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1 1 (July 24, 2019)

handle is hein.congrec/prescdred0001 and id is 1 raw text is: Congressional Budget Office July 24, 2019 By Fiscal Year, Millions of Dollars 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 TITLE I-MEDICAREa Subtitle A-Part B 101. Improving manfacturers' reporting of average sales prices to set accurate payment rates 102. Inclusion of value of coupons in determination of average sales price for drugs, biologicals, and biosimilars under Medicare Part B 103. Reduced WAC-based payments for new drugs, biologicals, and biosimilars 104. Payment for biosimilar biological products during initial period 105. Temporary increase in Medicare Part B payment for biosimilar biological products 106. Improvements to Medicare site-of-service transparency 107. Medicare Part B rebate by manufacturers for drugs or biologicals with prices increasing faster than inflation 108. Requiring manufacturers of certain single-dose vial drugs payable under Part B of the Medicare program to provide refunds with respect to discarded amounts of such drugs 109. Clarification of Medicare average sales price payment methodology 110. Establishment of maximum add-on payment for drugs, biologicals, and biosimilars 111. Treatment of drug administration services furnished by an off-campus outpatient department of a provider Increases or Decreases (-) in Direct Spending Outlays decreases direct spending 0 -30 -140 -150 -150 -170 -180 -200 -220 -210 -10 -20 -20 -20 -20 -20 -30 -30 -30 -30 0 -1 -1 -1 -1 -1 -1 -1 -1 -1 sign unclear 0 0 0 0 0 0 0 0 0 0 0 -90 -740 -1,080 decreases direct spending decreases direct spending decreases direct spending -1,230 -1,450 -1,520 -1,540 -1,570 -1,470 0 -10 -25 -40 -55 -65 -70 -75 -85 -80 Page 1 of 3

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