,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bhee  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #ad1 #bjai,ms4
 ,smi? 7= h]self1 ,mr4 ,cram]1 ,ms4     
,baldw91 ,mrs4 ,hyde-,smi?1 ,mr4 ,durb91
 & ,mr4 ,wick]7 introduc$ ! foll[+ bill2
 :i* 0 read twice & ref]r$ to !         
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to      
require ! ,secret>y to conduct a /udy & 
issue a report on ! af=dability (       
insul94  #a4 ,%ort title ,?is ,act may  
be cit$ z ! ,insul9 ,af=dability ,data  
,collection ,act4  #b4 ,/udy & report on
 ! af=dability ( insul9 ,! ,secret>y (  
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,secret>y71 act+ ?r\gh !
 ,assi/ant ,secret>y = ,plann+ &        
,evaluation1 %all--  7#a7 conduct a /udy
 t exam9es-- 7,a7 = ea* type or         
classification ( diabetes 7includ+ type 
#a diabetes1 type #b diabetes1          
ge/ational diabetes1 & o!r conditions   
caus+ reliance on insul971 ! effect ( ! 
af=dability ( insul9 on--  7i7 adh]5ce  

to insul9 prescriptions2  7ii7 rates (  
diabetic ketoacidosis2  7iii7 d[n/ream  
impacts ( insul9 adh]5ce1 includ+ rates 
( dialysis treatm5t & end-/age r5al     
disease2  7iv7 sp5d+ by ,f$]al heal?    
programs on acute episodes t c\ld h be5 
av]t$ by adh]+ to an insul9             
prescription2 &  7v7 o!r factors1 z     
appropriate1 to und]/& ! impacts (      
insul9 af=dability on heal? outcomes1   
,f$]al ,gov]nm5t sp5d+ 7includ+ "u !    
,m$ic>e program "u title ,,xviii ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq47 & ! ,m$icaid program "u  
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq4771 & insur$
 & un9sur$ individuals ) diabetes2 &    
7,b7 among individuals :o are unable to 
af=d insul91 ! numb]s ( su*             
individuals-- 7i7 :o are un9sur$2  7ii7 
:o are cov]$ "u private heal? insurance2
 &  7iii7 :o are cov]$ "u public heal?  
insurance programs2 &  7#b7 n lat] ?an  
#b ye>s aft] ! date ( enactm5t ( ?is    
,act1 submit to ,congress a report on ! 

/udy conduct$ "u p>agraph 7#a74