I 
110TH CONGRESS 
1ST SESSION 
H. R. 932 
To amend part D of title XVIII of the Social Security Act to limit the 
monthly amount of prescription drug cost-sharing for full-benefit dual 
eligible individuals and other lowest-income individuals under the Medi-
care prescription drug program. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 8, 2007 
Mr. CROWLEY (for himself, Mr. PASCRELL, Mr. LEWIS of Georgia, Mr. 
SERRANO, Mr. TOWNS, Ms. MOORE of Wisconsin, Mr. HALL of New 
York, Mr. HINCHEY, Mr. MCNULTY, and Ms. BERKLEY) introduced the 
following bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To amend part D of title XVIII of the Social Security 
Act to limit the monthly amount of prescription drug 
cost-sharing for full-benefit dual eligible individuals and 
other lowest-income individuals under the Medicare pre-
scription drug program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. LIMITATION ON THE MONTHLY AMOUNT OF 
PRESCRIPTION DRUG COST-SHARING FOR 
FULL-BENEFIT DUAL ELIGIBLE INDIVIDUALS 
AND OTHER LOWEST-INCOME INDIVIDUALS 
UNDER THE MEDICARE PRESCRIPTION DRUG 
PROGRAM. 
(a) IN GENERAL.—Section 1860D–14(a) of the So-
cial Security Act (42 U.S.C. 1395w–114(a)) is amended— 
(1) in paragraph (1)(D), by adding at the end 
the following new clause: 
‘‘(iv) MONTHLY
LIMITATION
ON
CO-
PAYMENTS.—In no case shall the total of 
the copayments under this subparagraph 
for an individual for covered part D drugs 
in a month exceed $10.’’; and 
(2) in paragraph (4), by adding at the end the 
following new subparagraph: 
‘‘(C) LIMITATION
ON
COPAYMENT
FOR 
LOWEST
INCOME
INDIVIDUALS.—The dollar 
amount applied under paragraph (1)(D)(iv)— 
‘‘(i) for the first year beginning after 
the date of the enactment of this subpara-
graph shall be the dollar amount specified 
in such paragraph increased by the annual 
percentage increase in the consumer price 
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index (all items; U.S. city average) as of 
September of the previous year; or 
‘‘(ii) for a subsequent year shall be 
the dollar amount specified in this clause 
(or clause (i)) for the previous year in-
creased by the annual percentage increase 
in the consumer price index (all items; 
U.S. city average) as of September of the 
previous year. 
Any amount established under clause (i) or (ii) 
that is not a multiple of $1 shall be rounded to 
the nearest multiple of $1.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply to benefits for years beginning 
after the date of the enactment of this Act. 
Æ 
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