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Insulin Price Reduction Act

USA116th CongressHR-4906| House 
| Updated: 10/30/2019
Diana DeGette

Diana DeGette

Democratic Representative

Colorado

Cosponsors (54)
Kim Schrier (Democratic)Marcy Kaptur (Democratic)Sylvia R. Garcia (Democratic)Nita M. Lowey (Democratic)Ben McAdams (Democratic)David N. Cicilline (Democratic)Brian Higgins (Democratic)Darren Soto (Democratic)Sheila Jackson Lee (Democratic)Max Rose (Democratic)Sanford D. Bishop (Democratic)C. A. Dutch Ruppersberger (Democratic)Pete Aguilar (Democratic)Debbie Dingell (Democratic)Steve Cohen (Democratic)Angie Craig (Democratic)Donald M. Payne (Democratic)Wm. Lacy Clay (Democratic)Haley M. Stevens (Democratic)Danny K. Davis (Democratic)Vicente Gonzalez (Democratic)Ann M. Kuster (Democratic)Sean Patrick Maloney (Democratic)Brendan F. Boyle (Democratic)John B. Larson (Democratic)Joaquin Castro (Democratic)Elaine G. Luria (Democratic)Mike Kelly (Republican)Jahana Hayes (Democratic)David E. Price (Democratic)Theodore E. Deutch (Democratic)Josh Harder (Democratic)Betty McCollum (Democratic)Eleanor Holmes Norton (Democratic)Sharice Davids (Democratic)Cynthia Axne (Democratic)Maxine Waters (Democratic)Michael F. Q. San Nicolas (Democratic)Nydia M. Velázquez (Democratic)Jose E. Serrano (Democratic)Brian K. Fitzpatrick (Republican)Colin Z. Allred (Democratic)Bennie G. Thompson (Democratic)Earl Blumenauer (Democratic)Tom Reed (Republican)Elissa Slotkin (Democratic)Ed Perlmutter (Democratic)Jesús G. "Chuy" García (Democratic)Susie Lee (Democratic)Alcee L. Hastings (Democratic)Debbie Wasserman Schultz (Democratic)Gerald E. Connolly (Democratic)Chellie Pingree (Democratic)Susan Wild (Democratic)

Ways and Means Committee, Health Subcommittee, Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Insulin Price Reduction Act This bill prohibits health insurance plan issuers and pharmacy benefits managers (PBMs) from receiving rebates or discounts for insulin from manufacturers who certify that its current insulin list price has been reduced to an amount no greater than what the list price was for the same insulin on July 1, 2006. This restriction does not apply to discounts provided to insurance plan holders at retail sale or to flat-rate fees for service paid to PBMs. Further, insurance plans are prohibited from applying a deductible to insulin that has received such price certification. A manufacturer may certify insulin prices by submitting to the Department of Health and Human Services data about the list price of any insulin the manufacturer has produced since January 1, 2000, and by setting the current list price for an insulin product at the 2006 rate. To remain certified, a manufacturer may not increase the list price of insulin by more than the annual increase in the medical care consumer price index. A manufacturer may certify the price of an insulin product for which it did not have a list price in 2006 by reducing the list price of such insulin to the weighted average list price in 2006 of specified insulin categories. This bill also applies to Medicare prescription drug benefits. The bill sets the rebate for insulin under Medicaid based on the average manufacturer price of insulin during the last fiscal quarter of 2019, increasing by the medical care consumer price index thereafter.
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Timeline
Jul 22, 2019

Latest Companion Bill Action

S 116-2199
Introduced in Senate
Oct 29, 2019
Introduced in House
Oct 29, 2019
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.
Oct 30, 2019
Referred to the Subcommittee on Health.
  • July 22, 2019

    Latest Companion Bill Action

    S 116-2199
    Introduced in Senate


  • October 29, 2019
    Introduced in House


  • October 29, 2019
    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.


  • October 30, 2019
    Referred to the Subcommittee on Health.

