S. 2652Senate108th Congress (2003-2005)Introduced

Medicare Prescription Drug Savings and Choice Act of 2004

Introduced July 14, 2004

Legislative Activity

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3 earlier actions
SenateCalendars Latest Action

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 639.

July 15, 2004

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SenateIntro Referral

Introduced in Senate

July 14, 2004

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S8119-8122)

July 14, 2004

SenateCalendars

Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

July 14, 2004

SenateCalendars

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 639.

July 15, 2004

Floor Debate

21 members

What members said about S. 2652 on the floor

10 Republicans11 Democrats
Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · Jul 14, 2004

Mr. President, I am privileged to represent a State that values families and the tradition of this country as much or more than any State in our Nation. We are the 14th State in the Union. We are a…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Jul 14, 2004

Mr. President, those who are following the business of the Senate understand that just a few moments ago, we had a vote on the floor of the Senate on the proposed constitutional amendment dealing…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Jul 14, 2004

Mr. President, those who are following the business of the Senate understand that just a few moments ago, we had a vote on the floor of the Senate on the proposed constitutional amendment dealing…

Norm Coleman
Sen. Norm ColemanR-MN · Jul 14, 2004

Mr. President, I rise in support of the United States- Australia Free Trade Agreement. I support the agreement because 8,000 Minnesotan manufacturers, which employ some 350,000 families in my State,…

John Cornyn
Sen. John CornynR-TX · Jul 14, 2004

Mr. President, when I came to the Senate I learned a new aphorism, referring to the debates and sometimes repetitive arguments you tend to hear by Members of Congress. Someone told me: ``Well,…

Show 8 more
Judd Gregg
Sen. Judd GreggR-NH · Jul 14, 2004

Mr. President, I rise today to talk about some of the issues which are pending before this Senate which are not being considered because the other side of the aisle refuses to take them up. I am…

Arlen Specter
Sen. Arlen SpecterR-PA · Jul 14, 2004

Mr. President, I seek recognition today to discuss my vote and views on the Federal marriage amendment. I am voting in favor of cloture on the motion to proceed to this amendment. I do so primarily…

Rick Santorum
Sen. Rick SantorumR-PA · Jul 14, 2004

Mr. President, there is no problem. We are just here because we are playing politics. We are alarmists. There is no problem out there. The Massachusetts Supreme Court didn't rule that the legislature…

Christopher J. Dodd
Sen. Christopher J. DoddD-CT · Jul 14, 2004

Mr. President, I will share a few thoughts on the subject matter at hand. We are shortly going to vote, I believe, on the motion to proceed on the constitutional amendment banning same-sex marriage.…

Jon S. Corzine
Sen. Jon S. CorzineD-NJ · Jul 14, 2004

Mr. President. I wish to discuss, regrettably, the so- called Federal marriage amendment. Regret is a key word when it comes to this amendment, for several reasons. It is regrettable that, in this…

Thomas R. Carper
Sen. Thomas R. CarperD-DE · Jul 14, 2004

Will the Senator yield? I do. I thank my colleague for yielding. There is a question I want to ask. But let my just say, first of all, I think you know how much I respect you and the high regard I…

Christopher J. Dodd
Sen. Christopher J. DoddD-CT · Jul 14, 2004

Mr. President, I rise today to introduce legislation with my colleagues Senator Kennedy and Senator Bingaman to jump-start school success for low-income children. Today we are introducing the Sandy…

Michael B. Enzi
Sen. Michael B. EnziR-WY · Jul 14, 2004

Mr. President, when the Supreme Court in Massachusetts issued its ruling on marriage it did what no court ought to do. It set itself apart from and above the State and Federal legislatures, and went…

Show 11 more
Mitch McConnell
Sen. Mitch McConnellR-KY · Jul 14, 2004

Mr. President, I support S.J. Res. 40, the Federal marriage amendment. The Constitution provides the basic framework under which our society will function. With its profound implications for the…

Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Jul 14, 2004

Mr. President, I rise today, along with Senators Biden, Specter, Kyl, Hollings and Allen, to introduce the Reducing Crime and Terrorism at America's Seaports Act of 2004--legislation designed to…

