S. 2320Senate110th Congress (2007-2009)In Committee

Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2007

Introduced November 7, 2007

Legislative Activity

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2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S14067)

November 7, 2007

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SenateIntro Referral

Introduced in Senate

November 7, 2007

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S14066-14067)

November 7, 2007

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S14067)

November 7, 2007

Floor Debate

24 members

What members said about S. 2320 on the floor

14 Republicans9 Democrats1 Independent
Kent Conrad
Sen. Kent ConradD-ND · Mar 23, 2007

Mr. President, first, I thank the Chaplain for the most excellent prayer that he offered today. I think it set the right tone for today's discussions. I hope very much that while we may disagree…

Judd Gregg
Sen. Judd GreggR-NH · Mar 23, 2007

Mr. President, I begin by returning the courtesies of the chairman and doing it with sincerity. The chairman and his staff have been gracious and fair with us and, obviously, they are always…

Jon Kyl
Sen. Jon KylR-AZ · Mar 23, 2007

Mr. President, I am glad we are having the debate about the death tax. I regret the amendment I proposed a couple days ago was voted down. There were some suggestions it was because of the capital…

Bernard Sanders
Sen. Bernard SandersI-VT · Mar 23, 2007

Mr. President, the amendment the majority leader and I are offering today is the first step in our effort this Congress to undo a fundamental unfairness that affects over 300,000 disabled veterans in…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · Mar 23, 2007

Mr. President, as ranking member of the Senate Committee on Small Business and Entrepreneurship, I rise to draw attention to funding for our Nation's small businesses, which has systematically…

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John F. Kerry
Sen. John F. KerryD-MA · Mar 23, 2007

Mr. President, I want to thank my colleagues for supporting the amendment Senator Snowe and I offered to provide an additional $97 million to the Small Business Administration. This amendment was…

Jim DeMint
Sen. Jim DeMintR-SC · Mar 23, 2007

Mr. President, may I inquire, is amendment No. 513 next? I have a minute to speak? Yes. Mr. President, this amendment is called the Debt Reduction Appropriation Account. Currently, while all of us,…

Jeff Bingaman
Sen. Jeff BingamanD-NM · Mar 23, 2007

Madam President, I call up amendment No. 587. I ask unanimous consent that reading of the amendment be dispensed with. Madam President, the purpose of this amendment is to take away any incentive to…

Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Mar 23, 2007

Mr. President, I thank the manager of the bill. I call up amendment No. 574. I ask unanimous consent that reading of the amendment be dispensed with. I ask unanimous consent to add Senator Boxer as a…

Ben Nelson
Sen. Ben NelsonD-NE · Mar 23, 2007

Mr. President, I send an amendment to the desk and ask for its immediate consideration. President, this amendment provides a fiscally sound alternative for estate tax reform. It represents a fiscally…

Orrin G. Hatch
Sen. Orrin G. HatchR-UT · Mar 23, 2007

Mr. President, I call up amendment No. 508. Mr. President, I have offered amendment No. 508 to ensure that Congress continues to protect Medicare beneficiaries' coverage choices, especially for those…

Blanche L. Lincoln
Sen. Blanche L. LincolnD-AR · Mar 23, 2007

Mr. President, I thank my colleague, Senator Nelson, as well as Chairman Baucus and Ranking Member Grassley, who have helped us in the direction of moving forward to something that is realistic in…

Sam Brownback
Sen. Sam BrownbackR-KS · Mar 23, 2007

Mr. President, I have an amendment to the bill that creates a BRAC-type process for the rest of Government. I think this is one where we have a lot of priorities that people are interested in, yet…

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Craig Thomas
Sen. Craig ThomasR-WY · Mar 23, 2007

Mr. President, I send an amendment to the desk, and I ask for its immediate consideration. Mr. President, I ask that the reading of the amendment be dispensed with. Mr. President, very quickly, this…

Arlen Specter
Sen. Arlen SpecterR-PA · Mar 23, 2007

Mr. President, I call up amendment No. 613, as modified. Mr. President, after very considerable negotiation, it is my understanding this amendment is acceptable. I thank Senator Conrad, Senator…

