I 
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 associ-
ated medical supplies and to provide mail order access to insulin and 
such supplies under the Medicare program during the COVID–19 emer-
gency period. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 23, 2021 
Ms. WATERS (for herself, Mr. GRIJALVA, Mr. MCGOVERN, Ms. NORTON, Ms. 
CHU, Ms. BARRAGA´N, 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. HAS-
TINGS, Mrs. HAYES, Mr. MEEKS, Mr. SAN NICOLAS, Mr. PAYNE, Ms. 
TLAIB, Ms. ADAMS, Mr. THOMPSON of Mississippi, Ms. LEE of Cali-
fornia, Mr. SUOZZI, Ms. SEWELL, Mr. BROWN, Ms. BASS, Mrs. LAW-
RENCE, 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 de-
termined 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. 
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Be it enacted by the Senate and House of Representa-
tives 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 SUP-
PLIES 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 strik-
ing ‘‘paragraph (4)’’ and inserting ‘‘para-
graphs (4) and (8)’’; and 
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(iii) in subparagraph (D)(i), by strik-
ing ‘‘paragraph (4)’’ and inserting ‘‘para-
graphs (4) and (8)’’; 
(C) in paragraph (4)(A)(i), by striking 
‘‘The coverage’’ and inserting ‘‘Subject to para-
graph (8), the coverage’’; and 
(D) by adding at the end the following new 
paragraph: 
‘‘(8) ELIMINATION OF COST-SHARING FOR IN-
SULIN AND ASSOCIATED MEDICAL SUPPLIES DURING 
THE COVID–19 EMERGENCY PERIOD.—The coverage 
does not impose any deductible, copayment, coinsur-
ance, 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 emer-
gency 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).’’. 
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(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 EMER-
GENCY 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 sub-
paragraph: 
‘‘(C) MAIL ORDER.—A prescription drug 
plan or MA–PD plan shall permit such part D 
eligible individual enrolled in such plan to ob-
tain such fill or refill of insulin (as described in 
subparagraph (B) of section 1860D–2(e)(1)) or 
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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.’’. 
Æ 
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