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Code · BILL · 117th Congress · H.R. 19 (Introduced in House) — To provide for certain reforms with respect to the Medicare program under title XVIII of the Social Security Act, the... · Sec. 501

Sec. 501. Payment for biosimilar biological products during initial period

168 words·~1 min read·/bill/117/hr/19/ih/section-501

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Section 1847A(c)(4) of the Social Security Act (42 U.S.C. 1395w–3a(c)(4)) is amended— in each of subparagraphs
(A)and (B), by redesignating clauses
(i)and
(ii)as subclauses
(I)and (II), respectively, and moving such subclauses 2 ems to the right; by redesignating subparagraphs
(A)and
(B)as clauses
(i)and
(ii)and moving such clauses 2 ems to the right; by striking and inserting “ unavailable .—In the case unavailable .— Subject to subparagraph (B), in the case ; and by adding at the end the following new subparagraph: In the case of a biosimilar biological product furnished on or after July 1, 2023, in lieu of applying subparagraph
(A)during the initial period described in such subparagraph with respect to the biosimilar biological product, the amount payable under this section for the biosimilar biological product is the lesser of the following: The amount determined under clause
(ii)of such subparagraph for the biosimilar biological product. The amount determined under subsection (b)(1)(B) for the reference biological product. .
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  • 42 USC 1395w–3a(c)(4)
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Sec. 501
Payment for biosimilar biological products during initial period
Cite42 USC 1395w–3a(c)(4)
Cites 1Cited by 0 across 0 sources
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