I 115th CONGRESS 2d Session H. R. 6488 IN THE HOUSE OF REPRESENTATIVES July 24, 2018 Mr. Barton (for himself and Mr. Michael F. Doyle of Pennsylvania ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To amend title XI of the Social Security Act to exempt from certain criminal penalties the offering and use of certain pharmaceutical manufacturer copayment coupons to waive or reduce cost-sharing otherwise applied under the Medicare prescription drug benefit.

1. Short title This Act may be cited as the Seniors Accessing Vouchers Equally Act or the SAVE Act . 2. Exempting from certain criminal penalties the offering and use of certain pharmaceutical manufacturer coupons to waive or reduce cost-sharing otherwise applied under the Medicare prescription drug benefit (a) In general Section 1128B(b)(3)(G) of the Social Security Act (42 U.S.C. 1320a–7b(b)(3)(G)) is amended— (1) by striking the waiver or reduction by pharmacies and inserting (i) the waiver or reduction by pharmacies ; (2) by inserting and after that section); ; and (3) by adding at the end the following: (ii) with respect to a covered part D drug of a manufacturer, the waiver or reduction (not otherwise described in clause (i)) by pharmacies (including pharmacies of the Indian Health Service, Indian tribes, tribal organizations, and urban Indian organizations) or the manufacturer of any cost-sharing imposed under part D of title XVIII for such drug through the use of a pharmaceutical manufacturer coupon, but only if there is not a generic version of such drug; . (b) Effective date The amendments made by subsection (a) shall apply with respect to covered part D drugs dispensed on or after January 1, 2019.