S. 345Senate109th Congress (2005-2007)In Committee

Medicare Prescription Drug Savings and Choice Act of 2005

Introduced February 10, 2005

Legislative Activity

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3 earlier actions
SenateIntro Referral Latest Action

Sponsor introductory remarks on measure. (CR S10525-10526)

September 27, 2005

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SenateIntro Referral

Introduced in Senate

February 10, 2005

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S1272-1273)

February 10, 2005

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S1273)

February 10, 2005

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S10525-10526)

September 27, 2005

Floor Debate

23 members

What members said about S. 345 on the floor

8 Republicans14 Democrats1 Independent
John McCain
Sen. John McCainR-AZ · Feb 10, 2005

Mr. President, I am pleased today to be joined with Senator Lieberman in introducing the Climate Stewardship Act of 2005. This bill is nearly identical to a proposal we offered during the 108th…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · Feb 10, 2005

Mr. President, I rise today to introduce the Coastal Zone Enhancement Reauthorization Act of 2005. I am pleased to have worked with my cosponsor, Senator Kerry, in developing this bill, which will…

Larry E. Craig
Sen. Larry E. CraigR-ID · Feb 10, 2005

Mr. President, I have introduced what I believe to be a very important piece of legislation that the Senate will consider this year, dealing with an issue that is certainly on the minds of many…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Feb 10, 2005

Mr. President, the recent shortage of H-2B nonimmigrant visas for ernporary or seasonal non-agricultural foreign workers is a matter of great concern to many small businesses in my home state of…

Daniel K. Inouye
Sen. Daniel K. InouyeD-HI · Feb 10, 2005

Mr. President, today I am introducing the Marine Debris Research and Reduction Act. From the shore, our oceans seem vast and limitless, but I fear that we often overlook the impacts our actions have…

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Barbara A. Mikulski
Sen. Barbara A. MikulskiD-MD · Feb 10, 2005

Mr. President, I rise today to continue the fight to right a wrong in America's visa program. I believe it's time for America to extend the Visa Waiver program to Poland. I'm pleased to have formed a…

Joseph I. Lieberman
Sen. Joseph I. LiebermanD-CT · Feb 10, 2005

Mr. President, I am honored to rise with my friend and colleague from Arizona, Senator McCain, to introduce the Climate Stewardship Act. It is an urgent matter. I was thinking of one clause that I…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Feb 10, 2005

Mr. President, today I am introducing a bill to honor Abraham Lincoln in 2009, the bicentennial of his birth, by issuing a series of 1-cent coins with designs on the reverse that are emblematic of…

Jeff Bingaman
Sen. Jeff BingamanD-NM · Feb 10, 2005

Mr. President, I rise today to introduce the next generation of Hispanic Serving Institutions legislation. This legislation is critical if we, as a Nation, are going to continue to compete in a…

Bill Nelson
Sen. Bill NelsonD-FL · Feb 10, 2005

Mr. President, I am pleased to be joined by my colleagues and cosponsors Senators Jay Rockefeller and Richard Lugar as we introduce the Advance Directives Improvement and Education Act of 2005.…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Feb 10, 2005

Mr. President, I would speak for a moment, if I could, on an issue which is near and dear to not just seniors but their families. Last night, CMS Administrator Mark McClellan acknowledged the…

John Warner
Sen. John WarnerR-VA · Feb 10, 2005

Mr. President, I rise today in support of S. 352, the Save Our Small and Seasonal Businesses Act. This legislation, which I'm proud to cosponsor, would provide emergency relief to thousands of small…

Byron L. Dorgan
Sen. Byron L. DorganD-ND · Feb 10, 2005

Mr. President, there are many issues we confront these days that are significant and serious. I wanted to bring one to the attention of the Chamber as I introduce legislation. I send a bill to the…

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Harry Reid
Sen. Harry ReidD-NV · Feb 10, 2005

Mr. President, we have long recognized that our country has an obligation to take care of the brave men and women who wear the uniform of the United States--and their families. Sixty years ago we…

Richard G. Lugar
Sen. Richard G. LugarR-IN · Feb 10, 2005

Mr. President, I rise to introduce the Assistance for Orphans and Other Vulnerable Children in Developing Countries Act of 2005. On October 7, 2004, I introduced S. 2939, a bill to improve our…

Debbie Stabenow
Sen. Debbie StabenowD-MI · Feb 10, 2005

Mr. President, I rise today to reintroduce the Canadian Waste Import Ban Act of 2005, to address the rapidly growing problem of Canadian waste shipments to Michigan. Michigan has been known for its…

Rick Santorum
Sen. Rick SantorumR-PA · Feb 10, 2005

Mr. President, I rise today to introduce, along with Senator Mikulski, a bill that would designate Poland as a program country under the Visa Waiver Program under section 217 of the Immigration…

Frank R. Lautenberg
Sen. Frank R. LautenbergD-NJ · Feb 10, 2005

Mr. President, I rise to introduce the Responsible Education About Life or ``REAL'' Act along with my cosponsors Senators Kennedy, and Mrs. Murray. The REAL Act aims to reduce adolescent pregnancy,…

James M. Jeffords
Sen. James M. JeffordsI-VT · Feb 10, 2005

Mr. President, I am proud to be a strong supporter and original cosponsor of the Save Our Small and Seasonal Businesses Act, which is being introduced today. This legislation will ensure that the…

Barbara Boxer
Sen. Barbara BoxerD-CA · Feb 10, 2005

Mr. President, I am pleased to join my chairman of the Senate Foreign Relations I Committee, Senator Lugar, in reintroducing the Assistance for Orphans and Other Vulnerable Children in Developing…

Ron Wyden
Sen. Ron WydenD-OR · Feb 10, 2005

Mr. President, I am pleased today to introduce the Capital Construction Fund Qualified Withdrawal Act of 2005. My friend and colleague, Senator Smith, joins me in introducing this important bill. In…

Kent Conrad
Sen. Kent ConradD-ND · Feb 10, 2005

Mr. President, I rise today to introduce legislation to authorize the U.S. Army Corps of Engineers to construct a new municipal water supply system for the city of Devils Lake, ND. This project is…

Kay Bailey Hutchison
Sen. Kay Bailey HutchisonR-TX · Feb 10, 2005

Mr. President, I rise today to introduce a bill that will amend the Higher Education Act of 1965 to revise provisions for Hispanic-serving institutions, HSIs, under Title V, Developing Institutions.…

Edward M. Kennedy
Sen. Edward M. KennedyD-MA · Feb 10, 2005

Mr. President, it is a privilege to join my colleagues, Senators Kerry, Clinton, Sarbanes, Corzine, Mikulski, Dodd, Levin, Reed, Lieberman, Feingold, Inouye, and Akaka in introducing the Safe Nursing…

Bill Text

Latest available legislative text

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Latest
Introduced in SenateIssued February 10, 2005

II

109th CONGRESS

1st Session

S. 345

IN THE SENATE OF THE UNITED STATES

February 10, 2005

Mr. Durbin introduced the following bill; which was read twice and referred to the Committee on Finance

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.

1.

Short title

This Act may be cited as the Medicare Prescription Drug Savings and Choice Act of 2005.

2.

Establishment of medicare operated prescription drug plan option

(a)

In general

Subpart 2 of part D of the Social Security Act is amended by inserting after section 1860D–11 the following new section:

1860D–11A.

Medicare operated prescription drug plan option

(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

(C)

by adding at the end the following new subparagraph:

(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).