Sponsor: Rep. DeGette, Diana [D-CO-1] (Introduced 10/29/2019) Committees: House - Energy and Commerce; Ways and Means: Latest Action: House - 10/30/2019 Referred to the Subcommittee on Health.

[description] => Introduced 1 0 obj Ballooning costs have put lifesaving insulin out of reach for an increasing number of Americans. 4 0 obj American Diabetes Association®. (1) an amount equal to 2 times the total amount of rebates paid by the manufacturer to State Medicaid plans for the insulin for rebate periods occurring in calendar year 2018 under section 1927 of the Social Security Act ((2) an alternative amount to be determined by the Secretary. [actionDate] => 2019-07-22 ) The ADA’s Make Insulin Affordable petition has achieved more than 487,000 signatures to date. The American Diabetes Association (ADA) strongly supports the introduction of the Insulin Price Reduction Act in the United States House of Representatives. Each year, insulin and other drug manufacturers establish list prices for their products. (All Actions) Tracker: This bill has the status Introduced. S. 2199 is a bill in the United States Congress. To provide patient protections with respect to the cost of insulin.To provide patient protections with respect to the cost of insulin.This Act may be cited as the “Insulin Price Reduction Act”.“(i) any such reduction in price that is reflected at the point of sale to the enrollee; or“(ii) any remuneration that is a flat fee-based service fee that a manufacturer of such insulin pays to a pharmacy benefit manager for services rendered to the manufacturer that relate to arrangements by the pharmacy benefit manager to provide pharmacy benefit management services to a health plan or health insurance issuer, if certain conditions established by the Secretary are met, including requirements that the fees are transparent to the health plan or health insurance issuer.“(A) any plan year in which the list price for insulin is certified under section 5(b)(2)(A) of the Insulin Price Reduction Act; and“(B) each subsequent plan year during which the manufacturer limits any increase in the list price to the price that gave rise to the restriction under paragraph (1), adjusted by not more than the price change in the medical care component of the consumer price index for all urban consumers (U.S. city average), as certified under section 5(b)(2)(B) of the Insulin Price Reduction Act.“(1) remove such insulin from the formulary applicable to the plan or coverage;“(2) impose higher cost-sharing with respect to such insulin than the cost-sharing that applied with respect to the insulin in the year in which the list price reduction certification was provided under section 5(b)(2)(A) of the Insulin Price Reduction Act;“(3) impose any prior authorization requirements for coverage of such insulin that were not applied during the year in which the list price reduction certification was provided under such section 5(b)(2)(A); or“(4) establish a step therapy requirement for such insulin that was not applied during the year in which the list price reduction certification was provided under such section 5(b)(2)(A).“(1) the term ‘certified insulin’ means, with respect to a year, insulin that has been certified under section 5(b) of the Insulin Price Reduction Act for the year;“(2) the term ‘insulin’ means any insulin product approved by the Food and Drug Administration to improve glycemic control in patients with diabetes mellitus;“(3) the term ‘list price’ has the meaning given the term ‘wholesale acquisition cost’ in section 1847A(c)(6)(B) of the Social Security Act; and“(4) the term ‘rebate’ means any discount, price concession, or fee, other than the fee described in section (a)(1)(B), the terms of which are fixed at the time of the sale and disclosed, but which is not received at the time of the sale.”. Many individuals with diabetes ration or forego insulin doses to reduce costs.“Insulin is a matter of life and death,” said LaShawn McIver, MD, MPH, Senior Vice President of Government Affairs and Advocacy.
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