Pete V. Domenici
Sen. Pete V. DomeniciR-NM · Jul 14, 2004

Mr. President. There is no more important or essential substance to us than water. It is the source from which life springs. It also has the potential to be the source of incredible conflict ranging…

Carl Levin
Sen. Carl LevinD-MI · Jul 14, 2004

Mr. President, the Constitution is a document that should only be amended with great caution. This is one of those moments when we would be wise to submit the strong feelings on this issue to careful…

Joseph I. Lieberman
Sen. Joseph I. LiebermanD-CT · Jul 14, 2004

I yield to the Senator for a request. Go right ahead. Mr. President, I rise to express my opposition to the Federal marriage amendment because I believe this effort to amend the Constitution is…

Joseph R. Biden Jr.
Sen. Joseph R. Biden Jr.D-DE · Jul 14, 2004

Mr. President, I rise today to introduce the Reducing Crime and Terrorism at America's Seaports Act, along with Senators Specter, Feinstein, Kyl, Hollings, and Allen. Today's bill is a revised…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Jul 14, 2004

Mr. President. I am pleased today to introduce legislation with my friend and colleague, Senator Akaka, that would give Federal employees, retirees, and their families greater access to comprehensive…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Jul 14, 2004

Mr. President, I rise to speak on S.J. Res. 40, the Federal Marriage Amendment to the Constitution. Let me begin my remarks by plainly stating my position on the issues raised by this amendment.…

Harry Reid
Sen. Harry ReidD-NV · Jul 14, 2004

Mr. President, that will be taken off the Republican time; is that correct? Mr. President, Senator Dodd has time remaining--5 or 6 minutes. We yield that to Senator Leahy. I announce that the Senator…

Patty Murray
Sen. Patty MurrayD-WA · Jul 14, 2004

Mr. President, we are less than 2 weeks away from our summer recess, and we will soon attend our respective parties' conventions. It is important to ask what we have accomplished so far this year.…

Jeff Sessions
Sen. Jeff SessionsR-AL · Jul 14, 2004

Mr. President, I believe under the unanimous consent agreement Senator Santorum is to be recognized next. We discussed that. I ask unanimous consent that I be allowed to speak at this time for 5…

Bill Text

Latest available legislative text

Reading Mode
Latest
Placed on Calendar SenateIssued July 15, 2004
        [Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 2652 Placed on Calendar Senate (PCS)]

Calendar No. 639
108th CONGRESS
2d Session
S. 2652

To amend title XVIII of the Social Security Act to deliver a meaningful
benefit and lower prescription drug prices under the medicare program.

_______________________________________________________________________

IN THE SENATE OF THE UNITED STATES

July 14, 2004

Mr. Durbin (for himself, Mr. Dayton, and Mr. Levin) introduced the
following bill; which was read the first time

July 15, 2004

Read the second time and placed on the calendar

_______________________________________________________________________

A BILL

To amend title XVIII of the Social Security Act to deliver a meaningful
benefit and lower prescription drug prices under the medicare 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 ``Medicare Prescription Drug Savings
and Choice Act of 2004''.

SEC. 2. ESTABLISHMENT OF MEDICARE OPERATED PRESCRIPTION DRUG PLAN
OPTION.

(a) In General.--Subpart 2 of part D of the Social Security Act, as
added by section 101 of the Medicare Prescription Drug, Improvement,
and Modernization Act of 2003 (Public Law 108-173, 117 Stat. 2071), is
amended by inserting after section 1860D-11 the following new section:

``medicare operated prescription drug plan option

``Sec. 1860D-11A. (a) In General.--Notwithstanding any other
provision of this part, for each year (beginning with 2006), in
addition to any plans offered under section 1860D-11, the Secretary
shall offer one or more medicare operated prescription drug plans (as
defined in subsection (c)) with a service area that consists of the
entire United States and shall enter into negotiations with
pharmaceutical manufacturers to reduce the purchase cost of covered
part D drugs for eligible part D individuals in accordance with
subsection (b).
``(b) Negotiations.--Notwithstanding section 1860D-11(i), for
purposes of offering a medicare operated prescription drug plan under
this section, the Secretary shall negotiate with pharmaceutical
manufacturers with respect to the purchase price of covered part D
drugs and shall encourage the use of more affordable therapeutic
equivalents to the extent such practices do not override medical
necessity as determined by the prescribing physician. To the extent
practicable and consistent with the previous sentence, the Secretary
shall implement strategies similar to those used by other Federal
purchasers of prescription drugs, and other strategies, to reduce the
purchase cost of covered part D drugs.
``(c) Medicare Operated Prescription Drug Plan Defined.--For
purposes of this part, the term `medicare operated prescription drug
plan' means a prescription drug plan that offers qualified prescription
drug coverage and access to negotiated prices described in section
1860D-2(a)(1)(A). Such a plan may offer supplemental prescription drug
coverage in the same manner as other qualified prescription drug
coverage offered by other prescription drug plans.
``(d) Monthly Beneficiary Premium.--
``(1) Qualified prescription drug coverage.--The monthly
beneficiary premium for qualified prescription drug coverage
and access to negotiated prices described in section 1860D-
2(a)(1)(A) to be charged under a medicare operated prescription
drug plan shall be uniform nationally. Such premium for months
in 2006 shall be $35 and for months in succeeding years shall
be based on the average monthly per capita actuarial cost of
offering the medicare operated prescription drug plan for the
year involved, including administrative expenses.
``(2) Supplemental prescription drug coverage.--Insofar as
a medicare operated prescription drug plan offers supplemental
prescription drug coverage, the Secretary may adjust the amount
of the premium charged under paragraph (1).
``(3) Requirement for at least one plan with a $35 premium
in 2006.--The Secretary shall ensure that at least one medicare
operated prescription drug plan offered in 2006 has a monthly
premium of $35.''.
(b) Conforming Amendments.--
(1) Section 1860D-3(a) of the Social Security Act (42
U.S.C. 1395w-103(a)) is amended by adding at the end the
following new paragraph:
``(4) Availability of the medicare operated prescription
drug plan.--
``(A) In general.--A medicare operated prescription
drug plan (as defined in section 1860D-11A(c)) shall be
offered nationally in accordance with section 1860D-
11A.
``(B) Relationship to other plans.--
``(i) In general.--Subject to clause (ii),
a medicare operated prescription drug plan
shall be offered in addition to any qualifying
plan or fallback prescription drug plan offered
in a PDP region and shall not be considered to
be such a plan for purposes of meeting the
requirements of this subsection.
``(ii) Designation as a fallback plan.--
Notwithstanding any other provision of this
part, the Secretary may designate the medicare
operated prescription drug plan as the fallback
prescription drug plan for any fallback service
area (as defined in section 1860D-11(g)(3))
determined to be appropriate by the
Secretary.''.
(2) Section 1860D-13(c)(3) of such Act (42 U.S.C. 1395w-
113(c)(3)) is amended--
(A) in the heading, by inserting ``and medicare
operated prescription drug plans'' after ``Fallback
plans''; and
(B) by inserting ``or a medicare operated
prescription drug plan'' after ``a fallback
prescription drug plan''.
(3) Section 1860D-16(b)(1) of such Act (42 U.S.C. 1395w-
116(b)(1)) is amended--
(A) in subparagraph (C), by striking ``and'' after
the semicolon at the end;
(B) in subparagraph (D), by striking the period at
the end and inserting ``; and''; and
``(E) payments for expenses incurred with respect
to the operation of medicare operated prescription drug
plans under section 1860D-11A.''.
(4) Section 1860D-41(a) of such Act (42 U.S.C. 141(a)) is
amended by adding at the end the following new paragraph:
``(19) Medicare operated prescription drug plan.--The term
`medicare operated prescription drug plan' has the meaning
given such term in section 1860D-11A(c).''.
(c) Effective Date.--The amendments made by this section shall take
effect as if included in the enactment of section 101 of the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 (Public
Law 108-173; 117 Stat. 2071).

Calendar No. 639

108th CONGRESS

2d Session

S. 2652

_______________________________________________________________________

A BILL

To amend title XVIII of the Social Security Act to deliver a meaningful
benefit and lower prescription drug prices under the medicare program.

_______________________________________________________________________

July 15, 2004

Read the second time and placed on the calendar