What does Preamble of Affordable Insulin Now Act of 2026 do?

This bill aims to establish cost-sharing for insulin products covered under private health plans. It also seeks to create a program supporting health care providers and pharmacies in offering discounted insulin to uninsured individuals.

What does SHORT TITLE. of Affordable Insulin Now Act of 2026 do?

This bill is formally titled the Affordable Insulin Now Act of 2026.

What does APPROPRIATE COST-SHARING FOR INSULIN PRODUCTS COVERED UNDER of Affordable Insulin Now Act of 2026 do?

This section amends Part D of the Public Health Service Act to establish requirements regarding cost-sharing for certain insulin products. For plan years beginning on or after January 1, 2027, group health plans and health insurance issuers shall not apply any deductible or impose cost-sharing exceeding $35 or 25% of the negotiated price for 'selected insulin products'. ‘Selected insulin products’ are defined as at least one of each dosage form and type of insulin available. The amendments clarify that plans are not required to cover selected insulin products from out-of-network providers. Cost-sharing payments for these products will count towards deductibles and out-of-pocket maximums. The Patient Protection and Affordable Care Act is also amended to ensure that coverage of selected insulin products is exempt from deductible application when determining actuarial value. The Employee Retirement Income Security Act of 1974 is amended to include similar requirements regarding cost-sharing for insulin products.

What does REIMBURSEMENT FOR INSULIN FURNISHED TO UNINSURED INDIVIDUALS. of Affordable Insulin Now Act of 2026 do?

This section establishes a program for reimbursing qualifying entities for insulin furnished to uninsured individuals. The Secretary of Health and Human Services will enter into agreements with qualifying entities to provide insulin products. The Secretary will pay qualifying entities the difference between the out-of-pocket cost and $35 for each 30-day supply of insulin provided after January 1, 2027. A 'qualifying entity' is a health care provider or pharmacy that agrees not to hold uninsured individuals liable for payment and meets standards determined by the Secretary. An 'uninsured individual' is someone without benefits for insulin under a specified health plan. The term 'insulin product' is defined by section 2799A-12 of the Public Health Service Act.

What does SENSE OF CONGRESS. of Affordable Insulin Now Act of 2026 do?

This section expresses the sense of Congress that future legislation should include offsets for any costs to the Federal Government resulting from the enactment of this Act.

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Affordable Insulin Now Act of 2026

Last updated: 5/13/2026 · Introduced: 5/13/2026

Author: John Kennedy (R-LA)

TL;DR (AI)

This bill caps cost-sharing for covered insulin products at $35 or 25% of the negotiated price for most health plans starting in 2027.
It creates a program to reimburse healthcare providers and pharmacies for providing discounted insulin to uninsured individuals, capping the out-of-pocket cost at $35.
The bill defines 'selected insulin products' as at least one of each dosage form and type of insulin available to ensure broad coverage.

119th Congressin committeeOfficial page

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Includes provisions on preamble, short title., and 3 more.

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