,,ii #aag? ,,congress #a/ ,session ,s4 #bhad ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,septemb] #bc1 #bjba,mr4 ,k5n$y introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to provide = af=dable access to insul9 & ep9ephr9e4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,vital ,m$ication ,af=dability ,act4 #b4 ,access to af=dable life-sav+ drugs ,section #ccj7k77#c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b7k77#c77 is am5d$-- 7#a7 9 subp>agraph 7,m71 by /rik+ 2 & & ins]t+ a semicolon2 7#b7 by r$esignat+ subp>agraph 7,n7 z subp>agraph 7,o72 & 7#c7 by ins]t+ aft] subp>agraph 7,m7 ! foll[+3 7,n7 9 ! case ( a c5t] t p>ticipates 9 ! drug disc\nt program "u section #cdj;,b1 ! c5t] has e/abli%$1 writt5 practices to make insul9 & injectable ep9ephr9e available at or bel[ ! disc\nt$ price paid by ! c5t] or subgrantee ( ! c5t] "u ! drug disc\nt program "u section #cdj;,b 7plus a m9imal adm9i/ration fee7 to pati5ts ^: h\sehold income 9 equal to or less ?an #cej p]c5t ( ! ,f$]al pov]ty l9e & :o-- 7i7 h a co/-%>+ requirem5t "u a heal? insurance plan = insul9 or injectable ep9ephr9e "u :i* ! pati5t out-(-pocket %>e is m ?an #bj p]c5t ( ! total am\nt *>g$ by ! c5t] = su* insul9 or ep9ephr9e2 7ii7 h a high unmet d$uctible "u a heal? insurance plan2 or 7iii7 h no heal? insurance2 & 4