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Bill · 119th Congress · S 4189

INSULIN Act of 2026

Refreshed 33 min ago

Introduced 2026-03-25Topic: health care · public health

Summary

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Starting with plan years that begin on or after January 1, 2028, this bill would require group health plans and insurers selling group or individual coverage to cover at least one insulin product of each type and dosage form. For those selected insulin products, plans could not apply a deductible. They also could not charge more per 30-day supply than the lesser of $35 or 25 percent of the plan's net negotiated price. Plans could not require prior authorization for these products except for safety reasons, reasonable quantity limits, or as the Secretary specifies, and catastrophic plans would have to cover them before the deductible is met. The bill also directs the Government Accountability Office to study uninsured people who use insulin and includes changes to how citizen petitions affecting generic drug approvals are handled.

Full text and official record on Congress.gov

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Action history

DateChamberActionStatus effect
2026-08-07SenatePlaced on Senate Legislative Calendar under General Orders. Calendar No. 552.
2026-08-07SenateCommittee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.refer
2026-08-07Committee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.report
2026-07-22SenateCommittee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.refer
2026-03-25SenateRead twice and referred to the Committee on Health, Education, Labor, and Pensions.refer
2026-03-25Introduced in Senateintroduce
Source: GovInfo Bill Status (Library of Congress), fetched 2026-09-11. Provisions and opinion polling arrive in a later release.