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119-s-4512119th CongressWALLET
Affordable Insulin Now Act of 2026
Sponsored By: Senator Kennedy, John [R-LA]
Introduced
Summary
This bill would cap out-of-pocket costs for selected insulin products at the lesser of $35 per 30-day supply or 25% of the negotiated price, and create a reimbursement program to help uninsured people afford insulin. It would also align the same cost-sharing rules across the Public Health Service Act, the Employee Retirement Income Security Act, and the Internal Revenue Code and authorize agencies to issue guidance for implementation.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
Lower insulin costs for insured
If enacted, for plan years starting January 1, 2027, group and individual health plans would cover selected insulin products with no deductible. In-network cost-sharing per 30-day supply would be the lesser of $35 or 25% of the plan's net negotiated price. Any payments you make would count toward your deductible and out-of-pocket maximum. Plans would not have to cover insulin from out-of-network providers and could charge higher out-of-network cost-sharing. Insurers would not count the deductible-free insulin when calculating a plan's ACA actuarial value. HHS, Labor, and Treasury would be able to issue guidance to implement these rules.
Insulin help for uninsured people
If enacted, HHS would set up a program for uninsured people to get insulin starting January 1, 2027. For each 30-day supply, HHS would pay the pharmacy or provider the difference between the person's out-of-pocket cost and $35. The provider must agree not to bill the uninsured person for the part HHS pays. 'Uninsured' means you do not have benefits for that insulin product under a specified health plan.
Sponsors & CoSponsors
Sponsor
Kennedy, John [R-LA]
LA • R
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov