THE MEDICARE PRESCRIPTION DRUG, IMPROVEMENT, AND MODERNIZATION ACT OF 2003

THE MEDICARE PRESCRIPTION DRUG, IMPROVEMENT, AND MODERNIZATION ACT OF 2003 A Legislative History of P.L. 108-173 by Mike Welsh William S. Hein & Co., Inc Buffalo, New York 2007

ISBN 978-0-8377-1409-7 Introduction, selection, and arrangement of materials 2007 William S. Hein & Co., Inc. All rights reserved. Printed in the United States of America This volume is printed on acid-free paper by William S. Hein & Co., Inc.

SUMMARY TABLE OF CONTENTS Preface Table of Documents In printed volumes and CD-ROM Overview Law Conference Report Committee Reports, 108th Congress Committee Reports, 107th Congress Committee Reports, 106th Congress Debate, 108th Congress Senate Amendments Submitted, 108th Congress Debate, 108th Congress (continued) Debate, 107th Congress Related Debate Debate, 106th Congress In CD-ROM only Selected Markup Documents 108th Congress Senate Finance Committee House Ways and Means Committee Related to H.R. 2473 Related to H.R. 2351 Related to H.R. 2596

Bills, 108th Congress Major Bills Other Bills Bills, 107th Congress Bills, 106th Congress Hearings, 108th Congress Hearings, 107th Congress Hearings, 106th Congress Miscellaneous Remarks by Members Presidential Remarks and Signing Statement Government Accountability Office Report Congressional Research Service Reports

TABLE OF DOCUMENTS Note: The core documents, the law, reports and debate are contained in printed volumes 1 through 5. Hearings, markup documents, committee prints and other material are provided, along with the core documents, in the searchable CD-ROM included with this history. VOLUME 1 Overview CRS Report for Congress: Overview of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Law Doc. No. 1 Pub. Law 108-173, Medicare Prescription Drug, Improvement, and Modernization Act of 2003, signed December 8, 2003. Conference Report Doc. No. 2 H. Rpt. 108-391 (conf. rpt. on H.R. 1), November 21, 2003. VOLUME 2 Committee Reports, 108th Congress Doc. No. 3 Doc. No. 4 Doc. No. 5 H. Rpt. 108-181 (H. Rules Comm. on H. Res. 299 providing for consideration on H.R. 1 and H.R. 2596), June 26, 2003. H. Rpt. 108-178 pt. 2 (H. Ways and Means Comm. on H.R. 2473, Med. Mod. Prescription Drug Act), July 15, 2003. H. Rpt. 108-178 pt.1 (H. Energy and Commerce Comm. on H.R. 2473, Med. Mod. Prescription Drug Act), June 25, 2003.

Doc. No. 6 H. Rpt. 108-177 (H. Ways and Means Comm. on H.R. 2351, Health Savings Accounts), June 25, 2003. Doc. No. 7 H. Rpt. 108-74 pt. 2 (H. Energy and Commerce Comm., on H.R. 810, regulatory relief, contracting flexibility), April 29, 2003. VOLUME 3 Committee Reports, 108th Congress (continued) Doc. No. 8 H. Rpt. 108-74 pt. 1 (H. Ways and Means Comm. on H.R. 810, regulatory relief, contracting flexibility), April 11, 2003. Committee Reports, 107th Congress Doc. No. 9 Doc. No. 10 Doc. No. 11 Doc. No. 12 Doc. No. 13 Doc. No. 14 Doc. No. 15 Doc. No. 16 H. Rpt. 107-553 (H. Rules Comm. providing for consideration of H.R. 4954), June 26, 2002. H. Rpt. 107-551 pt. 1 (H. Energy and Commerce Comm. on H.R. 4984 (and H.R. 4985), Med. Mod. Prescription Drug Act, Title 1), June 26, 2002. H. Rpt. 107-550 pt. 1 (H. Energy and Commerce Comm., on H.R. 4988, relating to Medicare Part A), June 26, 2002. H. Rpt. 107-549 pt. 1 (H. Energy and Commerce Comm. on H.R. 4986, relating to Medicare Part B), June 26, 2002. H. Rpt. 107-547 (H. Energy and Commerce Comm. on H.R. 4991, relating to Medicaid DSH payments), June 26, 2002. H. Rpt. 107-545 (H. Energy and Commerce Comm. on H.R. 4989 relating to implementing elect. prescription drug programs), June 26, 2002. H. Rpt. 107-544 (H. Energy and Commerce Comm. on H.R. 4961 relating to creating a bipartisan commission on the future of Medicare), June 26, 2002. H. Rpt. 107-542 (H. Energy and Commerce Comm. on H.R. 4988, relating to Medicare Benefits Admin.), June 26, 2002.

