,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #ggbb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bb1 #bjbj ,mr4 
,=t5b]ry 7= himself & ,ms4 ,craig7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,education &
 ,labor1 = 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$  ,a
 ,,bill  ,to limit ! price ( insul9     
drugs accessible = p>ticipants1         
b5efici>ies1 & enrollees enroll$ 9 gr\p 
or individual heal? insurance cov]age & 
gr\p heal? plans & = un9sur$ individuals
 :o h diabetes1 & = o!r purposes4  #a4  
,%ort title ,?is ,act may be cit$ z     
,matt's ,act4  #b4 ,insul9 net price    
protection  7a7 ,publi%+ ( net price by 
manufactur]s  7#a7 ,9 g5]al ,a          
manufactur] ( an insul9 drug %all1 on a 
qu>t]ly basis1 publi% on ! int]net      
website ( su* manufactur] ! av]age net  
price ( ea* su* insul9 drug = ! prec$+  

cal5d> qu>t]4  7#b7 ,en=cem5t ,9 ! case 
t a manufactur] ( an insul9 drug fails  
to comply ) p>agraph 7#a71 a ,f$]al     
ag5cy or program may n make paym5t = su*
 insul9 drug ( su* until su* manufactur]
 complies ) su* p>agraph4  7b7 ,net     
price = insul9 drugs = c]ta9 individuals
  7#a7 ,application to ,,phsa plans     
,subp>t #a ( "p ,a ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg et  
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #bgcj4 ,net price =      
insul9 drugs  7a7 ,availability ( net   
price ,) respect to plan ye>s beg9n+ on 
& aft] ,janu>y #a1 #bjba1 a heal?       
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age %all provide a  
p>ticipant1 b5efici>y1 or enrollee :o   
has diabetes access to an insul9 drug   
at-- 7#a7 ! less] (--  7,a7 ! #aj p]c5t 
( ! av]age net price = su* drug publi%$ 
pursuant to section #b7;a7 ( ,matt's    
,act1 plus ! av]age *>ges = di/ribution 
& disp5s+ describ$ 9 subsection 7c7 =   
su* drug2  7,b7 ! co9surance am\nt = an 

insul9 drug "u ! heal? insurance cov]age
 "u :i* su* an individual is a          
p>ticipant1 b5efici>y1 or enrollee w\ld 
o!rwise be responsible not)/&+ ?is      
section2 or  7,c7 #bj2 or  7#b7 #j1 9 ! 
case su* a p>ticipant1 b5efici>y1 or    
enrollee is enroll$ 9 a high d$uctible  
heal? plan 7z def9$ 9 section           
#bbc7;c77#b7 ( ! ,int]nal ,rev5ue ,code 
( #aihf74  7b7 ,waiv] ( d$uctible ,9    
apply+ subsection 7a71 su* a p>ticipant1
 b5efici>y1 or enrollee %all h access to
 an insul9 drug )\t reg>d to a          
d$uctible4  7c7 ,*>ges = di/ribut+ &    
disp5s+  7#a7 ,9 g5]al ,= purposes (    
subsection 7a71 *>ges = di/ribution &   
disp5s+ describ$ 9 ?is subsection--     
7,a7 are *>ges associat$ ) !            
transactions1 ) respect to an insul9    
drug1 betwe5 :olesal]s1 di/ributors1    
retail]s1 & ph>macies2 &  7,b7 may n    
exce$ #aj p]c5t ( ! av]age net price (  
su* an insul9 drug4  7#b7 ,report+      
requirem5t = plans ,9 ! case t a heal?  
insurance issu] (f]+ gr\p or individual 

heal? insurance cov]age *>ges a         
p>ticipant1 b5efici>y1 or enrollee =    
av]age *>ges = di/ribution & disp5s+    
pursuant to subsection 7a77#a71 ! heal? 
insurance issu] %all submit to !        
,inspector ,g5]al ( ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices in=mation ) respect  
to su* *>ges & ! am\nt ( ! *>ges4  7#c7 
,report to ,congress by ,inspector      
,g5]al ,beg9n+ ,janu>y #a1 #bjbb1 &     
annually !reaft]1 ! ,inspector ,g5]al   
%all review ! *>ges describ$ 9 p>agraph 
7#b7 & submit to ,congress a report on  
su* on review4  7d7 ,def9itions ,9 ?is  
section3 7#a7 ,insul9  7,a7 ,9 g5]al ,! 
t]m insul9 means a prescription drug    
conta9+ insul9 t is approv$ by ! ,food &
 ,drug ,adm9i/ration to improve glycemic
 control 9 pati5ts ) diabetes mellitus  
7& may include any m$ical supplies      
includ$ ) su* drug or associat$ ) !     
injection ( su* drug74  7,b7 ,exclusion 
,su* t]m does n include any m$ical      
supplies t provides = ! monitor+ (      
insul9 levels4  7#b7 ,li/ price ,! t]m  

