Caps insulin costs for young people on private health plans
This bill would cap how much young people 26 and under pay for insulin each month if they have private health insurance. Starting January 1, 2026, they would not have to pay a deductible for selected insulin products and their monthly cost would be limited to the lesser of $35 or 25% of the drug's price.
Today, private health plans can require young people 26 and under to pay a deductible before their insulin is covered, and their monthly costs can vary. After this bill, starting January 1, 2026, these plans would not apply any deductible for selected insulin products for this age group, and their monthly cost-sharing would be capped at the lesser of $35 or 25% of the negotiated price per 30-day supply. These payments would also count towards their yearly out-of-pocket maximums.
HR 2636 · 119th Congress · April 3, 2025 · AI Summary by gemini-2.5-flash · 9/10
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2 filings mentioned this bill
Amounts reflect total quarterly lobbying spend reported to the Senate, not bill-specific spending. Source: Senate LDA filings.