Bill · H.R. 10227· House(119-HR-10227)
INSULIN Act of 2026
- Introduced
- 9/2/2026
- Last activity
- 9/2/2026 — Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, 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.
- Sponsored by
- Diana DeGette
- Cosponsors
- - 16 - 3
- Introduced
- In Committee
What this bill would do
This bill, titled the INSULIN Act of 2026, aims to reduce the cost of insulin and provide patient protections. For plan years beginning on or after January 1, 2028, group health plans and health insurance issuers must cover selected insulin products without applying a deductible. These plans cannot impose cost-sharing requirements for a 30-day supply that exceed thirty-five dollars or twenty-five percent of the negotiated price. The bill also establishes a study on uninsured individuals who use insulin, creates a resource center and hotline, and works to expedite biosimilar competition. Furthermore, the Secretary of Health and Human Services, the Secretary of Labor, and the Secretary of the Treasury are given implementation authorities.
Yes· 3 of 34
Would households on low incomes be better off under this?+9
Significantly reduces the cost of life-saving medicine and provides assistance for the uninsured.
Does this lower the price of prescription medicines?+9
Directly caps insulin costs at $35 or 25% of the negotiated price.
Would people with disabilities be better off under this?+8
Directly benefits people with the chronic disability of diabetes.
The opposite
Would business owners be better off under this?-2
May increase costs for employers providing group health plans.
Does this lower what people pay for private health insurance?-2
Capping cost-sharing may lead insurers to raise premiums to recover costs.
Who it would affect, and how
Potential Positive Impacts for People
-
Cost-Sharing Caps for Insured Individuals: Section 2 ensures that group health plans and health insurance coverage cannot impose deductibles on selected insulin products and caps cost-sharing at no more than thirty-five dollars for a 30-day supply, which directly lowers out-of-pocket expenses for patients.
-
Support for Uninsured Individuals: Section 5 establishes a grant program for a resource center and a 24/7 hotline to help uninsured individuals find affordable insulin, access assistance programs, and navigate enrollment, providing crucial support for vulnerable populations.
-
Expanded Access in Catastrophic Plans: Section 2 amends the Patient Protection and Affordable Care Act to require catastrophic health plans to provide coverage for selected insulin products before the enrolled individual has met their annual deductible limitation.
-
Increased Market Competition: Section 6 allows the Secretary to expedite the development and review of applications for competitive biosimilar biological products when there is inadequate biosimilar competition, which can help bring more affordable alternatives to the market.
Potential Negative Impacts for People
- Exclusion of Out-of-Network Providers: Section 2 specifies that plans are not required to provide benefits for selected insulin products delivered by out-of-network providers, and allows plans to impose higher cost-sharing for these out-of-network products, which may burden patients who cannot access in-network care.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Low Income Households+9Good For People With Disabilities+8Good For Immigrants+7Good For Middle Class Households+7Good For African Americans+6Good For Asian Americans+6Good For Children+6Good For Farmers+6Good For Hispanic Americans+6Good For L G B T Q Community+6Good For Men+6Good For Middle Aged+6Good For Native Americans+6Good For Retirees+6Good For Rural Residents+6Good For Seniors+6Good For Students+6Good For Union Workers+6Good For Urban Residents+6Good For Veterans+6Good For White Americans+6Good For Women+6Good For Young Adults+6Good For Billionaires+4Good For High Income Households+4Good For High Net Worth Individuals+4Good For Ultra High Net Worth Individuals+4Good For Business Owners-2
- Healthcare
- Reduces Prescription Drug Costs+9Improves Healthcare Access+7Increases Affordable Care Act Support+5Reduces Private Insurance Premiums-2
- Economy And Finance
- Improves Consumer Protection+8
- Social Issues And Justice
- Improves Poverty Reduction+4Improves Racial Equity+3
- Governance And Ideology
- Increases Federal Power+3
- 10/5/2026
- 1 Cosponsor added.
- 9/24/2026
- 5 Cosponsors added.
- 9/21/2026
- 2 Cosponsors added.
- 9/14/2026
- 4 Cosponsors added.
- 9/8/2026
- 3 Cosponsors added.
- 9/2/2026
- Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, 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.
- 4 Cosponsors added.
- Introduced in House
Nikki BudzinskiDemocrat · Illinois
Robert BresnahanRepublican · Pennsylvania
Emanuel CleaverDemocrat · Missouri
Joaquin CastroDemocrat · Texas
Angie CraigDemocrat · Minnesota
Suzan DelBeneDemocrat · Washington
Sharice DavidsDemocrat · Kansas
Veronica EscobarDemocrat · Texas
Jahana HayesDemocrat · Connecticut
Glenn IveyDemocrat · Maryland
Pramila JayapalDemocrat · Washington
Mariannette Miller-MeeksRepublican · Iowa
Ryan MackenzieRepublican · Pennsylvania
John MannionDemocrat · New York
Chris PappasDemocrat · New Hampshire
Josh RileyDemocrat · New York
Kim SchrierDemocrat · Washington
Rashida TlaibDemocrat · Michigan
Gabe VasquezDemocrat · New Mexico