Mark L. Pryor
Sen. Mark L. PryorD-AR · Mar 23, 2007

Mr. President, I believe I am limited to 1 minute; is that correct? Yes, I offer amendment No. 601. Mr. President, I rise today to offer amendment No. 601, and I encourage my colleagues to look at it…

Elizabeth Dole
Sen. Elizabeth DoleR-NC · Mar 23, 2007

Mr. President, I have an amendment at the desk and ask for its immediate consideration. I ask unanimous consent that reading of the amendment be dispensed with. The amendment I offer today is…

Wayne Allard
Sen. Wayne AllardR-CO · Mar 23, 2007

Mr. President, I call up amendment No. 521 and ask for its immediate consideration. Mr. President, I ask unanimous consent that the reading of the amendment be dispensed with. Mr. President, this is…

Gordon H. Smith
Sen. Gordon H. SmithR-OR · Mar 23, 2007

Mr. President, I call up amendment No. 510 and ask that it be modified with the changes at the desk. I ask unanimous consent that the reading of the amendment be dispensed with. Mr. President, I also…

Jim Bunning
Sen. Jim BunningR-KY · Mar 23, 2007

Mr. President, I ask unanimous consent that the pending amendment be set aside and that amendment No. 621 at the desk be called up for immediate consideration. I have sent a copy of the amendment to…

Max Baucus
Sen. Max BaucusD-MT · Mar 23, 2007

Mr. President, on April 11, the Finance Committee is going to be holding a hearing on Medicare Advantage plans and other providers' plans that affect Medicare. We want to do this right. We want to do…

Harry Reid
Sen. Harry ReidD-NV · Mar 23, 2007

With no 5 minutes. That is fine with me. We have gone 15 minutes. Mr. President, the clerks have a difficult time going through these votes in 10 minutes. They can do it, but it would be a lot easier…

Chuck Grassley
Sen. Chuck GrassleyR-IA · Mar 23, 2007

Do I have to wait for my amendment to be reported? Mr. President, my amendment repeals the AMT. Except for the telephone tax, the alternative minimum tax is the phoniest tax we have ever passed. The…

Lindsey Graham
Sen. Lindsey GrahamR-SC · Mar 23, 2007

Mr. President, I call up amendment No. 478 and ask for its immediate consideration. Mr. President, I ask unanimous consent that reading of the amendment be dispensed with. Mr. President, this…

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in SenateIssued November 7, 2007

II

110th CONGRESS

1st Session

S. 2320

IN THE SENATE OF THE UNITED STATES

November 7, 2007

Mr. Durbin (for himself and Mr. Cochran) 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 provide continued entitlement to coverage for immunosuppressive drugs furnished to beneficiaries under the Medicare Program that have received a kidney transplant and whose entitlement to coverage would otherwise expire, and for other purposes.

1.

Short title

This Act may be cited as the Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2007.

2.

Provision of appropriate coverage of immunosuppressive drugs under the Medicare Program for kidney transplant recipients

(a)

Continued entitlement to immunosuppressive drugs

(1)

Kidney transplant recipients

Section 226A(b)(2) of the Social Security Act (42 U.S.C. 426–1(b)(2)) is amended by inserting (except for coverage of immunosuppressive drugs under section 1861(s)(2)(J)) after shall end.

(2)

Application

Section 1836 of the Social Security Act (42 U.S.C. 1395o) is amended—

(A)

by striking Every individual who and inserting (a) In General.—Every individual who; and

(B)

by adding at the end the following new subsection:

(b)

Special rules applicable to individuals only eligible for coverage of immunosuppressive drugs

(1)

In General

In the case of an individual whose eligibility for benefits under this title has ended except for the coverage of immunosuppressive drugs by reason of section 226A(b)(2), the following rules shall apply:

(A)

The individual shall be deemed to be enrolled under this part for purposes of receiving coverage of such drugs.

(B)

The individual shall be responsible for the full amount of the premium under section 1839 in order to receive such coverage.