Doc. No. 17 Doc. No. 18 Doc. No. 19 H. Rpt. 107-541 pt. 1 (H. Energy and Commerce Comm. on H.R. 4987, Medicare Parts A and B), June 26, 2002. H. Rpt. 107-540 pt. 1 (H. Energy and Commerce Comm. on H.R. 4962, relating to rural health care), June 26, 2002. H. Rpt. 107-539 pt. 1 (H. Ways and Means Comm. on H.R. 4954, relating to creating a voluntary prescription drug program), June 26, 2002. VOLUME 4 Committee Reports, 107th Congress (continued) Doc. No. 20 H. Rpt. 107-288 (H. Ways and Means Comm. on H.R. 2768 relating to regulatory relief and contracting flexibility), November 13, 2001. Committee Reports, 106th Congress Doc. No. 21 Doc. No. 22 H. Rpt. 106-705 (H. Rules Comm. providing for consideration of H.R. 4680, Medicare RX 2000 Act), June 28, 2000. H. Rpt. 106-703 pt. 1 (H. Ways and Means Comm. on H.R. 4680, Medicare RX 2000 Act), June 27, 2000. Debate, 108th Congress Cite 2003 Congressional Record: 149 Cong. Rec. page (daily ed., date) Doc. No. 23 Doc. No. 24 Doc. No. 25 Doc. No. 26 House consideration and passage of of H. Res. 299 (rule), and H.R. 1, June 26, 27, 2003, pgs. H5952 H6256. Senate consideration of S. 1, June 16, 2003, pgs. S7906 7922, S7941. Senate consideration of S. 1, June 17, 2003, pgs. S7947 7974, 8007 8 Senate consideration of S. 1, June 18, 2003, S8013 116, S8165.

Doc. No. 27 Doc. No. 28 Doc. No. 29 Doc. No. 30 Doc. No. 31 Senate consideration of S. 1, June 19, 2003, S8169 201, S8202 16. Senate consideration of S. 1, June 20, 2003, S8265 95, S8317. Senate consideration of S. 1, June 23, 2003, S8323 56, S8381. Senate consideration of S.1, June 24, 2003, S8386 426, S8429 31, S8478. Senate consideration of S.1, June 25, 2003, S8479 546, S8601. Doc. No. 32 Senate consideration and passage of S. 1, June 26, 2003, S8605 33, S8635 77, S8679 85, S8686 709. Senate Amendments Submitted, 108th Congress Doc. No. 33 Doc. No. 34 Doc. No. 35 Doc. No. 36 Amdts. submitted, June 18, 2003, pgs. S8161 2. Amdts. submitted, June 19, 2003, pgs. S8246 55. Amdts. submitted, June 20, 2003, pgs. S8308 15. Amdts. submitted, June 23, 2003, pgs. S8367 77. VOLUME 5 Senate Amendments Submitted, 108th Congress (continued) Doc. No. 37 Amdts. submitted, June 24, 2003, pgs. S8446 76 Doc. No. 38 Doc. No. 39 Amdts. submitted, June 25, 2003, pgs. S8578 96. Amdts. submitted, June 26, 2003, pgs. S8766 810. Debate, 108th Congress (continued) Cite 2003 Congressional Record: 149 Cong. Rec. page (daily ed., date) Doc. No. 40 Senate passage of H.R. 1 (text of S. 1 substituted), appointment of conferees, July 7, 2003, pgs. S8898 S8997.

