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Affordable Insulin for Youth: Lower Diabetes Treatment Costs

New rules aim to reduce insulin costs for individuals aged 26 and younger with private health plans or Medicaid. Starting January 1, 2024, insurers 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 significantly ease the financial burden on young diabetes patients and their families.
Key points
Insulin cost cap: Individuals 26 and younger will pay no more than $35 or 25% of the negotiated price for a 30-day supply of insulin.
No deductibles: Insurers cannot apply deductibles for selected insulin products for this age group.
Applies to private plans and Medicaid: The changes cover both private health insurance and the Medicaid program.
Effective from 2024: New rules come into effect on January 1, 2024.
Costs count towards limits: Any insulin cost-sharing payments will count towards annual out-of-pocket maximums.
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Additional Information
Print number: 118_HR_1587
Sponsor: Rep. Landsman, Greg [D-OH-1]
Process start date: 2023-03-14
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Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Making Insulin Affordable for All Children Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_HR_1587.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2023-03-14.

What are the main provisions?

Key points include:

  • Insulin cost cap: Individuals 26 and younger will pay no more than $35 or 25% of the negotiated price for a 30-day supply of insulin.
  • No deductibles: Insurers cannot apply deductibles for selected insulin products for this age group.
  • Applies to private plans and Medicaid: The changes cover both private health insurance and the Medicaid program.
  • Effective from 2024: New rules come into effect on January 1, 2024.
  • Costs count towards limits: Any insulin cost-sharing payments will count towards annual out-of-pocket maximums.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Landsman, Greg [D-OH-1].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Work and Welfare.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-24.

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