# 119-hr-2636: Making Insulin Affordable for All Children Act

119-hr-2636, Making Insulin Affordable for All Children Act, is a 119th Congress bill sponsored by Rep. Landsman, Greg [D-OH-1] (D-OH); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-2636
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-2636
- Congress: 119
- Title: Making Insulin Affordable for All Children Act
- Status: introduced
- Introduced: 2025-04-03
- Sponsor: Rep. Landsman, Greg [D-OH-1] (D-OH)
- Cosponsors: 9
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**Caps insulin cost-sharing for people 26 and younger.** This bill would require private group and individual health plans to cover selected insulin products without applying a deductible and to limit cost-sharing to the lesser of $35 per 30-day supply or 25% of the negotiated price, starting in plan years on or after January 1, 2026. It would align those rules across the Public Health Service Act, the Employee Retirement Income Security Act, the Internal Revenue Code, and the Affordable Care Act and give HHS, Labor, and Treasury authority to issue implementation guidance. - Families with young insulin users would face lower out-of-pocket costs at the pharmacy because eligible insulin would have no deductible and a cap of $35 or 25% per 30-day supply. - People age 26 and younger who need insulin would get coverage of at least one dosage form for each major insulin type chosen by the plan, and amounts paid would count toward deductibles and out-of-pocket limits. - Employers and ERISA-covered plans would need to follow the same $35 or 25% cap and the bill adds a new ERISA section to enforce that requirement. - Marketplace and catastrophic plan rules would change so qualified health plans treat selected insulin coverage consistently with the new cost-sharing limits.

## Cosponsors (9)

- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-04-03T00:00:00.000Z
- Rep. Dean, Madeleine [D-PA-4] (D-PA), 2025-04-03T00:00:00.000Z
- Rep. McGarvey, Morgan [D-KY-3] (D-KY), 2025-04-03T00:00:00.000Z
- Rep. Thompson, Bennie G. [D-MS-2] (D-MS), 2025-04-03T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2025-04-03T00:00:00.000Z
- Rep. Deluzio, Christopher R. [D-PA-17] (D-PA), 2025-06-03T00:00:00.000Z
- Rep. Johnson, Julie [D-TX-32] (D-TX), 2025-07-22T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2026-04-20T00:00:00.000Z
- Rep. Carter, Troy A. [D-LA-2] (D-LA), 2026-05-20T00:00:00.000Z

## Provisions PRIA read

- Lower insulin costs for under 26 enrollees: benefit, medium. Starting with plan years on or after January 1, 2026, private and job-based plans would have to cover selected insulin for enrollees age 26 or younger. For those products, you would owe no deductible and no more than the lesser of $35 or 25% of the plan’s negotiated price for a 30-day supply, after…
- Insulin deductible break will not change plan value: mixed, medium. If enacted, when insurers calculate actuarial value for marketplace plans, they would not be allowed to count the insulin deductible exemption. Plans could respond by adjusting other cost-sharing or premiums. This would apply for plan years starting on or after January 1, 2026.
- Agencies could use guidance to implement: mixed, low. If enacted, the Health and Human Services, Labor, and Treasury Secretaries could use guidance or program instructions to carry out these insulin rules. Any effect on families would depend on the details these agencies issue.

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-7973: Momnibus Act
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-7853: PrEP Access and Coverage Act of 2026
- 119-hr-51: Washington, D.C. Admission Act
- 119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025

## Sources
- [119-hr-2636 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/2636)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-7853: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-hr-7853)
- [119-hr-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-hr-51)
- [119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025](https://policyrisk.com/legislation/119-hr-20)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-2636 (as of 2026-09-21).