1. Short title This Act may be cited as the Affordable Insulin for All Act . 2. Providing for lower prices for insulin drugs Part A of title XI of the Social Security Act ( 42 U.S.C. 1301 ) is amended by adding at the end the following new section: 1150C. Establishment of program (a) In general The Secretary shall establish an American Insulin Program (in this section referred to as the program ) by not later than 30 days after the date of the enactment of this section. Under the program, the Secretary shall enter into agreements described in subsection (b) with manufacturers and provide for the performance of duties described in subsection (c). The Secretary shall establish a model agreement for use under the program by not later than 20 days after the date of the enactment of this section, in consultation with manufacturers, and allow for comment on such model agreement. (b) Terms of agreement (1) In general (A) Agreement An agreement under this section shall require the manufacturer to provide applicable individuals access to Medicaid prices for insulin drugs of the manufacturer. (B) Provision of discounted prices as the point-of-sale (i) In general Subject to clause (ii), such Medicaid prices shall be provided to the applicable beneficiary at the pharmacy or by the mail order service at the point-of-sale of an insulin drug. (ii) Certification of unsustainable revenues (I) In general In the case the Secretary submits to Congress a certification that net revenues from the sale of insulin drugs by manufacturers with an agreement under this section is unsustainable because such manufactures will be unable to meet the demand for insulin drugs in the United States, subject to subclause (II), the Secretary may increase the Medicaid price by 5 percent. (II) Limitation The Secretary may not increase the Medicaid price in accordance with subclause (I) more than 3 times. (III) Applicability of price increase An increase to the Medicaid price of insulin drugs described in subclause (I) shall apply to the sale of insulin