[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1476 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 1476

 To amend title XVIII of the Social Security Act to provide a phase-in 
  for plasma-derived products under the manufacturer discount program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           February 21, 2025

 Mr. Hudson (for himself, Mr. Davis of North Carolina, Mr. Murphy, and 
 Mr. Peters) 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 title XVIII of the Social Security Act to provide a phase-in 
  for plasma-derived products under the manufacturer discount program.

    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 ``Preserving Life-saving Access to 
Specialty Medicines in America Act'' or the ``PLASMA Act''.

SEC. 2. PHASE-IN FOR PLASMA-DERIVED PRODUCTS UNDER MANUFACTURER 
              DISCOUNT PROGRAM.

    Section 1860D-14C(g)(4) of the Social Security Act (42 U.S.C. 
1395w-114c(g)(4)) is amended--
            (1) in subparagraph (A), in the matter preceding clause 
        (i), by striking ``and (C)'' and inserting ``, (C), and (D)'';
            (2) by redesignating subparagraphs (D) and (E) as 
        subparagraphs (E) and (F), respectively; and
            (3) by inserting after subparagraph (C) the following:
                    ``(D) Phase-in for plasma-derived products.--
                            ``(i) In general.--For 2026 and subsequent 
                        years, subject to clause (iv), in the case of 
                        an applicable drug of a manufacturer that is a 
                        plasma-derived product (as defined in clause 
                        (ii)), and that is marketed as of August 16, 
                        2022, and dispensed for an applicable 
                        beneficiary, the term `discounted price' means 
                        the specified plasma-derived product percent 
                        (as defined in clause (iii)) of the negotiated 
                        price of the applicable drug of the 
                        manufacturer.
                            ``(ii) Plasma-derived product.--In this 
                        subparagraph, the term `plasma-derived product' 
                        means an applicable drug that is a biological 
                        product that is derived from human whole blood 
                        or plasma.
                            ``(iii) Specified plasma-derived product 
                        percent.--In this subparagraph, the term 
                        `specified plasma-derived product percent' 
                        means, with respect to a year--
                                    ``(I) for an applicable drug that 
                                is a plasma-derived product dispensed 
                                for an applicable beneficiary who has 
                                not incurred costs, as determined in 
                                accordance with section 1860D-
                                2(b)(4)(C), for covered part D drugs in 
                                the year that are equal to or exceed 
                                the annual out-of-pocket threshold 
                                specified in section 1860D-
                                2(b)(4)(B)(i) for the year--
                                            ``(aa) for 2026, 99 
                                        percent;
                                            ``(bb) for 2027, 98 
                                        percent;
                                            ``(cc) for 2028, 95 
                                        percent;
                                            ``(dd) for 2029, 92 
                                        percent; and
                                            ``(ee) for 2030 and each 
                                        subsequent year, 90 percent; 
                                        and
                                    ``(II) for an applicable drug that 
                                is a plasma-derived product dispensed 
                                for an applicable beneficiary who has 
                                incurred costs, as determined in 
                                accordance with section 1860D-
                                2(b)(4)(C), for covered part D drugs in 
                                the year that are equal to or exceed 
                                the annual out-of-pocket threshold 
                                specified in section 1860D-
                                2(b)(4)(B)(i) for the year--
                                            ``(aa) for 2026, 99 
                                        percent;
                                            ``(bb) for 2027, 98 
                                        percent;
                                            ``(cc) for 2028, 95 
                                        percent;
                                            ``(dd) for 2029, 92 
                                        percent;
                                            ``(ee) for 2030, 90 
                                        percent;
                                            ``(ff) for 2031, 85 
                                        percent; and
                                            ``(gg) for 2032 and each 
                                        subsequent year, 80 percent.
                            ``(iv) Limitations.--This subparagraph 
                        shall not apply with respect to the following:
                                    ``(I) Certain drugs dispensed to 
                                lis beneficiaries.--An applicable drug 
                                described in subparagraph (B)(i).
                                    ``(II) Specified small 
                                manufacturers.--An applicable drug 
                                described in subparagraph (C)(i).''.
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