An act to amend title XVIII of the Social Security Act to prohibit Medicare part D plans from restricting pharmacies from informing individuals regarding the prices for certain drugs and biologicals
PL 115-262 (S.2553), enacted 10/10/2018

132 STAT. 3669 
PUBLIC LAW 115–261—OCT. 9, 2018 
LEGISLATIVE HISTORY—S. 2559: 
SENATE REPORTS: No. 115–261 (Comm. on the Judiciary). 
CONGRESSIONAL RECORD, Vol. 164 (2018): 
June 28, considered and passed Senate. 
Sept. 25, considered and passed House. 
‘‘(2) limit to eligible persons and authorized entities the 
distribution of accessible format copies by the authorized entity; 
‘‘(3) discourage the reproduction and distribution of 
unauthorized copies; 
‘‘(4) maintain due care in, and records of, the handling 
of copies of works by the authorized entity, while respecting 
the privacy of eligible persons on an equal basis with others; 
and 
‘‘(5) facilitate effective cross-border exchange of accessible 
format copies by making publicly available— 
‘‘(A) the titles of works for which the authorized entity 
has accessible format copies or phonorecords and the spe-
cific accessible formats in which they are available; and 
‘‘(B) information on the policies, practices, and author-
ized entity partners of the authorized entity for the cross- 
border exchange of accessible format copies. 
‘‘(d) Nothing in this section shall be construed to establish— 
‘‘(1) a cause of action under this title; or 
‘‘(2) a basis for regulation by any Federal agency. 
‘‘(e) Nothing in this section shall be construed to limit the 
ability to engage in any activity otherwise permitted under this 
title. 
‘‘(f) For purposes of this section— 
‘‘(1) the terms ‘accessible format’, ‘authorized entity’, and 
‘eligible person’ have the meanings given those terms in section 
121; and 
‘‘(2) the term ‘Marrakesh Treaty’ means the Marrakesh 
Treaty to Facilitate Access to Published Works by Visually 
Impaired Persons and Persons with Print Disabilities concluded 
at Marrakesh, Morocco, on June 28, 2013.’’. 
(b) TABLE OF SECTIONS AMENDMENT.—The table of sections 
for chapter 1 of title 17, United States Code, is amended by inserting 
after the item relating to section 121 the following: 
‘‘121A. Limitations on exclusive rights: reproduction for blind or other people with 
disabilities in Marrakesh Treaty countries.’’. 
Approved October 9, 2018. 
17 USC 
prec. 101. 
Definitions. 
Public 
information. 
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132 STAT. 3670 
PUBLIC LAW 115–262—OCT. 10, 2018 
Public Law 115–262 
115th Congress 
An Act 
To amend title XVIII of the Social Security Act to prohibit Medicare part D plans 
from restricting pharmacies from informing individuals regarding the prices for 
certain drugs and biologicals. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Know the Lowest Price Act 
of 2018’’. 
SEC. 2. PROHIBITION ON LIMITING CERTAIN INFORMATION ON DRUG 
PRICES. 
(a) IN GENERAL.—Section 1860D–4 of the Social Security Act 
(42 U.S.C. 1395w–104) is amended by adding at the end the fol-
lowing new subsection: 
‘‘(m) PROHIBITION ON LIMITING CERTAIN INFORMATION ON DRUG 
PRICES.—A PDP sponsor and a Medicare Advantage organization 
shall ensure that each prescription drug plan or MA–PD plan 
offered by the sponsor or organization does not restrict a pharmacy 
that dispenses a prescription drug or biological from informing, 
nor penalize such pharmacy for informing, an enrollee in such 
plan of any differential between the negotiated price of, or 
copayment or coinsurance for, the drug or biological to the enrollee 
under the plan and a lower price the individual would pay for 
the drug or biological if the enrollee obtained the drug without 
using any health insurance coverage.’’. 
42 USC 1305 
note. 
Know the Lowest 
Price Act of 2018. 
Oct. 10, 2018 
[S. 2553] 
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132 STAT. 3671 
PUBLIC LAW 115–262—OCT. 10, 2018 
LEGISLATIVE HISTORY—S. 2553: 
CONGRESSIONAL RECORD, Vol. 164 (2018): 
Sept. 4, considered and passed Senate. 
Sept. 25, considered and passed House. 
DAILY COMPILATION OF PRESIDENTIAL DOCUMENTS (2018): 
Oct. 10, Presidential remarks. 
(b) EFFECTIVE DATE.—The amendment made by subsection (a) 
shall apply to plan years beginning on or after January 1, 2020. 
Approved October 10, 2018. 
42 USC 
1395w–104 note. 
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