li/ price has ! mean+ giv5 ! t]m        
:olesale acquisition co/ 9 section      
#ahdg;,a7c77#f77;,b7 ( ! ,social        
,security ,act4  7#c7 ,net price ,! t]m 
net price means1 ) respect to           
prescription drug cov]age "u gr\p or    
individual heal? insurance cov]age (f]$ 
by a heal? insurance issu]1 ! li/ price 
( ! drug net all rebates1 disc\nts1     
concessions1 & o!r adju/m5ts appli$ to !
 co/ paid by ! heal? insurance issu]1 or
 by any o!r entity t provides ph>macy   
b5efit managem5t s]vices "u a contract )
 any su* heal? insurance issu]1         
reg>dless ( :e!r su* adju/m5ts are      
prospective or retrospective4  7#d7     
,prescription drug ,! t]m prescription  
drug mean a drug1 z def9$ 9 section     
#bja7;g7 ( ! ,f$]al ,food1 ,drug1 &     
,cosmetic ,act1 t is subject to section 
#ejc7;b77#a7 ( su* ,act4  4  7#b7       
,application to ,,erisa plans ,subp>t ,a
 ( "p #g ( ! ,employee ,retirem5t       
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aahe et seq47 is am5d$ by    

add+ at ! end ! foll[+ new section 7&   
am5d+ ! table ( cont5ts accord+ly73     
#gjd4 ,net price = insul9 drugs  7a7    
,availability ( net price ,) respect to 
plan ye>s beg9n+ on & aft] ,janu>y #a1  
#bjba1 a gr\p heal? plan %all provide a 
p>ticipant1 b5efici>y1 or enrollee :o   
has diabetes access to an insul9 drug   
at--  7#a7 ! less] (-- 7,a7 ! #aj p]c5t 
( ! av]age net price = su* drug publi%$ 
pursuant to section #b7;a7 ( ,matt's    
,act1 plus ! av]age *>ges = di/ribution 
& disp5s+ describ$ 9 subsection 7c7 =   
su* drug2  7,b7 ! co9surance am\nt = an 
insul9 drug "u ! gr\p heal? plan :i* su*
 an individual is a p>ticipant1         
b5efici>y1 or enrollee w\ld o!rwise be  
responsible not)/&+ ?is section2 or     
7,c7 #bj2 or  7#b7 #j1 9 ! case su* a   
p>ticipant1 b5efici>y1 or enrollee is   
enroll$ 9 a high d$uctible heal? plan 7z
 def9$ 9 section #bbc7;c77#b7 ( !       
,int]nal ,rev5ue ,code ( #aihf74  7b7   
,waiv] ( d$uctible ,9 apply+ subsection 
7a71 su* a p>ticipant1 b5efici>y1 or    

enrollee %all h access to an insul9 drug
 )\t reg>d to a d$uctible4  7c7 ,*>ges =
 di/ribut+ & disp5s+  7#a7 ,9 g5]al ,=  
purposes ( subsection 7a71 *>ges =      
di/ribution & disp5s+ describ$ 9 ?is    
subsection-- 7,a7 are *>ges associat$ ) 
! transactions1 ) respect to an insul9  
drug1 betwe5 :olesal]s1 di/ributors1    
retail]s1 & ph>macies2 &  7,b7 may n    
exce$ #aj p]c5t ( ! av]age net price (  
su* an insul9 drug4  7#b7 ,report+      
requirem5t = plans ,9 ! case t a gr\p   
heal? plan *>ges a p>ticipant1          
b5efici>y1 or enrollee = av]age *>ges = 
di/ribution & disp5s+ pursuant to       
subsection 7a77#a71 ! gr\p heal? plan   
%all submit to ! ,inspector ,g5]al ( !  
,dep>tm5t ( ,heal? & ,human ,s]vices    
in=mation ) respect to su* *>ges & !    
am\nt ( ! *>ges4  7#c7 ,report to       
,congress by ,inspector ,g5]al ,beg9n+  
,janu>y #a1 #bjbb1 & annually !reaft]1 !
 ,inspector ,g5]al %all review ! *>ges  
describ$ 9 p>agraph 7#b7 & submit to    
,congress a report on su* on review4    

