,,ib  ,union ,cal5d> ,no4 #cbi  #aae?   
,,congress  #a/ ,session  ,h4 ,r4 #cbga 
,report ,no4 #aae-ddg1 ,"p ,i  ,,9 ,,!  
,,h\se ,,( ,,repres5tatives  ,july #ag1 
#bjag ,ms4 ,de,gette 7= h]self1 ,mrs4   
,brooks ( ,indiana1 & ,mr4 ,re$7        
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$    
,decemb] #f1 #bjag;,additional sponsors3
 ,mr4 ,gu?rie1 ,mr4 ,bilirakis1 ,mr4    
,rodney ,davis ( ,ill9ois1 ,mr4 ,johnson
 ( ,ohio1 ,mr4 ,buc%on1 ,mr4 ,tipton1   
,mrs4 ,walorski1 ,mr4 ,co/ello (        
,p5nsylvania1 ,mr4 ,long1 & ,mr4 ,roskam
  ,decemb] #f1 #bjag ,report$ f !       
,committee on ,en]gy & ,comm]ce ) an    
am5dm5t ,/rike out all aft] ! enact+    
clause & ins]t ! "p pr9t$ 9 italic      
,decemb] #f1 #bjag,! ,committee on ,ways
 & ,means dis*>g$2 committ$ to !        

,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union & ord]$ to be printed,for text 
( introduc$ bill1 see copy ( bill z     
introduc$ on ,july #ag1 #bjag  ,a ,,bill
  ,to am5d title ,,xviii ( ! ,social    
,security ,act 9 ord] to /r5g!n rules 9 
case ( competition = diabetic te/+      
/rips1 & = o!r purposes4  #a4 ,%ort     
title ,?is ,act may be cit$ z !         
,protect+ ,access to ,diabetes ,supplies
 ,act ( #bjag4  #b4 ,/r5g!n+ rules 9    
case ( competition = diabetic te/+ /rips
  7a7 ,special rule 9 case ( competition
 = diabetic te/+ /rips  7#a7 ,9 g5]al   
,p>agraph 7#aj7 ( section #ahdg7;b7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#c7;b77 is am5d$--  7,a7 9       
subp>agraph 7,a71 by /rik+ ! second     
s5t5ce & ins]t+ ! foll[+ new s5t5ce3 ,) 
respect to bids to furni% su* types (   
products on or aft] ,janu>y #a1 #bjai1 !
 volume = su* types ( products %all be  
det]m9$ by ! ,secret>y ?r\gh ! use (    
multiple s\rces ( data 7f mail ord] &   
non-mail ord] ,m$ic>e m>kets71 includ+  

m>ket-bas$ data measur+ sales ( diabetic
 te/+ /rip products t are n exclusively 
sold by a s+le retail] f su* m>kets42 & 
7,b7 by add+ at ! end ! foll[+ new      
subp>agraphs3  7,c7 ,demon/ration (     
ability to furni% types ( diabetic te/+ 
/rip products ,) respect to bids to     
furni% diabetic te/+ /rip products on or
 aft] ,janu>y #a1 #bjai1 "u ! program   
describ$ 9 subp>agraph 7,a71 ! ,secret>y
 %all reject a bid submitt$ by an entity
 if ! entity does n atte/ to ! ,secret>y
 & demon/rate1 ?r\gh lett]s ( int5t )   
manufactur]s1 :olesal]s1 or o!r         
suppli]s1 or o!r evid5ce z ! ,secret>y  
may specify1 t ! entity has ! ability to
 obta9 an inv5tory ( ! types &          
quantities ( diabetic te/+ /rip products
 t w all[ ! entity to furni% su*        
products 9 a mann] consi/5t ) its bid4  
7,d7 ,use ( unli/$ types 9 calculation (
 p]c5tage ,) respect to bids to furni%  
diabetic te/+ /rip products on or aft]  
,janu>y #a1 #bjai1 9 det]m9+ "u         
subp>agraph 7,a7 :e!r a bid submitt$ by 

an entity "u su* subp>agraph cov]s #ej  
p]c5t 7or su* high] p]c5tage z !        
,secret>y may specify7 ( all types (    
diabetic te/+ /rip products1 ! ,secret>y
 may n attribute a p]c5tage to types (  
diabetic te/+ /rip products t !         
,secret>y does n id5tify by br&1 model1 
& m>ket %>e volume4  7,e7 ,adh]5ce to   
demon/ration  7i7 ,9 g5]al ,9 ! case (  
an entity t is furni%+ diabetic te/+    
/rip products on or aft] ,janu>y #a1    
#bjai1 "u a contract ent]$ into "u !    
competition conduct$ pursuant to        
p>agraph 7#a71 ! ,secret>y %all e/abli% 
a process to monitor1 on an ongo+ basis1
 ! ext5t to :i* su* entity cont9ues to  
cov] ! product types includ$ 9 !        
entity's bid4  7ii7 ,t]m9ation ,if !    
,secret>y det]m9es t an entity describ$ 
9 clause 7i7 fails to ma9ta9 9 inv5tory1
 or o!rwise ma9ta9 ready access to      
7?r\gh requirem5ts1 contracts1 or       
o!rwise7 a type ( product includ$ 9 !   
entity's bid1 ! ,secret>y may t]m9ate   
su* contract unless ! ,secret>y f9ds t !

