,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #fife  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,janu>y #aa1 #bjbd,mr4
 ,fro/ 7= himself & ,ms4 ,matsui7       
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committees on ,ways &    
,means1 & ,education & ! ,work=ce1 = 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 am5d 
title ,,xxvii ( ! ,public ,heal? ,s]vice
 ,act1 ! ,employee ,retirem5t ,income   
,security ,act ( #aigd1 & ! ,int]nal    
,rev5ue ,code ( #aihf to e/abli%        
requirem5ts ) respect to co/ %>+ =      
ep9ephr9e injectors "u gr\p heal? plans 
& gr\p & individual heal? insurance     
cov]age4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,ep9ephr9e's ,ph>ma ,inflat$
 ,price ,ends ,n[ ,act or ! ,,epip5     
,act4  #b4 ,requirem5ts ) respect to co/
 %>+ = ep9ephr9e injectors  7a7 ,,phsa  
,"p ,d ( title ,,xxvii ( ! ,public      

,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#aaa et seq47 is am5d$ by add+  
at ! end ! foll[+ new section3          
#bgii;,a-#aa4 ,requirem5ts ) respect to 
co/ %>+ = ep9ephr9e injectors  7a7 ,9   
g5]al ,a gr\p heal? plan1 & a heal?     
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age1 %all provide   
cov]age ( ep9ephr9e injectors1 & )      
respect to su* injectors1 may n-- 7#a7  
apply any d$uctible2 or  7#b7 impose any
 co/ %>+ 9 excess ( #fj p] package ( #b 
injectors 7or ! equival5t74  7b7        
,application ( co/ %>+ t[>d d$uctibles &
 out-(-,pocket maximums ,any co/-%>+    
paym5ts made pursuant to subsection     
7a77#b7 %all be c\nt$ t[>d any d$uctible
 or out-(-pocket maximum t applies "u ! 
plan or cov]age4  7c7 ,out-(-network    
provid]s ,no?+ 9 ?is section requires a 
plan or issu] t has a network ( provid]s
 to provide b5efits = an ep9ephr9e      
injector describ$ 9 ?is section t is    
deliv]$ by an out-(-network provid]1 or 
precludes a plan or issu] t has a       

network ( provid]s f impos+ high] co/   
%>+ ?an ! levels specifi$ 9 subsection  
7a77#b7 = an ep9ephr9e injector describ$
 9 ?is section t is deliv]$ by an       
out-(-network provid]4  7d7 ,ep9ephr9e  
injector def9$ ,9 ?is section1 ! t]m    
ep9ephr9e injector means an             
auto-injector approv$ by ! ,food & ,drug
 ,adm9i/ration = ! adm9i/ration (       
ep9ephr9e4  4  7b7 ,,erisa  7#a7 ,9     
g5]al ,subp>t ,b ( "p #g ( subtitle ,b (
 title ,i ( ! ,employee ,retirem5t      
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aahe et seq47 is am5d$ by    
add+ at ! end ! foll[+ new section3     
#gbf4 ,requirem5ts ) respect to co/ %>+ 
= ep9ephr9e injectors  7a7 ,9 g5]al ,a  
gr\p heal? plan1 & a heal? insurance    
issu] (f]+ gr\p heal? insurance cov]age1
 %all provide cov]age ( ep9ephr9e       
injectors1 & ) respect to su* injectors1
 may n-- 7#a7 apply any d$uctible2 or   
7#b7 impose any co/ %>+ 9 excess ( #fj  
p] package ( #b injectors 7or !         
equival5t74  7b7 ,application ( co/ %>+ 

t[>d d$uctibles & out-(-,pocket maximums
 ,any co/-%>+ paym5ts made pursuant to  
subsection 7a77#b7 %all be c\nt$ t[>d   
any d$uctible or out-(-pocket maximum t 
applies "u ! plan or cov]age4  7c7      
,out-(-,network provid]s ,no?+ 9 ?is    
section requires a plan or issu] t has a
 network ( provid]s to provide b5efits =
 an ep9ephr9e injector describ$ 9 ?is   
section t is deliv]$ by an out-(-network
 provid]1 or precludes a plan or issu] t
 has a network ( provid]s f impos+ high]
 co/ %>+ ?an ! levels specifi$ 9        
subsection 7a77#b7 = an ep9ephr9e       
injector describ$ 9 ?is section t is    
deliv]$ by an out-(-network provid]4    
7d7 ,ep9ephr9e injector def9$ ,9 ?is    
section1 ! t]m ep9ephr9e injector means 
an auto-injector approv$ by ! ,food &   
,drug ,adm9i/ration = ! adm9i/ration (  
ep9ephr9e4  4  7#b7 ,cl]ical am5dm5t ,! 
table ( cont5ts 9 section #a ( !        
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #ajja et    
seq47 is am5d$ by ins]t+ aft] ! item    

relat+ to section #gbe ! foll[+3  ,sec4 
#gbf4 ,requirem5ts ) respect to co/ %>+ 
= ep9ephr9e injectors4  4  7c7 ,,irc    
7#a7 ,9 g5]al ,sub*apt] ,b ( *apt] #ajj 
( ! ,int]nal ,rev5ue ,code ( #aihf is   
am5d$ by add+ at ! end ! foll[+ new     
section3  #ihbf4 ,requirem5ts ) respect 
to co/ %>+ = ep9ephr9e injectors  7a7 ,9
 g5]al ,a gr\p heal? plan %all provide  
cov]age ( ep9ephr9e injectors1 & )      
respect to su* injectors1 may n-- 7#a7  
apply any d$uctible2 or  7#b7 impose any
 co/ %>+ 9 excess ( #fj p] package ( #b 
injectors 7or ! equival5t74  7b7        
,application ( co/ %>+ t[>d d$uctibles &
 out-(-,pocket maximums ,any co/-%>+    
paym5ts made pursuant to subsection     
7a77#b7 %all be c\nt$ t[>d any d$uctible
 or out-(-pocket maximum t applies "u ! 
plan4  7c7 ,out-(-,network provid]s     
,no?+ 9 ?is section requires a plan t   
has a network ( provid]s to provide     
b5efits = an ep9ephr9e injector describ$
 9 ?is section t is deliv]$ by an       
out-(-network provid]1 or precludes a   

plan t has a network ( provid]s f impos+
 high] co/ %>+ ?an ! levels specifi$ 9  
subsection 7a77#b7 = an ep9ephr9e       
injector describ$ 9 ?is section t is    
deliv]$ by an out-(-network provid]4    
7d7 ,ep9ephr9e injector def9$ ,9 ?is    
section1 ! t]m ep9ephr9e injector means 
an auto-injector approv$ by ! ,food &   
,drug ,adm9i/ration = ! adm9i/ration (  
ep9ephr9e4  4  7#b7 ,cl]ical am5dm5t ,! 
table ( sections = sub*apt] ,b ( *apt]  
#ajj ( ! ,int]nal ,rev5ue ,code ( #aihf 
is am5d$ by add+ at ! end ! foll[+ new  
item3  ,sec4 #ihbf4 ,requirem5ts )      
respect to co/ %>+ = ep9ephr9e          
injectors4  4  7d7 ,effective date ,!   
am5dm5ts made by ?is section %all apply 
) respect to plan ye>s beg9n+ on or aft]
 ,janu>y #a1 #bjbe4