S.1365 - Part D Beneficiary Appeals Fairness Act113th Congress (2013-2014)
|Sponsor:||Sen. Nelson, Bill [D-FL] (Introduced 07/25/2013)|
|Committees:||Senate - Finance|
|Latest Action:||07/25/2013 Read twice and referred to the Committee on Finance.|
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Summary: S.1365 — 113th Congress (2013-2014)All Bill Information (Except Text)
Introduced in House (07/25/2013)
Part D Beneficiary Appeals Fairness Act - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act, with respect to a prescription drug plan (PDP) that provides for any tiered cost-sharing within a formulary (including a structure that provides for different co-payment or coinsurance amounts for drugs in different tiers included within the formulary), to authorize a Medicare part D eligible individual enrolled in the plan to request an exception to the tiered cost-sharing structure.
States that in no case may the Secretary of Health and Human Services (HHS) allow a PDP sponsor to make any formulary tier of the tiered cost-sharing structure (including a formulary tier used for very high cost or unique items) ineligible for lower-cost sharing through an exception.