[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2179 Introduced in House (IH)]
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117th CONGRESS
1st Session
H. R. 2179
To amend title XVIII of the Social Security Act to eliminate cost-
sharing with respect to coverage of insulin as a covered part D drug
and associated medical supplies and to provide mail order access to
insulin and such supplies under the Medicare program during the COVID-
19 emergency period.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
March 23, 2021
Ms. Waters (for herself, Mr. Grijalva, Mr. McGovern, Ms. Norton, Ms.
Chu, Ms. Barragan, Mr. Bishop of Georgia, Mrs. Watson Coleman, Mr.
Carson, Mr. Cohen, Ms. McCollum, Mr. Morelle, Ms. Jackson Lee, Ms.
Garcia of Texas, Mr. Khanna, Ms. Pressley, Mr. Hastings, Mrs. Hayes,
Mr. Meeks, Mr. San Nicolas, Mr. Payne, Ms. Tlaib, Ms. Adams, Mr.
Thompson of Mississippi, Ms. Lee of California, Mr. Suozzi, Ms. Sewell,
Mr. Brown, Ms. Bass, Mrs. Lawrence, Mr. Welch, Mr. Torres of New York,
Mr. DeFazio, Ms. Underwood, and Mr. Kildee) introduced the following
bill; which was referred to the Committee on Energy and Commerce, and
in addition to the Committee on Ways and Means, for a period to be
subsequently determined by the Speaker, in each case for consideration
of such provisions as fall within the jurisdiction of the committee
concerned
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to eliminate cost-
sharing with respect to coverage of insulin as a covered part D drug
and associated medical supplies and to provide mail order access to
insulin and such supplies under the Medicare program during the COVID-
19 emergency period.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Affordable Insulin for the COVID-19
Emergency Act''.
SEC. 2. ELIMINATING COST-SHARING WITH RESPECT TO COVERAGE OF INSULIN AS
A COVERED PART D DRUG AND ASSOCIATED MEDICAL SUPPLIES
UNDER THE MEDICARE PROGRAM DURING THE COVID-19 EMERGENCY
PERIOD.
(a) In General.--Section 1860D-2 of the Social Security Act (42
U.S.C. 1395w-102) is amended--
(1) in subsection (b)--
(A) in paragraph (1)(A), by striking ``The
coverage'' and inserting ``Subject to paragraph (8),
the coverage'';
(B) in paragraph (2)--
(i) in subparagraph (A), by inserting after
``Subject to subparagraphs (C) and (D)'' the
following: ``and paragraph (8)'';
(ii) in subparagraph (C)(i), by striking
``paragraph (4)'' and inserting ``paragraphs
(4) and (8)''; and
(iii) in subparagraph (D)(i), by striking
``paragraph (4)'' and inserting ``paragraphs
(4) and (8)'';
(C) in paragraph (4)(A)(i), by striking ``The
coverage'' and inserting ``Subject to paragraph (8),
the coverage''; and
(D) by adding at the end the following new
paragraph:
``(8) Elimination of cost-sharing for insulin and
associated medical supplies during the covid-19 emergency
period.--The coverage does not impose any deductible,
copayment, coinsurance, or other cost-sharing for insulin (as
described in subparagraph (B) of subsection (e)(1)) or medical
supplies associated with the injection of insulin (as described
in such subparagraph) during the emergency period described in
section 1135(g)(1)(B).''; and
(2) in subsection (c), by adding at the end the following
new paragraph:
``(4) Same elimination of cost-sharing for certain covered
part d drugs during the covid-19 emergency period.--The
coverage is in accordance with subsection (b)(8).''.
(b) Elimination of Cost-Sharing for Insulin and Certain Associated
Medical Supplies Furnished to Part D Eligible Individuals Who Are
Subsidy Eligible Individuals.--Section 1860D-14(a) of the Social
Security Act (42 U.S.C. 1395w-114(a)) is amended--
(1) in paragraph (1)--
(A) in subparagraph (D)--
(i) in clause (ii), by striking ``In the
case of'' and inserting ``Subject to
subparagraph (F), in the case of''; and
(ii) in clause (iii), by striking ``In the
case of'' and inserting ``Subject to
subparagraph (F), in the case of''; and
(B) by adding at the end the following new
subparagraph:
``(F) Elimination of cost-sharing for certain
covered part d drugs during the covid-19 emergency
period.--Coverage that is in accordance with section
1860D-2(b)(8).''; and
(2) in paragraph (2)--
(A) in subparagraph (D), by striking ``The
substitution'' and inserting ``Subject to subparagraph
(F), the substitution'';
(B) in subparagraph (E), by inserting after
``Subject to'' the following: ``subparagraph (F) and'';
and
(C) by adding at the end the following new
subparagraph:
``(F) Elimination of cost-sharing for certain
covered part d drugs during the covid-19 emergency
period.--Coverage that is in accordance with section
1860D-2(b)(8).''.
SEC. 3. MAIL ORDER ACCESS OF INSULIN AND ASSOCIATED MEDICAL SUPPLIES
UNDER THE MEDICARE PROGRAM DURING THE COVID-19 EMERGENCY
PERIOD.
Section 1860D-4(b)(4)(A) of the Social Security Act (42 U.S.C.
1395w-104(b)(4)(A)) is amended--
(1) by striking ``subject to subparagraph (B)'' and
inserting ``subject to subparagraphs (B) and (C)''; and
(2) by adding at the end the following new subparagraph:
``(C) Mail order.--A prescription drug plan or MA-
PD plan shall permit such part D eligible individual
enrolled in such plan to obtain such fill or refill of
insulin (as described in subparagraph (B) of section
1860D-2(e)(1)) or medical supplies associated with the
injection of insulin (as described in such
subparagraph), at the option of such individual, by
mail order to the home of such individual.''.
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