(C)

The provision of such drugs shall be subject to the application of—

(i)

the deductible under section 1833(b); and

(ii)

the coinsurance amount applicable for such drugs (as determined under this part).

(D)

If the individual is an inpatient of a hospital or other entity, the individual is entitled to receive coverage of such drugs under this part.

(2)

Establishment of procedures in order to implement coverage

The Secretary shall establish procedures for—

(A)

identifying beneficiaries that are entitled to coverage of immunosuppressive drugs by reason of section 226A(b)(2); and

(B)

distinguishing such beneficiaries from beneficiaries that are enrolled under this part for the complete package of benefits under this part.

.

(3)

Technical amendment

Subsection (c) of section 226A of the Social Security Act (42 U.S.C. 426–1), as added by section 201(a)(3)(D)(ii) of the Social Security Independence and Program Improvements Act of 1994 (Public Law 103–296; 108 Stat. 1497), is redesignated as subsection (d).

(b)

Extension of secondary payer requirements for ESRD beneficiaries

Section 1862(b)(1)(C) of the Social Security Act (42 U.S.C. 1395y(b)(1)(C)) is amended by adding at the end the following new sentence: With regard to immunosuppressive drugs furnished on or after the date of enactment of the Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2007, this subparagraph shall be applied without regard to any time limitation..

(c)

Effective date

The amendments made by this section shall apply to drugs furnished on or after the date of enactment of this Act.

3.

Plans required to maintain coverage of immunosuppressive drugs for kidney transplant recipients

(a)

Application to certain health insurance coverage

(1)

In General

Subpart 2 of part A of title XXVII of the Public Health Service Act (42 U.S.C. 300gg–4 et seq.) is amended by adding at the end the following:

2707.

Coverage of immunosuppressive drugs for kidney transplant recipients

A group health plan (and a health insurance issuer offering health insurance coverage in connection with a group health plan) shall provide coverage of immunosuppressive drugs in connection with a kidney transplant that is at least as comprehensive as the coverage provided by such plan or issuer on the day before the date of enactment of the Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2007, and such requirement shall be deemed to be incorporated into this section.

.

(2)

Conforming amendment

Section 2721(b)(2)(A) of the Public Health Service Act (42 U.S.C. 300gg–21(b)(2)(A)) is amended by inserting (other than section 2707) after requirements of such subparts.

(b)

Application to group health plans and group health insurance coverage under the Employee Retirement Income Security Act of 1974

(1)

In General

Subpart B of part 7 of subtitle B of title I of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1185 et seq.) is amended by adding at the end the following new section:

714.

Coverage of immunosuppressive drugs for kidney transplant recipients

A group health plan (and a health insurance issuer offering health insurance coverage in connection with a group health plan) shall provide coverage of immunosuppressive drugs in connection with a kidney transplant that is at least as comprehensive as the coverage provided by such plan or issuer on the day before the date of enactment of the Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2007, and such requirement shall be deemed to be incorporated into this section.

.

(2)

Conforming amendments

(A)

Section 732(a) of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1191(a)) is amended by striking section 711 and inserting sections 711 and 714.

(B)

The table of contents in section 1 of the Employee Retirement Income Security Act of 1974 is amended by inserting after the item relating to section 713 the following new item:

Sec. 714. Coverage of immunosuppressive drugs.

.

(c)

Application to group health plans under the Internal Revenue Code of 1986

Subchapter B of chapter 100 of the Internal Revenue Code of 1986 is amended—

(1)

in the table of sections, by inserting after the item relating to section 9812 the following new item:

Sec. 9813. Coverage of immunosuppressive drugs for kidney transplant recipients.

;

and
(2)

by inserting after section 9812 the following:

9813.

Coverage of immunosuppressive drugs for kidney transplant recipients

A group health plan shall provide coverage of immunosuppressive drugs in connection with a kidney transplant that is at least as comprehensive as the coverage provided by such plan on the day before the date of enactment of the Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2007, and such requirement shall be deemed to be incorporated into this section.

.

(d)

Effective date

The amendments made by this section shall apply to plan years beginning on or after January 1, 2008.