Text of Senate Amendment 4701

Text of Senate Amendment 4701

Congressional Record, Volume 172 Issue 50 (Thursday, March 19, 2026) [Congressional Record Volume 172, Number 50 (Thursday, March 19, 2026)] [Senate] [Page S1406] From the Congressional Record Online through the Government Publishing Office [ www.gpo.gov ] SA 4701. Mr. WELCH (for himself, Mr. Wyden, Ms. Cortez Masto, Mr. Lujan, and Mr. Van Hollen) submitted an amendment intended to be proposed by him to the bill S. 1383, to establish the Veterans Advisory Committee on Equal Access, and for other purposes; which was ordered to lie on the table; as follows: At the appropriate place, insert the following: SEC. __. TREATMENT OF ORPHAN DRUGS UNDER THE MEDICARE DRUG PRICE NEGOTIATION PROGRAM. (a) In General.--Section 1192(e) of the Social Security Act (42 U.S.C. 1320f-1(e)) is amended-- (1) in paragraph (1), in the matter preceding subparagraph (A), by striking ``through (4)'' and inserting ``and (3)''; (2) in paragraph (3)-- (A) by striking subparagraph (A); (B) by redesignating subparagraphs (B) and (C) as subparagraphs (A) and (B), respectively; and (C) in subparagraph (A)(iii), as redesignated by subparagraph (B) of this paragraph, by striking ``with respect to'' and inserting ``subject to paragraph (4), with respect to''; and (3) by striking paragraph (4) and inserting the following new paragraph: ``(4) Treatment of orphan drugs.--In the case of a drug that is designated as a drug for one or more rare diseases or conditions and for which the only approved indication (or indications) is for one or more such rare diseases or conditions (as such term is defined in section 526(a)(2) of the Federal Food, Drug, and Cosmetic Act), paragraph (3)(A) shall be applied by substituting `$400,000,000' for `$200,000,000' in clause (i) of such paragraph.''. (b) Application.--The amendments made by subsection (a) shall apply with respect to initial price applicability years (as defined in section 1191(b) of the Social Security Act (42 U.S.C. 1320f(b))) beginning on or after January 1, 2028. ______