‘‘(A) identifying beneficiaries that are enti-
tled to coverage of immunosuppressive drugs by 
reason of section 226A(b)(2); and 
‘‘(B) distinguishing such beneficiaries from 
beneficiaries that are enrolled under this part 
for the complete package of benefits under this 
part.’’. 
(3) TECHNICAL AMENDMENT.—Subsection (c) 
of section 226A of the Social Security Act (42 
U.S.C. 426–1), as added by section 201(a)(3)(D)(ii) 
of the Social Security Independence and Program 
Improvements Act of 1994 (Public Law 103–296; 
108 Stat. 1497), is redesignated as subsection (d). 
(b) EXTENSION OF SECONDARY PAYER REQUIRE-
MENTS
FOR
ESRD 
BENEFICIARIES.—Section 
1862(b)(1)(C) of the Social Security Act (42 U.S.C. 
1395y(b)(1)(C)) is amended by adding at the end the fol-
lowing new sentence: ‘‘With regard to immunosuppressive 
drugs furnished on or after the date of enactment of the 
Comprehensive Immunosuppressive Drug Coverage for 
Kidney Transplant Patients Act of 2007, this subpara-
graph shall be applied without regard to any time limita-
tion.’’. 
VerDate Aug 31 2005 
03:20 Aug 04, 2007
Jkt 059200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H3282.IH
H3282
hmoore on PRODPC68 with HMBILLS
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to drugs furnished on or after the 
date of enactment of this Act. 
SEC. 3. PLANS REQUIRED TO MAINTAIN COVERAGE OF IM-
MUNOSUPPRESSIVE 
DRUGS 
FOR 
KIDNEY 
TRANSPLANT RECIPIENTS. 
(a) APPLICATION TO CERTAIN HEALTH INSURANCE 
COVERAGE.— 
(1) IN GENERAL.—Subpart 2 of part A of title 
XXVII of the Public Health Service Act (42 U.S.C. 
300gg–4 et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 2707. COVERAGE OF IMMUNOSUPPRESSIVE DRUGS 
FOR KIDNEY TRANSPLANT RECIPIENTS. 
‘‘A group health plan (and a health insurance issuer 
offering health insurance coverage in connection with a 
group health plan) shall provide coverage of immuno-
suppressive drugs in connection with a kidney transplant 
that is at least as comprehensive as the coverage provided 
by such plan or issuer on the day before the date of enact-
ment of the Comprehensive Immunosuppressive Drug 
Coverage for Kidney Transplant Patients Act of 2007, 
and such requirement shall be deemed to be incorporated 
into this section.’’. 
VerDate Aug 31 2005 
03:20 Aug 04, 2007
Jkt 059200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H3282.IH
H3282
hmoore on PRODPC68 with HMBILLS
(2) 
CONFORMING
AMENDMENT.—Section 
2721(b)(2)(A) of the Public Health Service Act (42 
U.S.C. 300gg–21(b)(2)(A)) is amended by inserting 
‘‘(other than section 2707)’’ after ‘‘requirements of 
such subparts’’. 
(b) APPLICATION TO GROUP HEALTH PLANS AND 
GROUP HEALTH INSURANCE COVERAGE UNDER THE EM-
PLOYEE RETIREMENT INCOME SECURITY ACT OF 1974.— 
(1) IN GENERAL.—Subpart B of part 7 of sub-
title B of title I of the Employee Retirement Income 
Security Act of 1974 (29 U.S.C. 1185 et seq.) is 
amended by adding at the end the following new sec-
tion: 
‘‘SEC. 714. COVERAGE OF IMMUNOSUPPRESSIVE DRUGS 
FOR KIDNEY TRANSPLANT RECIPIENTS. 
‘‘A group health plan (and a health insurance issuer 
offering health insurance coverage in connection with a 
group health plan) shall provide coverage of immuno-
suppressive drugs in connection with a kidney transplant 
that is at least as comprehensive as the coverage provided 
by such plan or issuer on the day before the date of enact-
ment of the Comprehensive Immunosuppressive Drug 
Coverage for Kidney Transplant Patients Act of 2007, 
and such requirement shall be deemed to be incorporated 
into this section.’’. 
VerDate Aug 31 2005 
03:20 Aug 04, 2007
Jkt 059200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H3282.IH
H3282
hmoore on PRODPC68 with HMBILLS
(2) CONFORMING AMENDMENTS.— 
(A) Section 732(a) of the Employee Retire-
ment Income Security Act of 1974 (29 U.S.C. 
1185(a)) is amended by striking ‘‘section 711’’ 
and inserting ‘‘sections 711 and 714’’. 
(B) The table of contents in section 1 of 
the Employee Retirement Income Security Act 
of 1974 is amended by inserting after the item 
relating to section 713 the following new item: 
‘‘Sec. 714. Coverage of immunosuppressive drugs.’’. 
(c) APPLICATION TO GROUP HEALTH PLANS UNDER 
THE INTERNAL REVENUE CODE OF 1986.—Subchapter B 
of chapter 100 of the Internal Revenue Code of 1986 is 
amended— 
(1) in the table of sections, by inserting after 
the item relating to section 9812 the following new 
item: 
‘‘Sec. 9813. Coverage of immunosuppressive drugs for kidney transplant recipi-
ents.’’; 
and 
(2) by inserting after section 9812 the fol-
lowing: 
‘‘SEC. 9813. COVERAGE OF IMMUNOSUPPRESSIVE DRUGS 
FOR KIDNEY TRANSPLANT RECIPIENTS. 
‘‘A group health plan shall provide coverage of im-
munosuppressive drugs in connection with a kidney trans-
VerDate Aug 31 2005 
03:20 Aug 04, 2007
Jkt 059200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H3282.IH
H3282
hmoore on PRODPC68 with HMBILLS
plant that is at least as comprehensive as the coverage 
provided by such plan on the day before the date of enact-
ment of the Comprehensive Immunosuppressive Drug 
Coverage for Kidney Transplant Patients Act of 2007, 
and such requirement shall be deemed to be incorporated 
into this section.’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to plan years beginning on or after 
January 1, 2008. 
Æ 
VerDate Aug 31 2005 
03:20 Aug 04, 2007
Jkt 059200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6301
E:\BILLS\H3282.IH
H3282
hmoore on PRODPC68 with HMBILLS