Page:United States Statutes at Large Volume 106 Part 6.djvu/406

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106 STAT. 4964 PUBLIC LAW 102-585—NOV. 4, 1992 into an agreement under such section (as such section was in effect at such time), but for a legislative change in such section after the date of the enactment of this paragraph.". (3) CoNFiDENTiALnY OF INFORMATION. —Section 1927(b)(3)(D) of such Act (42 U.S.C. 1396r-8(b)(3)(D)) is amended— (A) by striking "this paragraph" and inserting "this paragraph or under an agreement with the Secretary of Veterans Affairs described in subsection (a)(6)(A)(iir; (B) by striking "Secretary" each place it appears and inserting "Secretary or the Secretary of Veterans Affairs"; and (C) by striking "except" and all that follows through the period and inserting: "except— "(i) as the Secretary determines to be necessary to carry out this section, "(ii) to permit the Comptroller General to review the information provided, and "(iii) to permit the Director of the Congressional Budget Office to review the information provided.". (4) TERMINATION OF REBATE AGREEMENTS.— Section 1927(b)(4)(B) of such Act (42 U.S.C. 1396r-8(b)(4)(B)) is amended— (i) in clause (ii), by striking "such period" sind inserting "the calendar quarter beginning at least 60 days", (ii) in clause (ii), by striking "of the notice" and all through "the agreement)." and inserting "the manufacturer provides notice to the Secretary.", and (iii) by adding at the end the following new clauses: "(iv) NOTICE TO STATES. —In the case of a termination tmder this subparagraph, the Secretary shall provide notice of such termination to the States within not less than 30 days before the effective date of such termination. "(v) APPLICATION TO TERMINATIONS OF OTHER AGREEMENTS.—The provisions of this subparagraph shall apply to the terminations of agreements described in section 340B(a)(l) of the Public Health Service Act and master agreements described in section 8126(a) of title 38, United States Code.". (c) BUDGET NEUTRALITY ADJUSTMENT.— Section 1927(c)(l)(B) of the Social Security Act (42 U.S.C. 1396r-8(c)(l)(B)) is amended— (1) by striking "January 1, 1993," and inserting "October 1, 1992,"; (2) by striking "and" at the end of clause (i); and (3) by striking clause (ii) and inserting the following: "(ii) for quarters (or other periods) beginning after September 30, 1992, and before January 1, 1994, the greater of— "(I) 15.7 percent of the average manufacturer price for the drug, or "(II) the difference between the average manufacturer price for the drug and the best price (as defined in subparagraph (O) for such quarter (or period) for such drug;