124 STAT. 468 PUBLIC LAW 111–148—MAR. 23, 2010 program under section 1860D–14A, regardless of whether part of such costs were paid by a manufacturer under such program.’’. (2) EFFECTIVE DATE.—The amendments made by this sub- section shall apply to costs incurred on or after July 1, 2010. (d) CONFORMING AMENDMENT PERMITTING PRESCRIPTION DRUG DISCOUNTS.— (1) IN GENERAL.—Section 1128B(b)(3) of the Social Security Act (42 U.S.C. 1320a–7b(b)(3)) is amended— (A) by striking ‘‘and’’ at the end of subparagraph (G); (B) in the subparagraph (H) added by section 237(d) of the Medicare Prescription Drug, Improvement, and Mod- ernization Act of 2003 (Public Law 108–173; 117 Stat. 2213)— (i) by moving such subparagraph 2 ems to the left; and (ii) by striking the period at the end and inserting a semicolon; (C) in the subparagraph (H) added by section 431(a) of such Act (117 Stat. 2287)— (i) by redesignating such subparagraph as subpara- graph (I); (ii) by moving such subparagraph 2 ems to the left; and (iii) by striking the period at the end and inserting ‘‘; and’’; and (D) by adding at the end the following new subpara- graph: ‘‘(J) a discount in the price of an applicable drug (as defined in paragraph (2) of section 1860D–14A(g)) of a manufacturer that is furnished to an applicable beneficiary (as defined in paragraph (1) of such section) under the Medicare coverage gap discount program under section 1860D–14A.’’. (2) CONFORMING AMENDMENT TO DEFINITION OF BEST PRICE UNDER MEDICAID.—Section 1927(c)(1)(C)(i)(VI) of the Social Security Act (42 U.S.C. 1396r–8(c)(1)(C)(i)(VI)) is amended by inserting ‘‘, or any discounts provided by manufacturers under the Medicare coverage gap discount program under section 1860D–14A’’ before the period at the end. (3) EFFECTIVE DATE.—The amendments made by this sub- section shall apply to drugs dispensed on or after July 1, 2010. SEC. 3302. IMPROVEMENT IN DETERMINATION OF MEDICARE PART D LOW-INCOME BENCHMARK PREMIUM. (a) IN GENERAL.—Section 1860D–14(b)(2)(B)(iii) of the Social Security Act (42 U.S.C. 1395w–114(b)(2)(B)(iii)) is amended by inserting ‘‘, determined without regard to any reduction in such premium as a result of any beneficiary rebate under section 1854(b)(1)(C) or bonus payment under section 1853(n)’’ before the period at the end. (b) EFFECTIVE DATE.—The amendment made by subsection (a) shall apply to premiums for months beginning on or after January 1, 2011. 42 USC 1395w–114 note. 42 USC 1320a–76 note. 42 USC 1395w–102 note.
