; or (2) increasing amounts available to the National Institutes of Health for research and development of drugs. 203. Acceleration of the closing of the Medicare Part D coverage gap (a) Reduction in coinsurance Section 1860D–2(b)(2) of the Social Security Act ( 42 U.S.C. 1395w–102(b)(2) ) is amended— (1) in each of subclauses (II) and (III) of subparagraph (C)(ii), by striking 2020 and inserting 2018 ; and (2) in subparagraph (D)(ii)— (A) in subclause (II), by inserting and at the end