Doc. No. 41 House disagreement to Senate amendment, appointment of conferees, July 14, 2003, p. H6658. Doc. No. 42 Conference report as printed in Cong. Rec., November 20, 2003, pgs. H11877 12102. Doc. No. 43 House passage of H. Res. 463 and conference report on H.R. 1, November 21, 2003, pgs. H12174 297. Doc. No. 44 Senate consideration of conference report on H.R. 1, November 22, 2003, pgs. S15519 69, S15574 89. Doc. No. 45 Senate consideration of conference report on H.R. 1, November 23, 2003, pgs. S15592 644. Doc. No. 46 Senate consideration of conference report on H.R. 1, November 24, 2003, pgs. S15670 771, S15879. Doc. No. 47 Senate consideration and passage of conference report on H.R. 1, November 25, 2003, pgs. S15882 915. Debate, 107th Congress Cite 2002 Congressional Record: 148 Cong. Rec. page (daily ed., date) Doc. No. 48 House consideration and passage of of H. Res. 465 and H.R. 4954 (Medicare Prescription Drug and Modernization Act of 2002), June 27, 2002, pgs. H4166 320. Related Debate Doc. No. 49 Doc. No. 50 Doc. No. 51 Senate consideration of S. 812 (Greater Access to Affordable Pharmaceuticals Act), July 17, 2002, pgs. S6878 931. Senate consideration and passage of S. 812 (Greater Access to Affordable Pharmaceuticals Act), July 31, 2002, pgs. S7618 51. House pass. H.R. 3391 (Medicare Regulatory and Contracting Reform Act), December 4, 2001, pgs. H8778 801, H8814 15.

Debate, 106th Congress Cite 2000 Congressional Record: 146 Cong. Rec. page (daily ed., date) Doc. No. 52 House consideration and passage of of H. Res. 539 and H.R. 4680 (Medicare RX 2000 Act:), June 28, 2000, pgs. H5300 415. Note: The items that follow (numbers 53 177) are contained in the full-text searchable CD-ROM included with this history. Selected Markup Documents 108th Congress Senate Finance Committee Doc. No. 53 Doc. No. 54 Doc. No. 55 Description of the Prescription Drug and Medicare Improvement Act of, May 17, 2003, Senate Finance Committee (http://finance.senate.gov/sitepages/leg/final% 20committee%20description%206-17.pdf). The Prescription Drug and Medicare Improvement Act of 2003, June 10, 2003, Senate Finance Committee (http:// finance.senate.gov/sitepages/leg/chairman%27s%20mark %20%20Final%206-10 03.pdf). Chairman s Modifications to: The Prescription Drug Modernization Act of 2003, June 10, 2003, Senate Finance Committee (http://finance.senate.gov/sitepages/leg/leg 061203modif.pdf). House Ways and Means Committee Related to H.R. 2473 Doc. No. 56 Medicare Prescription Drug and Modernization Act of 2003, June 19, 2003 Summary of H.R. 2473, House Ways and Means Committee (http://waysandmeans.house.gov/ media/pdf/hr2473/hr2473summary.pdf).

Doc. No. 57 Amendments to the Chairman s Amendment in the Nature of a Substitute to H.R. 2473 Adopted in Committee During Markup (http://waysandmeans.house.gov/media/pdf/hr2473/ hr2473adoptedamendments.pdf). Doc. No. 58 Amendment in the Nature of a Substitute to H.R. 2473 Offered by Mr. Thomas, June 17, 2003 (Chairman s Mark) (http://waysandmeans.house.gov/media/pdf/hr2473/hr147 82subst.pdf). Related to H.R. 2351 Doc. No. 59 Description of the Chairman s Amendment I the Nature of a Substitute to H.R. 2351, the Health Savings Account Availability Act, scheduled for a markup on June 19, 2003, Joint Committee on Taxation, June 18, 2003, JCX 63-03. Doc. No. 60 Amendment in the Nature of a Substitute to H.R. 2351 Offered by Mr. Thomas, June 18, 2003 (Chairman s Mark) (http://waysandmeans.house.gov/media/pdf/hr2351/2351 substitute.pdf). Related to H.R. 2596 Doc. No. 61 Joint Tax Committee, Technical Explanation of H.R. 2596 the Health Savings and Affordability Act of 2003, as passed by the House of Representatives June 30, 2003, JCX- 66-03. Major Bills Doc. No. 62 Bills, 108th Congress H.R. 1 (enacted bill) Medicare Prescription Drug and Modernization Act of 2003, as introduced by Rep. Hastert, June 25, 2003. Doc. No. 63 H.R. 1 as passed House, June 27, 2003.

