,i #aafth ,,congress #ast ,session ,h4 ,r4 #cff ,,in ,,the ,,house ,,of ,,representatives ,january #i1 #bjai,mr4 ,rush 7for himself1 ,ms4 ,clarke of ,new ,york1 ,ms4 ,kelly of ,illinois1 ,ms4 ,lee of ,california1 ,ms4 ,adams1 ,mrs4 ,watson ,coleman1 ,mr4 ,payne1 ,mr4 ,evans1 ,ms4 ,fudge1 ,mrs4 ,demings1 ,mr4 ,brown of ,maryland1 ,mr4 ,scott of ,virginia1 ,mr4 ,lawson of ,florida1 ,mr4 ,clay1 ,mr4 ,danny ,k4 ,davis of ,illinois1 ,ms4 ,pressley1 ,mr4 ,lewis1 ,mr4 ,thompson of ,mississippi1 ,mr4 ,clyburn1 ,mr4 ,richmond1 ,ms4 ,jackson ,lee1 ,mr4 ,bishop of ,georgia1 ,mr4 ,horsford1 ,mr4 ,johnson of ,georgia1 ,mr4 ,butterfield1 ,ms4 ,wilson of ,florida1 ,mr4 ,carson of ,indiana1 ,mr4 ,mc,eachin1 ,mrs4 ,beatty1 ,ms4 ,plaskett1 ,ms4 ,sewell of ,alabama1 ,mr4 ,david ,scott of ,georgia1 ,ms4 ,schakowsky1 and ,ms4 ,bass7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,ways and ,means1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to amend titles ,,xviii and ,,xix of the ,social ,security ,act to eliminate cost sharing with respect to coverage of insulin as a covered part ,d drug under the ,medicare program or as a covered outpatient drug under the ,medicaid program4 #a4 ,short title ,this ,act may be cited as the ,insulin ,access for ,all ,act of #bjai4 #b4 ,eliminating cost sharing with respect to coverage of insulin as a covered part ,d drug under the ,medicare program or as a covered outpatient drug under the ,medicaid program 7a7 ,medicare 7#a7 ,elimination of cost-sharing for insulin and certain associated medical supplies furnished to part ,d eligible individuals ,section #ahfj;,d-#b of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajb7 is amended-- 7,a7 in subsection 7b7-- 7i7 in paragraph 7#a77;,a71 by striking ,the coverage and inserting ,subject to paragraph 7#h71 the coverage2 7ii7 in paragraph 7#b7-- 7,i7 in subparagraph 7,a71 by inserting after ,subject to subparagraphs 7,c7 and 7,d7 the following3 and paragraph 7#h72 7,,ii7 in subparagraph 7,c77i71 by striking paragraph 7#d7 and inserting paragraphs 7#d7 and 7#h72 and 7,,iii7 in subparagraph 7,d77i71 by striking paragraph 7#d7 and inserting paragraphs 7#d7 and 7#h72 7iii7 in paragraph 7#d77;,a77i71 by striking ,the coverage and inserting ,subject to paragraph 7#h71 the coverage2 and 7iv7 by adding at the end the following new paragraph3 7#h7 ,elimination of cost-sharing for certain covered part ,d drugs ,the coverage does not impose any deductible1 copayment1 coinsurance1 or other cost-sharing for insulin 7as described in subparagraph 7,b7 of subsection 7e77#a77 or medical supplies associated with the injection of insulin 7as described in such subparagraph74 2 and 7,b7 in subsection 7c71 by adding at the end the following new paragraph3 7#d7 ,same elimination of cost-sharing for certain covered part ,d drugs ,the coverage is in accordance with subsection 7b77#h74 4 7#b7 ,elimination of cost-sharing for insulin and certain associated medical supplies furnished to part ,d eligible individuals who are subsidy eligible individuals ,section #ahfj;,d-#ad7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad7;a77 is amended-- 7,a7 in paragraph 7#a7-- 7i7 in subparagraph 7,d7-- 7,i7 in clause 7ii71 by striking ,in the case of and inserting ,subject to subparagraph 7,f71 in the case of2 and 7,,ii7 in clause 7iii71 by striking ,in the case of and inserting ,subject to subparagraph 7,f71 in the case of2 and 7ii7 by adding at the end the following new subparagraph3 7,f7 ,elimination of cost-sharing for certain covered part ,d drugs ,coverage that is in accordance with section #ahfj;,d-#b7;b77#h74 2 and 7,b7 in paragraph 7#b7-- 7i7 in subparagraph 7,d71 by striking ,the substitution and inserting ,subject to subparagraph 7,f71 the substitution2 7ii7 in subparagraph 7,e71 by inserting after ,subject to the following3 subparagraph 7,f7 and2 and 7iii7 by adding at the end the following new subparagraph3 7,f7 ,elimination of cost-sharing for certain covered part ,d drugs ,coverage that is in accordance with section #ahfj;,d-#b7;b77#h74 4 7#c7 ,applicability ,the amendments made by this subsection shall apply with respect to insulin1 and medical supplies associated with the injection of insulin1 furnished on or after ,january #a1 #bjbj4 7b7 ,medicaid 7#a7 ,in general ,section #aiaf of the ,social ,security ,act 7#db ,u4,s4,c4 #acifo7 is amended-- 7,a7 in subsection 7a77#b7-- 7i7 in subparagraph 7,d71 by striking or at the end2 7ii7 in subparagraph 7,e71 by striking 2 and and inserting 1 or2 and 7iii7 by adding at the end the following new subparagraph3 7,f7 insulin furnished as a covered outpatient drug 7as defined in section #aibg7k77#b77 and medical supplies associated with the injection of such insulin2 and 2 and 7,b7 in subsection 7b77#b7-- 7i7 in subparagraph 7,d71 by striking or at the end2 7ii7 in subparagraph 7,e71 by striking 2 and and inserting 1 or2 and 7iii7 by adding at the end the following new subparagraph3 7,f7 insulin furnished as a covered outpatient drug 7as defined in section #aibg7k77#b77 and medical supplies associated with the injection of such insulin2 and 4 7#b7 ,alternative cost sharing limitation ,section #aiaf;,a7c77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifj-a7;c77#b77 is amended by adding at the end the following new subparagraph3 7,d7 ,nonapplicability of cost sharing to insulin ,in no case may the cost sharing under paragraph 7#a77;,a7 apply with respect to insulin furnished as a covered outpatient drug 7as defined in section #aibg7k77#b77 and medical supplies associated with the injection of such insulin4 4 7#c7 ,effective date 7,a7 ,in general ,subject to subparagraph 7,b71 the amendments made by this subsection shall apply with respect to covered outpatient drugs furnished on or after ,january #a1 #bjbj4 7,b7 ,exception for ,state legislation ,in the case of a ,state plan under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 that the ,secretary of ,health and ,human ,services determines requires ,state legislation in order for the respective plan to meet any requirement imposed by amendments made by this subsection1 the respective plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet such an additional requirement before the first day of the first calendar quarter beginning after the close of the first regular session of the ,state legislature that begins after the date of the enactment of this ,act4 ,for purposes of the previous sentence1 in the case of a ,state that has a #b-year legislative session1 each year of the session shall be considered to be a separate regular session of the ,state legislature4