Insulin act of 2026
Insulin Act of 2026
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To President
- Became Law
Overview
The Insulin Act of 2026 aims to lower the cost of insulin for patients and provide protections for those struggling with its expenses. It mandates that health plans cover selected insulin products at cost, prohibits excessive cost-sharing, and requires pharmacies to pass through all rebates to the plans. The bill also seeks to increase competition in the insulin market and provide assistance to uninsured individuals seeking affordable insulin through a pilot program and a resource center.
Key provisions
- Part D plans must cover at least one of each dosage form and type of insulin, with cost-sharing limits of $35 per 30-day supply.
- Pharmacy benefit managers must pass through all rebates and fees related to insulin to health plans.
- Health plans must not impose prior authorization requirements on selected insulin products, except for safety reasons.
- A pilot program will provide affordable insulin to uninsured individuals in selected states.
- The GAO will conduct a study on the characteristics of uninsured individuals who use insulin.
- A resource center and hotline will be established to connect uninsured individuals with assistance programs.
- The bill amends the Employee Retirement Income Security Act (ERISA) and the Internal Revenue Code to align insulin coverage requirements.
- The bill expedites biosimilar competition for insulin products.
Who is affected
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Sponsors
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