 failure ( ! entity to ma9ta9 inv5tory  
(1 or ready access to1 ! product is !   
result ( ! discont9uation ( ! product by
 ! product manufactur]1 a m>ket-wide    
%ortage ( ! product1 or ! introduction (
 a new] model or v]sion ( ! product 9 ! 
m>ket involv$4  4  7b7 ,codify+ & exp&+ 
anti-,swit*+ rule ,section #ahdg7;b7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciew-#c7;b771 z am5d$ by subsection   
7a77#a71 is fur!r am5d$--  7#a7 by      
r$esignat+ p>agraph 7#aa7 z p>agraph    
7#ab72 &  7#b7 by ins]t+ aft] p>agraph  
7#aj7 ! foll[+ new p>agraph3  7#aa7     
,additional special rules 9 case (      
competition = diabetic te/+ /rips  7,a7 
,9 g5]al ,) respect to an entity t is   
furni%+ diabetic te/+ /rip products to  
individuals "u a contract ent]$ into "u 
! competitive acquisition program       
e/abli%$ "u ?is section1 ! entity %all  
furni% to ea* individual a br& ( su*    
products t is compatible ) ! home blood 
glucose monitor select$ by ! individual4
  7,b7 ,prohibition on influ5c+ &       

inc5tiviz+ ,an entity describ$ 9        
subp>agraph 7,a7 may n attempt to       
influ5ce or inc5tivize an individual to 
swit* ! br& ( glucose monitor or        
diabetic te/+ /rip product select$ by ! 
individual1 includ+ by--  7i7 p]suad+1  
pressur+1 or advis+ ! individual to     
swit*2 or  7ii7 furni%+ in=mation ab\t  
alt]native br&s to ! individual :]e !   
individual has n reque/$ su* in=mation4 
7,c7 ,provision ( in=mation  7i7        
,/&>diz$ in=mation ,n lat] ?an ,janu>y  
#a1 #bjai1 ! ,secret>y %all develop &   
make available to entities describ$ 9   
subp>agraph 7,a7 /&>diz$ in=mation t    
describes ! rights ( an individual )    
respect to su* an entity4 ,! in=mation  
describ$ 9 ! prec$+ s5t5ce %all include 
in=mation reg>d+--  7,i7 ! requirem5ts  
e/abli%$ "u subp>agraphs 7,a7 & 7,b72   
7,,ii7 ! "r ( ! individual to pur*ase   
diabetic te/+ /rip products f ano!r mail
 ord] suppli] ( su* products or a retail
 ph>macy if ! entity is n able to furni%
 ! br& ( su* product t is compatible ) !

 home blood glucose monitor select$ by !
 individual2 &  7,,iii7 ! "r ( !        
individual to return diabetic te/+ /rip 
products furni%$ to ! individual by !   
entity4  7ii7 ,requirem5t ,) respect to 
diabetic te/+ /rip products furni%$ on  
or aft] ! date on :i* ! ,secret>y       
develops ! /&>diz$ in=mation "u clause  
7i71 an entity describ$ 9 subp>agraph   
7,a7 may n communicate directly to an   
individual until ! entity has v]bally   
provid$ ! individual ) su* /&>diz$      
in=mation4  7,d7 ,ord] refills ,)       
respect to diabetic te/+ /rip products  
furni%$ on or aft] ,janu>y #a1 #bjai1 ! 
,secret>y %all require an entity furni%+
 diabetic te/+ /rip products to an      
individual to contact & receive a reque/
 f ! individual = su* products n m ?an  
#ad days prior to disp5s+ a refill ( su*
 products to ! individual4  4  7c7      
,implem5tation2 non-,application ( !    
,pap]work ,r$uction ,act  7#a7          
,implem5tation ,not)/&+ any o!r         
provision ( law1 ! ,secret>y ( ,heal? & 

,human ,s]vices may implem5t !          
provisions (1 & am5dm5ts made by1 ?is   
section by program in/ruction or        
o!rwise4  7#b7 ,non-application ( !     
,pap]work ,r$uction ,act ,*apt] #ce (   
title #dd1 ,unit$ ,/ates ,code 7commonly
 ref]r$ to z ! ,pap]work ,r$uction ,act 
( #aiie71 %all n apply to ?is section or
 ! am5dm5ts made by ?is section4        
,decemb] #f1 #bjag ,report$ f !         
,committee on ,en]gy & ,comm]ce ) an    
amendment,december #f1 #bjag,!          
,committee on ,ways & ,means dis*>g$2   
committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union & ord]$ to be    
pr9t$