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HR1488FEDERALIN_COMMITTEE

High Impact

Affordable Insulin Now Act (HR 1488)

Original title: Affordable Insulin Now Act

December 17, 2024

healthcare insulin insurance cost-sharing prescription drugs

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Where This Stands

Introduced

Committee

Floor Vote

Passed

Signed

Currently IN_COMMITTEE. The next step in the legislative lifecycle is Floor Vote.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

The Frame

What this does

The bill directly limits the monthly financial burden for insulin-dependent patients covered by private health insurance, ensuring that out-of-pocket costs do not exceed $35 per month regardless of plan s.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Insulin-dependent patients

Patients with private health insurance would see their monthly out-of-pocket costs for selected insulin capped at $35.

Health insurance issuers

Issuers must adjust their coverage policies to eliminate deductibles for selected insulin and cap cost-sharing at $35 per 30-day supply.

Group health plans

Plans must provide coverage for selected insulin products under the new cost-sharing requirements starting in 2024.

What changed

Current stage: IN_COMMITTEE.

What's next

Floor Vote.

Summary

This bill would cap out-of-pocket costs for certain insulin products at $35 per 30-day supply for people with group or individual health insurance. Starting in 2024, it would prohibit insurance plans from applying s to these selected insulin products.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Does this bill apply to everyone?

It applies to individuals covered by group health plans or individual health insurance coverage, including catastrophic plans.

What if I use an out-of-network pharmacy?

The bill does not require insurance plans to provide these capped benefits for insulin products delivered by out-of-network providers.

Does this cover all types of insulin?

It covers 'selected insulin products,' which must include at least one of each dosage form and type of insulin available, as selected by the health plan.

Why It Matters

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Standardization of Insulin Coverage

The bill creates a uniform requirement across three major federal statutes (PHSA, IRC, ERISA) to ensure consistent insulin coverage regardless of the type of health plan.

Public Health Service Act Internal Revenue Code of 1986 Employee Retirement Income Security Act of 1974

Connected Entities

bill_numberEmployee Retirement Income Security Act of 1974“The specific law being amended.”Map →

bill_numberBiologics Price Competition and Innovation Act of 2009“The specific law being amended.”Map →

personMcBath, Mrs.“Co-sponsor of the bill in the House of Representatives.”Map →

organizationEducation and the Workforce Committee“Committee responsible for considering the bill.”Map →

organizationEnergy and Commerce Committee“Committee responsible for considering the bill.”Map →

bill_numberPublic Health Service Act“The specific law being amended.”Map →

organizationWays and Means Committee“Committee responsible for considering the bill.”Map →

organizationU.S. Government Publishing Office“Publisher of the Congressional Bill.”Map →

bill_numberInternal Revenue Code of 1986“The specific law being amended.”Map →

personKildee, Mr.“Co-sponsor of the bill in the House of Representatives.”Map →

personCraig, Ms.“Lead sponsor of the bill in the House of Representatives.”Map →

Analysis Score

0–100

Significance85
How much this matters to a regular citizen
Controversy40
Intensity of disagreement among stakeholders
Entertainment10
Compellingness for a non-policy-wonk reader
Buzz50
Current news / social attention level

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