S.Amdt. 3874

SA 3874. Ms. KLOBUCHAR (for herself, Mr. Grassley, and Mr. Menendez)
submitted an amendment intended to be proposed to amendment SA 3695
proposed by Mr. Shelby to the bill H.R. 6157, making appropriations for
the Department of Defense for the fiscal year ending September 30,
2019, and for other purposes; which was ordered to lie on the table; as
follows:

At the appropriate place in division B, insert the
following:
Sec. __. (a) Joint Action Plan.--The Commissioner of Food
and Drugs, in coordination with the Administrator of the
Centers for Medicare & Medicaid Services, shall develop a
joint action plan, in consultation with healthcare providers
and patient advocates (including relevant Federal advisory
committees) that--
(1) utilizes data from Medicare claims on how much of a
single-use drug was not administered, examines single-use
vial sizes in other countries, and analyzes the drug approval
process for alternative vial size safety and efficacy
approaches, to reduce drug waste and better manage costs with
respect to drug vial sizes and other drug delivery systems,
as appropriate; and
(2) includes quantifiable metrics and specific timelines.
(b) Report.--Not later than 1 year after the date of
enactment of this Act, the Commissioner of Food and Drugs, in
coordination with the Administrator of the Centers for
Medicare & Medicaid Services, shall submit to Congress the
joint action plan described in subsection (a) and a report
containing recommendations for any legislative action needed
to reduce drug waste and better manage costs with respect to
drug vial sizes and other drug delivery systems, as
appropriate.
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