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Affordable Insulin for Youth: Lower Costs, No Deductibles

New regulations aim to reduce insulin costs for individuals aged 26 and younger with private health insurance. Starting in 2026, insurers will be prohibited from applying deductibles or imposing high co-payments for insulin, making the medication more accessible and easing financial burdens for families.
Key points
Individuals aged 26 and younger with private health insurance will pay a maximum of $35 or 25% of the negotiated price for a 30-day supply of insulin.
Insurers will not be allowed to apply deductibles for selected insulin products for this age group.
Cost-sharing payments for insulin will count towards annual out-of-pocket maximums.
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Introduced
Citizen Poll
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Additional Information
Print number: 119_HR_2636
Sponsor: Rep. Landsman, Greg [D-OH-1]
Process start date: 2025-04-03