7d7 ,def9itions ,9 ?is section3  7#a7   
,insul9  7,a7 ,9 g5]al ,! t]m insul9    
means a prescription drug conta9+ insul9
 t is approv$ by ! ,food & ,drug        
,adm9i/ration to improve glycemic       
control 9 pati5ts ) diabetes mellitus 7&
 may include any m$ical supplies includ$
 ) su* drug or associat$ ) ! injection (
 su* drug74  7,b7 ,exclusion ,su* t]m   
does n include any m$ical supplies t    
provides = ! monitor+ ( insul9 levels4  
7#b7 ,li/ price ,! t]m li/ price has !  
mean+ giv5 ! t]m :olesale acquisition   
co/ 9 section #ahdg;,a7c77#f77;,b7 ( !  
,social ,security ,act4  7#c7 ,net price
 ,! t]m net price means1 ) respect to   
prescription drug cov]age "u a gr\p     
heal? plan1 ! li/ price ( ! drug net all
 rebates1 disc\nts1 concessions1 & o!r  
adju/m5ts appli$ to ! co/ paid by ! gr\p
 heal? plan1 or by any o!r entity t     
provides ph>macy b5efit managem5t       
s]vices "u a contract ) any su* gr\p    
heal? plan1 reg>dless ( :e!r su*        
adju/m5ts are prospective or            

retrospective4  7#d7 ,prescription drug 
,! t]m prescription drug mean a drug1 z 
def9$ 9 section #bja7;g7 ( ! ,f$]al     
,food1 ,drug1 & ,cosmetic ,act1 t is    
subject to section #ejc7;b77#a7 ( su*   
,act4  4  7#c7 ,un9sur$ individuals     
7,a7 ,9 g5]al ,beg9n+ on & aft] ,janu>y 
#a1 #bjba1 a ph>macy %all provide to any
 individual :o has diabetes & is n      
enroll$ 9 any heal? plan access to an   
insul9 drug at ! av]age net price = su* 
drug publi%$ pursuant to subsection 7a71
 plus ! av]age *>ges = ! di/ribution &  
disp5s+ describ$ 9 subp>agraph 7,c7 =   
su* drug4  7,b7 ,review ( *>ges ,beg9n+ 
,janu>y #a1 #bjbb1 & annually !reaft]1 !
 ,inspector ,g5]al ( ! ,dep>tm5t (      
,heal? & ,human ,s]vices %all review !  
am\nt ( *>ges paid by an individual     
describ$ 9 subp>agraph 7,a7 & submit to 
,congress a report on su* review4  7,c7 
,*>ges = di/ribut+ & disp5s+ ,= purposes
 ( subp>agraph 7,a71 *>ges = di/ribution
 & disp5s+ describ$ 9 ?is subsection--  
7i7 are *>ges associat$ ) !             

transactions1 ) respect to an insul9    
drug1 betwe5 :olesal]s1 di/ributors1    
retail]s1 & ph>macies2 &  7ii7 may n    
exce$ #aj p]c5t ( ! av]age net price (  
su* an insul9 drug4  7,d7 ,def9itions ,9
 ?is section3 7i7 ,insul9  7,i7 ,9 g5]al
 ,! t]m insul9 means a prescription drug
 conta9+ insul9 t is approv$ by ! ,food 
& ,drug ,adm9i/ration to improve        
glycemic control 9 pati5ts ) diabetes   
mellitus 7& may include any m$ical      
supplies includ$ ) su* drug or associat$
 ) ! injection ( su* drug74  7,,ii7     
,exclusion ,su* t]m does n include any  
m$ical supplies t provides = ! monitor+ 
( insul9 levels4  7ii7 ,li/ price ,! t]m
 li/ price has ! mean+ giv5 ! t]m       
:olesale acquisition co/ 9 section      
#ahdg;,a7c77#f77;,b7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#aciew-#c;a7c77#f77;,b774  7iii7 ,net   
price ,! t]m net price means1 ) respect 
to prescription drug cov]age "u a gr\p  
heal? plan1 ! li/ price ( ! drug net all
 rebates1 disc\nts1 concessions1 & o!r  

adju/m5ts appli$ to ! co/ paid by ! gr\p
 heal? plan1 or by any o!r entity t     
provides ph>macy b5efit managem5t       
s]vices "u a contract ) any su* gr\p    
heal? plan1 reg>dless ( :e!r su*        
adju/m5ts are prospective or            
retrospective4  7iv7 ,prescription drug 
,! t]m prescription drug mean a drug1 z 
def9$ 9 section #bja7;g7 ( ! ,f$]al     
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cba7;g771 t is subject to    
section #ejc7;b77#a7 ( su* ,act 7#ba    
,u4,s4,c4 #cec7;b77#a774