Health

Related Bills

  • S 116-2199: Insulin Price Reduction Act
Accounting and auditingBusiness recordsDigestive and metabolic diseasesDrug safety, medical device, and laboratory regulationFraud offenses and financial crimesHealth care costs and insuranceHealth programs administration and fundingInflation and pricesMedicarePrescription drugs

Insulin Price Reduction Act

USA116th CongressHR-4906| House 
| Updated: 10/30/2019
Insulin Price Reduction Act This bill prohibits health insurance plan issuers and pharmacy benefits managers (PBMs) from receiving rebates or discounts for insulin from manufacturers who certify that its current insulin list price has been reduced to an amount no greater than what the list price was for the same insulin on July 1, 2006. This restriction does not apply to discounts provided to insurance plan holders at retail sale or to flat-rate fees for service paid to PBMs. Further, insurance plans are prohibited from applying a deductible to insulin that has received such price certification. A manufacturer may certify insulin prices by submitting to the Department of Health and Human Services data about the list price of any insulin the manufacturer has produced since January 1, 2000, and by setting the current list price for an insulin product at the 2006 rate. To remain certified, a manufacturer may not increase the list price of insulin by more than the annual increase in the medical care consumer price index. A manufacturer may certify the price of an insulin product for which it did not have a list price in 2006 by reducing the list price of such insulin to the weighted average list price in 2006 of specified insulin categories. This bill also applies to Medicare prescription drug benefits. The bill sets the rebate for insulin under Medicaid based on the average manufacturer price of insulin during the last fiscal quarter of 2019, increasing by the medical care consumer price index thereafter.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Jul 22, 2019

Latest Companion Bill Action

S 116-2199
Introduced in Senate
Oct 29, 2019
Introduced in House
Oct 29, 2019
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.
Oct 30, 2019
Referred to the Subcommittee on Health.
  • July 22, 2019

    Latest Companion Bill Action

    S 116-2199
    Introduced in Senate


  • October 29, 2019
    Introduced in House


  • October 29, 2019
    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.


  • October 30, 2019
    Referred to the Subcommittee on Health.
Diana DeGette

Diana DeGette

Democratic Representative

Colorado

Cosponsors (54)
Kim Schrier (Democratic)Marcy Kaptur (Democratic)Sylvia R. Garcia (Democratic)Nita M. Lowey (Democratic)Ben McAdams (Democratic)David N. Cicilline (Democratic)Brian Higgins (Democratic)Darren Soto (Democratic)Sheila Jackson Lee (Democratic)Max Rose (Democratic)Sanford D. Bishop (Democratic)C. A. Dutch Ruppersberger (Democratic)Pete Aguilar (Democratic)Debbie Dingell (Democratic)Steve Cohen (Democratic)Angie Craig (Democratic)Donald M. Payne (Democratic)Wm. Lacy Clay (Democratic)Haley M. Stevens (Democratic)Danny K. Davis (Democratic)Vicente Gonzalez (Democratic)Ann M. Kuster (Democratic)Sean Patrick Maloney (Democratic)Brendan F. Boyle (Democratic)John B. Larson (Democratic)Joaquin Castro (Democratic)Elaine G. Luria (Democratic)Mike Kelly (Republican)Jahana Hayes (Democratic)David E. Price (Democratic)Theodore E. Deutch (Democratic)Josh Harder (Democratic)Betty McCollum (Democratic)Eleanor Holmes Norton (Democratic)Sharice Davids (Democratic)Cynthia Axne (Democratic)Maxine Waters (Democratic)Michael F. Q. San Nicolas (Democratic)Nydia M. Velázquez (Democratic)Jose E. Serrano (Democratic)Brian K. Fitzpatrick (Republican)Colin Z. Allred (Democratic)Bennie G. Thompson (Democratic)Earl Blumenauer (Democratic)Tom Reed (Republican)Elissa Slotkin (Democratic)Ed Perlmutter (Democratic)Jesús G. "Chuy" García (Democratic)Susie Lee (Democratic)Alcee L. Hastings (Democratic)Debbie Wasserman Schultz (Democratic)Gerald E. Connolly (Democratic)Chellie Pingree (Democratic)Susan Wild (Democratic)

Ways and Means Committee, Health Subcommittee, Energy and Commerce Committee

Health

Related Bills

  • S 116-2199: Insulin Price Reduction Act
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Accounting and auditingBusiness recordsDigestive and metabolic diseasesDrug safety, medical device, and laboratory regulationFraud offenses and financial crimesHealth care costs and insuranceHealth programs administration and fundingInflation and pricesMedicarePrescription drugs