Page 61

136 STAT. 1877 PUBLIC LAW 117–169—AUG. 16, 2022 (3) COORDINATION WITH MEDICAID REBATE INFORMATION DISCLOSURE.—Section 1927(b)(3)(D)(i) of the Social Security Act (42 U.S.C. 1396r–8(b)(3)(D)(i)), as amended by sections 11002(b) and 11101(c)(3), is amended by striking ‘‘or section 1192(f), including rebates under paragraph (4) of such section’’ and inserting ‘‘, section 1192(f), including rebates under paragraph (4) of such section, or section 1860D–14B’’. (4) EXCLUDING PART D DRUG INFLATION REBATES FROM AVERAGE MANUFACTURER PRICE.—Section 1927(k)(1)(B)(i) of the Social Security Act (42 U.S.C. 1396r–8(k)(1)(B)(i)), as amended by section 11001(b)(3) and section 11101(c)(4), is amended by adding at the end the following new subclause: (A) in subclause (VI), by striking ‘‘and’’ at the end; (B) in subclause (VII), by striking the period at the end and inserting a semicolon; and (C) by adding at the end the following new subclause: ‘‘(VIII) rebates paid by manufacturers under section 1860D–14B.’’. (c) FUNDING.—In addition to amounts otherwise available, there are appropriated to the Centers for Medicare & Medicaid Services, out of any money in the Treasury not otherwise appropriated, $80,000,000 for fiscal year 2022, including $12,500,000 to carry out the provisions of, including the amendments made by, this section in fiscal year 2022, and $7,500,000 to carry out the provi- sions of, including the amendments made by, this section in each of fiscal years 2023 through 2031, to remain available until expended. PART 3—PART D IMPROVEMENTS AND MAX- IMUM OUT-OF-POCKET CAP FOR MEDICARE BENEFICIARIES SEC. 11201. MEDICARE PART D BENEFIT REDESIGN. (a) BENEFIT STRUCTURE REDESIGN.—Section 1860D–2(b) of the Social Security Act (42 U.S.C. 1395w–102(b)) is amended— (1) in paragraph (2)— (A) in subparagraph (A), in the matter preceding clause (i), by inserting ‘‘for a year preceding 2025 and for costs above the annual deductible specified in paragraph (1) and up to the annual out-of-pocket threshold specified in paragraph (4)(B) for 2025 and each subsequent year’’ after ‘‘paragraph (3)’’; (B) in subparagraph (C)— (i) in clause (i), in the matter preceding subclause (I), by inserting ‘‘for a year preceding 2025,’’ after ‘‘paragraph (4),’’; and (ii) in clause (ii)(III), by striking ‘‘and each subse- quent year’’ and inserting ‘‘through 2024’’; and (C) in subparagraph (D)— (i) in clause (i)— (I) in the matter preceding subclause (I), by inserting ‘‘for a year preceding 2025,’’ after ‘‘para- graph (4),’’; and (II) in subclause (I)(bb), by striking ‘‘a year after 2018’’ and inserting ‘‘each of years 2019 through 2024’’; and Time periods. Time periods. VerDate Sep 11 2014 13:57 Oct 25, 2022 Jkt 029139 PO 00169 Frm 00061 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL169.117 PUBL169 jmbennett on LAP3P8D0R2PROD with Publaw