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110TH CONGRESS 
1ST SESSION 
H. R. 4 
To amend part D of title XVIII of the Social Security Act to require 
the Secretary of Health and Human Services to negotiate lower covered 
part D drug prices on behalf of Medicare beneficiaries. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 5, 2007 
Mr. DINGELL (for himself, Mrs. EMERSON, Mr. RANGEL, Ms. SHEA-PORTER, 
Mr. WAXMAN, Mr. STARK, Mr. ACKERMAN, Mr. ALLEN, Mr. ALTMIRE, 
Mr. ANDREWS, Mr. ARCURI, Mr. BACA, Mr. BAIRD, Ms. BALDWIN, Mr. 
BECERRA, Ms. BERKLEY, Mr. BERMAN, Mr. BERRY, Mr. BISHOP of New 
York, Mr. BLUMENAUER, Ms. BORDALLO, Mr. BOSWELL, Mr. BOUCHER, 
Ms. BOYDA of Kansas, Mr. BRADY of Pennsylvania, Mr. BRALEY of Iowa, 
Mr. BUTTERFIELD, Mrs. CAPPS, Mr. CAPUANO, Mr. CARDOZA, Mr. 
CARNAHAN, 
Mr. 
CARNEY, 
Ms. 
CASTOR, 
Mr. 
CHANDLER, 
Mrs. 
CHRISTENSEN, Ms. CLARKE, Mr. CLAY, Mr. CLEAVER, Mr. CLYBURN, 
Mr. COHEN, Mr. CONYERS, Mr. COOPER, Mr. COSTELLO, Mr. 
COURTNEY, Mr. CROWLEY, Mr. CUELLAR, Mr. CUMMINGS, Mr. DAVIS of 
Illinois, Mr. DAVIS of Alabama, Mr. DEFAZIO, Ms. DEGETTE, Mr. 
DELAHUNT, Ms. DELAURO, Mr. DICKS, Mr. DOGGETT, Mr. DONNELLY, 
Mr. DOYLE, Mr. ELLISON, Mr. ELLSWORTH, Mr. EMANUEL, Ms. ESHOO, 
Mr. FALEOMAVAEGA, Mr. FARR, Mr. FATTAH, Mr. FILNER, Mr. FRANK 
of Massachusetts, Ms. GIFFORDS, Mrs. GILLIBRAND, Mr. GORDON of 
Tennessee, Mr. AL GREEN of Texas, Mr. GENE GREEN of Texas, Mr. 
GRIJALVA, Mr. HALL of New York, Mr. HARE, Ms. HARMAN, Mr. 
HASTINGS of Florida, Ms. HERSETH, Mr. HIGGINS, Mr. HILL, Mr. HIN-
CHEY, Ms. HIRONO, Mr. HODES, Mr. HOLDEN, Mr. HONDA, Ms. 
HOOLEY, Mr. HOYER, Mr. ISRAEL, Mr. JACKSON of Illinois, Ms. JACK-
SON-LEE of Texas, Mr. JOHNSON of Georgia, Mr. KAGEN, Ms. KAPTUR, 
Mr. KILDEE, Mr. KIND, Mr. KLEIN of Florida, Mr. KUCINICH, Mr. 
LANGEVIN, Mr. LANTOS, Mr. LARSEN of Washington, Mr. LARSON of 
Connecticut, Ms. LEE, Mr. LEVIN, Mr. LEWIS of Georgia, Mr. LIPINSKI, 
Mr. LOEBSACK, Ms. ZOE LOFGREN of California, Mr. LYNCH, Mr. 
MAHONEY of Florida, Mrs. MALONEY of New York, Mr. MARKEY, Ms. 
MATSUI, Mrs. MCCARTHY of New York, Ms. MCCOLLUM of Minnesota, 
Mr. MCDERMOTT, Mr. MCGOVERN, Mr. MCNERNEY, Mr. MCNULTY, Mr. 
MEEHAN, Mr. MEEK of Florida, Mr. MICHAUD, Ms. MILLENDER- 
MCDONALD, Mr. GEORGE MILLER of California, Mr. MITCHELL, Mr. 
MOORE of Kansas, Mr. MORAN of Virginia, Mr. CHRISTOPHER MURPHY 
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of Pennsylvania, Mr. NADLER, Mrs. NAPOLITANO, Ms. NORTON, Mr. 
OBERSTAR, Mr. OBEY, Mr. OLVER, Mr. ORTIZ, Mr. PALLONE, Mr. 
