‘‘(ii) under a State Pharmaceutical 
Assistance Program; 
‘‘(iii) by the Indian Health Service, an 
Indian tribe or tribal organization, or an 
urban Indian organization (as defined in 
section 4 of the Indian Health Care Im-
provement Act); or 
‘‘(iv) under an AIDS Drug Assistance 
Program under part B of title XXVI of the 
Public Health Service Act. 
‘‘(2) INFORMATION
EXCHANGE.—The provi-
sions of section 1860D–2(b)(4)(D) shall apply for 
purposes of this subsection in the same manner as 
such provisions apply for purposes of section 
1860D–2(b)(4). 
‘‘(f) COORDINATION.—The Secretary shall provide 
for such procedures as is necessary, including by requiring 
submission of information from PDP sponsors, to imple-
ment the provisions of this section and apply the OOP 
drug catastrophic limit applicable to costs incurred for eli-
gible Medicare drugs for purposes of coverage of such 
drugs under part B and this part. 
‘‘(g) ELIGIBLE MEDICARE DRUGS.— 
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‘‘(1) IN GENERAL.—For purposes of this sec-
tion, the term ‘eligible Medicare drug’ means any of 
the following: 
‘‘(A) A covered part D drug. 
‘‘(B) Subject to paragraph (2), a drug or 
biological paid for under section 1833(t), 1847, 
1847A, or 1847B. 
‘‘(2) EXCEPTION.—A drug or biological de-
scribed in paragraph (1)(B) does not include a drug 
or biological furnished as part of a grouping of items 
and services and paid for as such a grouping in an 
ambulatory payment classification under section 
1833(t) (instead of separately payable under such 
section).’’. 
(b) APPLICATION
OF OOP DRUG CATASTROPHIC 
LIMIT UNDER PART B.—Section 1833 of the Social Secu-
rity Act— 
(1) in subsection (a)(1)(S), by inserting ‘‘sub-
ject to subsection (bb),’’ before ‘‘the amounts paid’’; 
(2) by redesignating the subsection (z), relating 
to medical review of spinal subluxation services, as 
subsection (aa); and 
(3) by adding at the end the following new sub-
section: 
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‘‘(bb) APPLICATION OF OOP DRUG CATASTROPHIC 
LIMIT.—If an individual covered under this part incurs 
out-of-pocket costs described in subsection (e) of section 
1860D–14B for eligible Medicare drugs (as defined in 
subsection (g) of such section) furnished to such individual 
during a year that equals the OOP drug catastrophic limit 
specified in subsection (d) of such section for such year, 
subsection (a)(1)(S) shall be applied with respect to ex-
penses incurred for eligible Medicare drugs described in 
subsection (g)(1)(B) of such section furnished to such in-
dividual during the remainder of the year as if the ref-
erence in such subsection (a)(1)(S) to ‘80 percent’ were 
a reference to ‘100 percent’.’’. 
(c) PREMIUM HOLD HARMLESS.— 
(1) IN GENERAL.—Section 1839(a)(1) of the 
Social Security Act (42 U.S.C. 1395r(a)(1)) is 
amended by inserting ‘‘, payments under section 
1860D–14B, additional payments by reason of appli-
cation 
of 
section 
1833(bb),’’ 
after 
‘‘section 
1853(l)(3)’’. 
(2) PAYMENT.—Section 1844(a) of the Social 
Security Act (42 U.S.C. 1395w(a)) is amended— 
(A) in paragraph (3), by striking the pe-
riod at the end and inserting ‘‘; plus’’; and 
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(B) by inserting after paragraph (3) the 
following new paragraph: 
‘‘(4) a Government contribution equal to the 
amount of catastrophic limit coverage subsidies pay-
able under section 1860D–14B and additional pay-
ments 
by 
reason 
of 
application 
of 
section 
1833(bb).’’. 
(d) CONFORMING AMENDMENTS.—Section 1860D– 
2(b) of the Social Security Act— 
(1) in paragraph (2)(A), by inserting ‘‘and sec-
tion 1860D–14B’’ after ‘‘subparagraphs (C) and 
(D)’’; 
(2) in paragraph (2)(C)(i), by inserting ‘‘and 
subject to section 1860D–14B’’ after ‘‘para-
graph(4)’’; 
(3) in paragraph (2)(D)(i), by inserting ‘‘and 
subject to section 1860D–14B’’ after ‘‘para-
graph(4)’’; 
(4) in paragraph (3)(A), by striking ‘‘and (4)’’ 
and inserting ‘‘and (4) and subject to section 
1860D–14B’’; and 
(5) in paragraph (4)(A)(i), by inserting ‘‘sub-
ject to section 1860D–14B,’’ after ‘‘subparagraph 
(B),’’. 
Æ 
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