Doc. No. 64 Doc. No. 65 Doc. No. 66 H.R. 2473 (major bill) Medicare Prescription Drug and Modernization Act of 2003 as introduced by Rep. Thomas, June 16, 2003 (this legislation was folded into H.R. 1). H.R. 2473 as reported, June 25, July 15, 2003 (this bill was folded into H.R. 1). S. 1 (major bill) Prescription Drug and Medicare Improv2003 as introduced by Sen. Frist, June 11, 2003. Doc. No. 67 S. 1 as reported, June 13, 2003. Doc. No. 68 S. 1 as passed Senate, June 27, 2003. Other Bills Doc. No. 69 H.R. 810 as introduced by Rep. Johnson, February 13, 2003 (regulatory relief, contracting flexibility). Doc. No. 70 Doc. No. 71 Doc. No. 72 H.R. 810 as reported April 11,29, 2003 (regulatory relief, contracting flexibility). H.R. 1382 EMTALA Regulatory Improvement Act of 2003 as introduced by Rep Shadegg, March 20, 2003. H.R. 2351 Health Savings Account Availability Act as introduced by Rep. Thomas, June 5, 2003. Doc. No. 73 H.R. 2351 as reported, June 25, 2003. Doc. No. 74 H.R. 2409 Safety Net Hospital Pharmacy Access Act of 2003 as introduced by Rep. Shadegg, June 10, 2003. Doc. No. 75 H.R. 2596 Health Savings and Affordability Act of 2003 as introduced by Rep. Thomas, June 25, 2003. Doc. No. 76 Doc. No. 77 S. 581 as introduced by Sen. Wyden, March 10, 2003 (Cit. Health Care Work. Group). S. 636 as introduced by Sen. Collins, March 17, 2003 (home health care). Doc. No. 78 Introductory statement by Sen. Collins on S. 636, March 17, 2003. Doc. No. 79 S. 869 as introduced by Sen. Harkin, April 10, 2003 (mammography).

Doc. No. 80 Introductory statement by Sen. Harkin on S. 869, April 10, 2003. Doc. No. 81 S. 942 as introduced by Sen. Brownback, April 29, 2003 (rural hospital services). Doc. No. 82 Doc. No. 83 Introductory statement by Sen. Brownback on S. 942, April 29, 2003. S. 946 as introduced by Sen. Leahy, April 29, 2003 (antitrust enforcement, drugs). Doc. No. 84 Introductory statement by Sen. Leahy on S. 946, April 29, 2003. Doc. No. 85 S. 1095 as introduced by Sen. Sununu, May 21, 2003 (outpatient vision services). Doc. No. 86 Introductory statement by Sen. Sununu on S. 1095, May 23, 2003. Doc. No. 87 Doc. No. 88 S. 1195 as introduced by Sen. Kyl, June 5, 2003 (inpatient drug prices). S. 1225 as introduced by Sen. Gregg, June 10, 2003 (access to affordable pharmacies). Bills, 107th Congress Doc. No. 89 H.R. 2768 as introduced by Rep. Johnson, August 2, 2001 (regulatory relief, contracting flexibility). Doc. No. 90 Doc. No. 91 Introductory statement by Rep. Johnson on H. R. 2768, Aug. 3, 2001. H.R. 2768 as reported November 13, 2001 (regulatory relief, contracting flexibility). Doc. No. 92 H.R. 2802 as introduced by Rep. Paul, August 2, 2001 (MSA plans). Doc. No. 93 Introductory statement by Rep. Paul on H.R. 2802, August 3, 2001. Doc. No. 94 H.R. 3391 as introduced by Rep. Johnson, December 4, 2001 (regulatory relief, contracting flexibility).