PASCRELL, Mr. PASTOR, Mr. PAYNE, Mr. PERLMUTTER, Mr. POMEROY, 
Mr. RAHALL, Mr. REYES, Mr. RODRIGUEZ, Mr. ROSS, Mr. ROTHMAN, 
Ms. ROYBAL-ALLARD, Mr. RUPPERSBERGER, Mr. RUSH, Mr. RYAN of 
Ohio, Mr. SALAZAR, Ms. LINDA T. SA´NCHEZ of California, Mr. SAR-
BANES, Ms. SCHAKOWSKY, Mr. SCHIFF, Mr. SCOTT of Georgia, Mr. 
SCOTT of Virginia, Mr. SERRANO, Mr. SESTAK, Mr. SIRES, Mr. SKEL-
TON, Ms. SLAUGHTER, Mr. SNYDER, Ms. SOLIS, Mr. SPACE, Mr. 
SPRATT, Mr. STUPAK, Ms. SUTTON, Mrs. TAUSCHER, Mr. THOMPSON of 
Mississippi, Mr. THOMPSON of California, Mr. TIERNEY, Mrs. JONES of 
Ohio, Mr. UDALL of New Mexico, Mr. VAN HOLLEN, Ms. VELA´ZQUEZ, 
Mr. WALZ of Minnesota, Ms. WASSERMAN SCHULTZ, Ms. WATERS, Ms. 
WATSON, Mr. WEINER, Mr. WELCH of Vermont, Mr. WEXLER, Mr. WIL-
SON of Ohio, Ms. WOOLSEY, Mr. WU, Mr. WYNN, Mr. YARMUTH, and 
Mr. HINOJOSA) introduced the following bill; which was referred to the 
Committee on Energy and Commerce, and in addition to the Committee 
on Ways and Means, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To amend part D of title XVIII of the Social Security 
Act to require the Secretary of Health and Human Serv-
ices to negotiate lower covered part D drug prices on 
behalf of Medicare beneficiaries. 
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 ‘‘Medicare Prescription 
Drug Price Negotiation Act of 2007’’. 
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SEC. 2. NEGOTIATION OF LOWER COVERED PART D DRUG 
PRICES ON BEHALF OF MEDICARE BENE-
FICIARIES. 
(a) NEGOTIATION BY HHS.—Section 1860D–11 of 
the Social Security Act (42 U.S.C. 1395w–111) is amend-
ed by striking subsection (i) (relating to noninterference) 
and inserting the following: 
‘‘(i) NEGOTIATION OF LOWER DRUG PRICES.— 
‘‘(1) IN GENERAL.—Notwithstanding any other 
provision of law, the Secretary shall negotiate with 
pharmaceutical manufacturers the prices (including 
discounts, rebates, and other price concessions) that 
may be charged to PDP sponsors and MA organiza-
tions for covered part D drugs for part D eligible in-
dividuals who are enrolled under a prescription drug 
plan or under an MA–PD plan. 
‘‘(2) 
NO
CHANGE
IN
RULES
FOR 
FORMULARIES.— 
‘‘(A) IN GENERAL.—Nothing in paragraph 
(1) shall be construed to authorize the Sec-
retary to establish or require a particular for-
mulary. 
‘‘(B) CONSTRUCTION.—Subparagraph (A) 
shall not be construed as affecting the Sec-
retary’s authority to ensure appropriate and 
adequate access to covered part D drugs under 
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prescription drug plans and under MA–PD 
plans, including compliance of such plans with 
formulary requirements under section 1860D– 
4(b)(3). 
‘‘(3) CONSTRUCTION.—Nothing in this sub-
section shall be construed as preventing the sponsor 
of a prescription drug plan, or an organization offer-
ing an MA–PD plan, from obtaining a discount or 
reduction of the price for a covered part D drug 
below the price negotiated under paragraph (1). 
‘‘(4) SEMI-ANNUAL REPORTS TO CONGRESS.— 
Not later than June 1, 2007, and every six months 
thereafter, the Secretary shall submit to the Com-
mittees on Ways and Means, Energy and Commerce, 
and Oversight and Government Reform of the House 
of Representatives and the Committee on Finance of 
the Senate a report on negotiations conducted by the 
Secretary to achieve lower prices for Medicare bene-
ficiaries, and the prices and price discounts achieved 
by the Secretary as a result of such negotiations.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect on the date of the enact-
ment of this Act and shall first apply to negotiations and 
prices for plan years beginning on January 1, 2008. 
Æ 
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