitoring</subject>
 <subject>Program evaluation</subject>
 <subject>Solicitations</subject>
 <subject>Prescription drugs</subject>
 <subject>Medicare Prescription Drug Discount Card</subject>
 <subject>and Transitional Assistance Program</subject>
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<titleInfo>
 <title>Medicare: CMS&apos;s Implementation and Oversight of the Medicare Prescription Drug Discount Card and Transitional Assistance Program</title>
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<abstract>The Medicare Prescription Drug, Improvement and Modernization Act
of 2003 (MMA) added a prescription drug benefit to the Medicare  
program, to become effective January 1, 2006. To assist Medicare 
beneficiaries with their prescription drug costs until the new	 
benefit becomes available, the MMA also required the		 
establishment of a temporary program, the Medicare Prescription  
Drug Discount Card and Transitional Assistance Program, which	 
began in June 2004. The drug card program is designed to offer	 
Medicare beneficiaries access to discounts off the retail price  
of prescription drugs. All Medicare beneficiaries, except those  
receiving Medicaid drug coverage, are eligible to enroll in the  
drug card program. Certain low-income beneficiaries without other
drug coverage qualify for an additional benefit, a transitional  
assistance (TA) subsidy, that can be applied toward the cost of  
drugs covered under the drug card program. The Centers for	 
Medicare &amp; Medicaid Services (CMS)--the agency within the	 
Department of Health and Human Services that administers the	 
Medicare and Medicaid programs--administers and oversees the drug
card program. The drug cards themselves are offered and managed  
by private organizations, known as drug card sponsors. There are 
different types of drug cards. General drug cards are available  
to all eligible beneficiaries living in a card&apos;s service area;	 
there are both national and regional general cards. Exclusive and
special endorsement drug cards are available to specific	 
beneficiary groups. Some drug card sponsors offer more than one  
drug card. Congress asked us to examine CMS&apos;s implementation and 
oversight of the temporary drug card program. Specifically, we	 
reviewed (1) the processes that CMS used to solicit, evaluate,	 
and approve drug card sponsors; and (2) the processes that CMS	 
uses to oversee drug card sponsors and the problems identified as
a result of CMS oversight.</abstract>
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<identifier type="preferred citation">GAO-06-78R</identifier>
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<note>Correspondence</note>
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<subject>
 <topic>Beneficiaries</topic>
 <topic>Drugs</topic>
 <topic>Health care programs</topic>
 <topic>Medicare</topic>
 <topic>Monitoring</topic>
 <topic>Program evaluation</topic>
 <topic>Solicitations</topic>
 <topic>Prescription drugs</topic>
 <topic>Medicare Prescription Drug Discount Card</topic>
 <topic>and Transitional Assistance Program</topic>
</subject>
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 <titleInfo>
  <title>United States Statutes at Large</title>
  <partNumber>Volume 117 Page 2066</partNumber>
</titleInfo>
 <identifier type="Statute citation">117 Stat. 2066</identifier>
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 <titleInfo>
  <title>United States Public Law 173 (108th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 108-173</identifier>
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