Doc. No. 95 H.R. 3391 as passed House, December 4, 2001. Doc. No. 96 H.R. 4954 as introduced by Rep. Johnson, June 18, 2002 (voluntary prescription drug program). Doc. No. 97 Doc. No. 98 Doc. No. 99 Introductory statement by Rep. Tauzin on H.R. 4954 and H.R. 4962, June 20, 2002. H.R. 4954 as reported, June 26, 2002 (voluntary prescription drug program). H.R. 4954 as passed House, June 28, 2002 (voluntary prescription drug program). Doc. No. 100 H.R. 4962 as introduced by Rep. Tauzin, June 19, 2002 (rural health care). No bill as reported was printed. Doc. No. 101 H.R. 4984 as introduced by Rep. Tauzin, June 21, 2002 (prescription drug benefit). Doc. No. 102 H.R. 4984 as reported June 26, 2002 (prescription drug benefit). Doc. No. 103 H.R. 4985 as introduced by Rep. Tauzin, June 21, 2002 (MSA program). Doc. No. 104 H.R. 4985 as reported June 26, 2002 (MSA program). Doc. No. 105 H.R. 4986 as introduced by Rep. Tauzin, June 21, 2002 (payments outpatient services). Doc. No. 106 H.R. 4986 as reported June 26, 2002 (payments outpatient services). Doc. No. 107 H.R. 4987 as introduced by Rep. Tauzin, June 21, 2002 (home health care). No bill as reported was printed. Doc. No. 108 H.R. 4988 as introduced by Rep. Tauzin, June 21, 2002 (Med. Ben. Admin.) No bill as reported was printed. Doc. No. 109 H.R. 4989 as introduced by Rep. Tauzin, June 21, 2002 (elective prescription drug program grants). Doc. No. 110 H.R. 4989 as reported June 26, 2002 (elective prescription drug program grants). Doc. No. 111 H.R. 4991 as introduced by Rep. Tauzin, June 21, 2002 (revise hospital payments).

Doc. No. 112 H.R. 4991 as reported June 26, 2002 (revise hospital payments). Doc. No. 113 H.R. 5019 as introduced by Rep. Rangel, June 26, 2002 (Democratic alternative bill, prescription drug benefit). Doc. No. 114 Introductory statements by Reps. Rangel, Dingell and Stark on H.R. 5019, June 27, 2002. Doc. No. 115 S. 812 as introduced by Sens. Schumer and McCain, May 1, 2001 (access to affordable pharmacies). Doc. No. 116 Colloquies between Sens. Stabenow, Schumer, Kennedy, et al on S. 812, May 1 and 2, 2002. Doc. No. 117 S. 812 as reported July 11, 2002 (access to affordable pharmacies). Doc. No. 118 S. 812 as passed Senate, July 31, 2002 (access to affordable pharmacies). Doc. No. 119 S. 357 as introduced by Sen. Breaux, February 15, 2001 (Medicare improvement). Doc. No. 120 S. 358 as introduced by Sen. Breaux, February 15, 2001 (prescription drug benefit). Bills, 106th Congress Doc. No. 121 S. 1895 as introduced by Sen. Breaux, November 9, 1999 (Medicare improvement). Doc. No. 122 Introductory statement by Sen. Breaux on S. 1895, November 9, 1999. Doc. No. 123 H.R. 4680 as introduced by Rep. Thomas, June 15, 2000 (voluntary prescription drug program). Doc. No. 124 H.R. 4680 as reported, June 15, 27, 2000 (voluntary prescription drug program). Doc. No. 125 H.R. 4680 as passed House, June 28, 2000 (voluntary prescription drug program).

