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110TH CONGRESS 
1ST SESSION H. R. 4054 
To amend title XIX of the Social Security Act to restore and protect access 
to Medicaid discount drug prices for university-based and safety-net clinics. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 1, 2007 
Mr. CROWLEY (for himself, Mr. RAMSTAD, Mr. RYAN of Ohio, Mr. KIRK, Mr. 
SCHIFF, Ms. MCCOLLUM of Minnesota, Mr. MCDERMOTT, Mrs. LOWEY, 
Mr. WAXMAN, Ms. SLAUGHTER, Ms. CLARKE, Mrs. MCCARTHY of New 
York, Mrs. BOYDA of Kansas, Mr. MEEKS of New York, Mrs. MALONEY 
of New York, Mrs. TAUSCHER, Mr. GEORGE MILLER of California, Mr. 
MOORE
of Kansas, Mr. NADLER, Ms. CASTOR, Mr. ALLEN, Mr. 
CARNAHAN, Ms. CORRINE BROWN of Florida, Ms. SCHAKOWSKY, Mr. 
MICHAUD, Mr. FILNER, Mr. BERMAN, Mr. CLAY, Mr. PATRICK J. MUR-
PHY of Pennsylvania, Mr. BLUMENAUER, Mrs. DAVIS of California, Mr. 
LANTOS, Mr. SIRES, Ms. NORTON, Ms. BERKLEY, Mr. MCNULTY, Mr. 
AL GREEN of Texas, Mr. VAN HOLLEN, Ms. DEGETTE, Mr. MORAN of 
Virginia, Mr. MITCHELL, Ms. DELAURO, Ms. SUTTON, Mr. GRIJALVA, 
Ms. HIRONO, Ms. HOOLEY, Ms. MATSUI, Mr. HONDA, Mr. HINCHEY, Mr. 
BOUCHER, Mr. FARR, Mr. CLEAVER, Ms. LORETTA SANCHEZ of Cali-
fornia, Mr. COURTNEY, Mr. MCGOVERN, Mr. PASCRELL, Mr. ISRAEL, 
Ms. BALDWIN, Mr. ACKERMAN, Ms. LINDA T. SA´NCHEZ of California, 
Mrs. NAPOLITANO, Ms. MOORE of Wisconsin, Mr. DENT, Mr. OLVER, 
Ms. LEE, Ms. WASSERMAN SCHULTZ, Mrs. CAPPS, Mr. WYNN, Mr. INS-
LEE, Mr. PAYNE, Ms. GIFFORDS, Mr. SMITH of Washington, Mr. WU, 
Mr. BRALEY of Iowa, Mr. KENNEDY, Mr. TOWNS, Mr. LOEBSACK, Ms. 
SOLIS, Ms. SCHWARTZ, Ms. ROYBAL-ALLARD, Mr. SHAYS, Mr. COHEN, 
Mr. ELLISON, Mr. FRANK of Massachusetts, Mr. SERRANO, Mr. HALL 
of New York, Mr. BISHOP of New York, Mr. DEFAZIO, Mr. WALZ of 
Minnesota, Mr. JEFFERSON, Ms. ZOE LOFGREN of California, Mr. 
WEXLER, Mr. JACKSON of Illinois, Mr. KIND, Mr. YARMUTH, Mr. ROTH-
MAN, Mr. MILLER of North Carolina, Mr. HASTINGS of Florida, Mr. 
WELCH of Vermont, Mr. KAGEN, Mr. KLEIN of Florida, Mr. FATTAH, 
Mr. GENE GREEN of Texas, and Mr. STARK) introduced the following 
bill; which was referred to the Committee on Energy and Commerce 
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HR 4054 IH1S 
A BILL 
To amend title XIX of the Social Security Act to restore 
and protect access to Medicaid discount drug prices for 
university-based and safety-net clinics. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Prevention Through 
Affordable Access Act’’. 
SEC. 2. RESTORING AND PROTECTING ACCESS TO DIS-
COUNT 
DRUG 
PRICES 
FOR 
UNIVERSITY- 
BASED AND SAFETY-NET CLINICS. 
(a) 
RESTORING
NOMINAL
PRICING.—Section 
1927(c)(1)(D)(i) of the Social Security Act (42 U.S.C. 
1396r–8(c)(1)(D)(i)) is amended— 
(1) by redesignating subclause (IV) as sub-
clause (VI); and 
(2) by inserting after subclause (III) the fol-
lowing new subclauses: 
‘‘(IV) An entity that is operated 
by a health center of an institution of 
higher education, the primary purpose 
of which is to provide health services 
to students of that institution. 
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‘‘(V) An entity that is a public or 
private nonprofit entity that provides 
a service or services described under 
section 1001(a) of the Public Health 
Service Act.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
this section shall be effective as of the date of the enact-
ment of this Act. 
Æ 
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