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42 U.S.C. § 1395w–114dSelected drug subsidy program

submitted 91 years ago by Pub. L. 117-169 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 150 words · no verdicts yet

in plain englishAI-generated · not legal advice

This section requires a 10-percent subsidy for certain covered Part D drugs excluded from the manufacturer discount program as selected drugs. The subsidy applies to eligible beneficiaries who have not reached the annual out-of-pocket threshold.

For a covered Part D drug that would be an applicable drug under section 1395w–114c(g)(2) except for its selected-drug exclusion, the Secretary must create a process for an applicable beneficiary enrolled in a prescription-drug or MA–PD plan who has not reached the annual out-of-pocket threshold and is dispensed that drug. The Secretary must periodically and timely give the plan sponsor or MA organization a subsidy equal to 10 percent of the drug’s negotiated price under section 1395w–114c(g)(6).
the actual law source: uscode.house.gov ↗public domain

With respect to covered part D drugs that would be applicable drugs (as defined in section 1395w–114c(g)(2) of this title) but for the application of subparagraph (B) of such section, the Secretary shall provide a process whereby, in the case of an applicable beneficiary (as defined in section 1395w–114c(g)(1) of this title) who, with respect to a year, is enrolled in a prescription drug plan or is enrolled in an MA–PD plan, has not incurred costs that are equal to or exceed the annual out-of-pocket threshold specified in section 1395w–102(b)(4)(B)(i) of this title, and is dispensed such a drug, the Secretary (periodically and on a timely basis) provides the PDP sponsor or the MA organization offering the plan, a subsidy with respect to such drug that is equal to 10 percent of the negotiated price (as defined in section 1395w–114c(g)(6) of this title) of such drug.

Source credit: (Aug. 14, 1935, ch. 531, title XVIII, § 1860D–14D, as added Pub. L. 117–169, title I, § 11201(c)(1), Aug. 16, 2022, 136 Stat. 1888.)

history & why it existsrecord from the source credit
  • 1935Enacted · Pub. L. 117-169 · 136 Stat. 1888

A history note hasn’t been published yet. The record shows enactment by Pub. L. 117-169 on 1935-08-14.

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