Hearings, 108th Congress Doc. No. 126 President s FY 2004 Budget for U.S. Dept of HHS, Hearing Before the Committee on Ways and Means, House of Representatives, February 6, 2003, Ser. 108-2. Doc. No. 127 Medicare Regulatory and Contracting Reform, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representative, February 13, 2003, Ser. 108-4. Doc. No. 128 Eliminating Barriers to Chronic Care Management in Medicare, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representative, February 25, 2003, Ser. 108-6. Doc. No. 129 Medpac Report on Medicare Payment, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representative, March 6, 2003, Ser. 108-14. Doc. No. 130 Examining the Administration s Fiscal Year 2004 Health Care Priorities, Committee on Finance, United States Senate, February 27, 2003, S. Hrg. 108-118. Doc. No. 131 Purchasing Health Care Services in a Competitive Environment, Committee on Finance, United States Senate, April 3, 2003, S. Hrg. 108-111. Doc. No. 132 Designing a Twenty-First Cent. Medicare Prescription Drug Benefit, Hearing Before the Subcommittee on Health, Committee on Commerce, House of Representatives, April 8, 2003, Ser. 108-25. Doc. No. 133 Examining the House and Senate Versions of the Greater Access to Afford. Pharmaceuticals Act, Hearing Before the Committee on the Judiciary, United States Senate, August 1, 2003, Ser. J-108-34, S. Hrg. 108-390. Doc. No. 134 Strengthening and Improving Medicare, Hearing Before the Subcommittee on Health, Committee on Commerce, House of Representatives, April 9, 2003, Ser. 108-22.

Doc. No. 135 Medicare Cost-Sharing and Medigap, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representative, May 1, 2003, Ser 108-8. Doc. No. 136 Strengthening and Improving the Medicare Program, Committee on Finance, United States Senate, June 6, 2003, S. Hrg. 108-339. Hearings, 107th Congress Doc. No. 137 Medicare Reform: Prov. Prescription Drug Coverage for Seniors, Hearing Before the Subcommittee on Health, Committee on Commerce, House of Representatives, February 15, 2001, Ser.10 Doc. No. 138 Medicare Reform, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, February 28, 2001, Ser. 107-4. Doc. No. 139 Bush Administration s Health and Welfare Priorities, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, March 14, 2001, Ser. 107-11. Doc. No. 140 Second in Series on Medicare Reform: Bring. Reg. Relief to Beneficiaries Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, March 15, 2001, Ser. 107-12. Doc. No. 141 Third in Series on Medicare Reform: Laying Groundwork for an RX Drug Benefit, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives March 27, 2001, Ser. 107-21. Doc. No. 142 Social Security and Medicare Trustees 2001 Annual Reports, Joint Hearing Before the Committee on Ways and Means, House of Representatives and Committee on Finance, United States Senate, March 20, 2001, Ser. 107-16. Doc. No. 143 Medicare Solvency, Hearing Before the Committee on Ways and Means, House of Representatives, March 20, 2001, Ser. 107-17.

Doc. No. 144 Fourth in Series on Medicare Reform: Medicare + Choice: Lessons for Reform, Hearing Before the Committee on Ways and Means, House of Representatives March 20, 2001, May 1, 2001, Ser. 107-20. Doc. No. 145 Fifth in Series on Medicare Reform: Strengthening Medicare: Mod. Beneficiary Cost Sharing, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, May 9, 2001, Ser. 107-21. Doc. No. 146 Medicare Reform: Providing Prescription Drug Coverage for Seniors, Hearing Before the Subcommittee on Health, Committee on Commerce, House of Representatives, May 16, 2001, Ser. 107-28. Doc. No. 147 Has Medicare + Choice Reduced Variation in the Premiums and Benefits Offered by Participating Health Plans? A Rev. of Medicare + Choice Plan Payment Methodology, Hearing Before the Subcommittee on Health, Committee on Commerce, House of Representatives, May 31, 2001, Ser. 107-39. Doc. No. 148 Rural Health Care in Medicare, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, June 12, 2001, Ser. 107-33. Doc. No. 149 Medicare Reform: Modernizing Medicare and Merging. Parts. A and B, Hearing Before the Subcommittee on Health, Committee on Commerce, House of Representatives, June 14, 2001, Ser. 107-40. Doc. No. 150 Administration s Principles to Strengthen and Modernize Medicare, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, July 19, 2001, Ser. 107-39. Doc. No. 151 Modernizing Medicare, Hearing Before the Subcommittee on Health, Committee on Commerce, House of Representatives, July 26, 2001, Ser. 107-53. Doc. No. 152 H.R. 2768, Medicare Regulatory and Contracting Reform Act of 2002, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, September 25, 2001, Ser. 107-45.

