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Affordable Insulin Act: Lower Costs for Patients

This act aims to reduce insulin costs for individuals with diabetes. Starting January 1, 2024, health plans cannot apply deductibles or charge more than $35 or 25% of the negotiated price for a 30-day supply of insulin. This is intended to make insulin more accessible and financially predictable for patients.
Key points
Insulin Cost Cap: Insurers cannot charge more than $35 or 25% of the negotiated price for a 30-day supply of insulin.
No Deductibles: Health plans cannot apply deductibles for selected insulin products.
Cost-Sharing Counts: Any insulin cost-sharing payments will count towards annual out-of-pocket maximums.
Effective 2024: Changes apply to health plans beginning on or after January 1, 2024.
Covers Selected Products: The act covers at least one of each dosage form (e.g., vial, pump, inhaler) and type (e.g., rapid-acting, long-acting) of insulin.
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Additional Information
Print number: 118_HR_1488
Sponsor: Rep. Craig, Angie [D-MN-2]
Process start date: 2023-03-09