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Affordable Insulin for All Act

2/8/2022, 11:16 PM

Congressional Summary of HR 5749

Affordable Insulin for All Act

This bill addresses insulin affordability.

For example, the bill requires the Department of Health and Human Services (HHS) to enter into agreements with insulin manufacturers to enable individuals with diagnosed diabetes to access Medicaid prices for insulin drugs.

Additionally, Medicare and private insurance plans must cap cost-sharing at $10 per month for insulin drugs, and HHS must revise regulations to exclude payments made for insulin drugs from the denominator of the medical loss ratio.

The bill also (1) eliminates a safe harbor for certain rebates, discounts, or price concessions for insulin drugs paid by a drug manufacturer to a pharmacy benefit manager for purposes of federal health care fraud and abuse laws; and (2) prohibits certain drug pricing activities related to supplemental rebates and spread pricing in Medicaid.

The Government Accountability Office must report on the feasibility and affordability of direct manufacturing by the federal government.

Current Status of Bill HR 5749

Bill HR 5749 is currently in the status of Bill Introduced since February 4, 2020. Bill HR 5749 was introduced during Congress 116 and was introduced to the House on February 4, 2020.  Bill HR 5749's most recent activity was Referred to the Subcommittee on Health. as of February 4, 2020

Bipartisan Support of Bill HR 5749

Total Number of Sponsors
1
Democrat Sponsors
1
Republican Sponsors
0
Unaffiliated Sponsors
0
Total Number of Cosponsors
0
Democrat Cosponsors
0
Republican Cosponsors
0
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 5749

Primary Policy Focus

Health

Potential Impact Areas

- Civil actions and liability
- Congressional oversight
- Digestive and metabolic diseases
- Employee benefits and pensions
- Government information and archives
- Health care costs and insurance
- Health care coverage and access
- Health information and medical records
- Health programs administration and funding
- Inflation and prices
- Medicaid
- Prescription drugs
- Public contracts and procurement
- Retail and wholesale trades

Alternate Title(s) of Bill HR 5749

Affordable Insulin for All Act
To amend title XI of the Social Security Act to establish the American Insulin Program to provide for lower prices for insulin drugs, to maintain effort throughout the insulin supply chain, and for other purposes.
Affordable Insulin for All Act

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