Doc. No. 153 Status of Medicare + Choice Program, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives December 4, 2001, Ser. 107-49. Doc. No. 154 President s 2003 Budget Proposals Featuring HHS Secretary Thompson, Hearing Before the Committee on Ways and Means, House of Representatives February 6, 2002, Ser. 107-55. Doc. No. 155 Medicare Payment Policy: Ensuring Stability and Access Through Physician Payments. Hearing Before the Subcommittee on Health, Committee on Commerce, House of Representatives, February 14, 2002, Ser. 107-91. Doc. No. 156 Physician Payments, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, February 28, 2002, Ser. 107-70. Doc. No. 157 Administration s. FY 2003 Budget Proposal. for Presc. Drugs, Hearing before the Committee on Finance, United States Senate, March 7, 2002, S. Hrg. 107-430. Doc. No. 158 Health Quality and Medical Errors, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, March 7, 2002, Ser.107-76. Doc. No. 159 Reimbursement and Access to Presc. Drugs Under Medicare Part B, Hearing before the Subcommittee on Health Care of the Committee on Finance, United States Senate March 14, 2002, S. Hrg. 107-684. Doc. No. 160 Medicare Supplemental Insurance, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, March 14, 2002, Ser. 107-60. Doc. No. 161 Medicare Modernization: Examining Federal Employee Health Benefits Program as a Model for Seniors, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, March 20, 2002, Ser. 107-105.

Doc. No. 162 Promoting Disease Management in Medicare, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, April 16, 2002, Ser 107-80. Doc. No. 163 Integrating Prescription Drugs into Medicare, Hearing Before the Committee on Ways and Means, House of Representatives, April 17, 2002, Ser. 107-65. Doc. No. 164 Medicare s Geographic Cost Adjustors, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representative, July 23, 2002, Ser 107-85. Doc. No. 165 Medicare Payments for Currently Covered Prescription Drugs, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representative, October 3, 2002, Ser 107-84. Hearings, 106th Congress Doc. No. 166 Prescription Drugs: What We Know and Don t Know About Seniors Access to Coverage, Hearings Before the Subcommittee on Health, Committee on Commerce, House of Representatives, September 28, October 4, 1999, Ser. 106-73. Doc. No. 167 Seniors Access to Prescription Drug Benefits, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, February 15, 2000, Ser. 106-100. Doc. No. 168 Seniors Access to Affordable Prescription Drugs: Models for Reform, Hearing Before the Subcommittee on Health, Committee on Commerce, House of Representatives, February 16, 2000, Ser. 106-92 Doc. No. 169 Administration s. Presc. Drug Proposal, Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, May 11, 2000, Ser. 106-104. Doc. No. 170 Legislation to Cover Prescription Drugs Under Medicare, Hearing Before the Committee on Ways and Means, House of Representatives, June 13, 2000, Ser. 106-113.

Doc. No. 171 Prescription Drugs: Mod. Medicare for the 21st Century, Hearing Before the Subcommittee on Health, Committee on Commerce, House of Representatives, June 14, 2000, Ser.106-110. Miscellaneous Remarks by Members Cite 2003 Congressional Record: 149 Cong. Rec. page (daily ed., date) Doc. No. 172 Miscellaneous remarks by members from the Congressional Record, 108th Congress. Presidential Remarks and Signing Statement Doc. No. 173 Remarks on Signing the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, December 8, 2003, Vol. 39, No. 49, Weekly Compilation of Presidential Documents pgs. 1771 73. Doc. No. 174 Statement on Signing the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, December 8, 2003,Vol. 39, No. 49, Weekly Compilation of Presidential Documents p. 1773. Government Accountability Office Report Doc. No. 175 GAO-03-912, Prescription Drug Discount Cards: Savings Depend on Pharmacy and Type of Card Used, September 2003, September 2003. United States General Accounting Office, Washington, D.C. Congressional Research Service Reports Doc. No. 176 CRS RL31525 Medicare: Beneficiary Cost-Sharing Under Prescription Drug Legislation, July 25, 2003. Doc. No. 177 CRS RL31992 Medicare Prescription Drug Provisions of S.1 as passed the Senate and H.R.1 as passed the House, July 11, 2003.