,,ii  #aafth ,,congress  #ast ,session  
,s4 #bhee  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,november #ad1 
#bjai,ms4 ,smith 7for herself1 ,mr4     
,cramer1 ,ms4 ,baldwin1 ,mrs4           
,hyde-,smith1 ,mr4 ,durbin1 and ,mr4    
,wicker7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions  ,a ,,bill  ,to   
require the ,secretary to conduct a     
study and issue a report on the         
affordability of insulin4  #a4 ,short   
title ,this ,act may be cited as the    
,insulin ,affordability ,data           
,collection ,act4  #b4 ,study and report
 on the affordability of insulin ,the   
,secretary of ,health and ,human        
,services 7referred to in this section  
as the ,secretary71 acting through the  
,assistant ,secretary for ,planning and 
,evaluation1 shall--  7#a7 conduct a    
study that examines-- 7,a7 for each type
 or classification of diabetes          
7including type #a diabetes1 type #b    

diabetes1 gestational diabetes1 and     
other conditions causing reliance on    
insulin71 the effect of the             
affordability of insulin on--  7i7      
adherence to insulin prescriptions2     
7ii7 rates of diabetic ketoacidosis2    
7iii7 downstream impacts of insulin     
adherence1 including rates of dialysis  
treatment and end-stage renal disease2  
7iv7 spending by ,federal health        
programs on acute episodes that could   
have been averted by adhering to an     
insulin prescription2 and  7v7 other    
factors1 as appropriate1 to understand  
the impacts of insulin affordability on 
health outcomes1 ,federal ,government   
spending 7including under the ,medicare 
program under title ,,xviii of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq47 and the ,medicaid program
 under title ,,xix of the ,social       
,security ,act 7#db ,u4,s4,c4 #acif et  
seq4771 and insured and uninsured       
individuals with diabetes2 and  7,b7    
among individuals who are unable to     

afford insulin1 the numbers of such     
individuals-- 7i7 who are uninsured2    
7ii7 who are covered under private      
health insurance2 and  7iii7 who are    
covered under public health insurance   
programs2 and  7#b7 not later than #b   
years after the date of enactment of    
this ,act1 submit to ,congress a report 
on the study conducted under paragraph  
7#a74