To provide for appropriate cost-sharing for individuals 26 years of age or younger for insulin products covered under private health plans and Medicaid.
Summary
What This Bill Does
The bill provides appropriate cost-sharing for individuals 26 years of age or younger for insulin products covered under private health plans and Medicaid Part D of title XXVII of the Public Health Service Act (42 U.S.C, requires 2799A–11. Requirements with respect to cost-sharing for certain insulin products For plan years beginning on or after January 1, 2024, a group health plan or health insurance issuer offering group or individual, and requires requirements with respect to cost-sharing for certain insulin products For plan years beginning on or after January 1, 2024, a group health plan or health insurance issuer offering group health insurance. It relies on definition changes, compliance mandates, product standards, and appropriations. The main policy areas are Healthcare Consumers, Housing, and Healthcare.
Who Benefits and How
Patients and health care consumers affected by the bill could face lower compliance burdens and Homeowners, tenants, or housing market participants affected by the bill could face lower compliance burdens.
Who Bears the Burden and How
Federal, state, or local agencies responsible for implementing the clause would take on compliance duties and Public beneficiaries or protected communities affected by the clause could face increased risk.
Key Provisions
- Provides appropriate cost-sharing for individuals 26 years of age or younger for insulin products covered under private health plans and Medicaid Part D of title XXVII of the Public Health Service Act (42 U.S.C.
- Requires 2799A–11. Requirements with respect to cost-sharing for certain insulin products For plan years beginning on or after January 1, 2024, a group health plan or health insurance issuer offering group or individual...
- Requires requirements with respect to cost-sharing for certain insulin products For plan years beginning on or after January 1, 2024, a group health plan or health insurance issuer offering group health insurance...
- Requires requirements with respect to cost-sharing for certain insulin products For plan years beginning on or after January 1, 2024, a group health plan shall, with respect to enrolled individuals 26 years of age...
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill provides appropriate cost-sharing for individuals 26 years of age or younger for insulin products covered under private health plans and Medicaid Part D of title XXVII of the Public Health Service Act (42 U.S.C, requires 2799A–11. Requirements with respect to cost-sharing for certain insulin products For plan years beginning on or after January 1, 2024, a group health plan or health insurance issuer offering group or individual, and requires requirements with respect to cost-sharing for certain insulin products For plan years beginning on or after January 1, 2024, a group health plan or health insurance issuer offering group health insurance.
Key Policy Areas
Healthcare Consumers, Housing, Healthcare
Primary Purpose
The bill provides appropriate cost-sharing for individuals 26 years of age or younger for insulin products covered under private health plans and Medicaid Part D of title XXVII of the Public Health Service Act (42 U.S.C, requires 2799A–11. Requirements with respect to cost-sharing for certain insulin products For plan years beginning on or after January 1, 2024, a group health plan or health insurance issuer offering group or individual, and requires requirements with respect to cost-sharing for certain insulin products For plan years beginning on or after January 1, 2024, a group health plan or health insurance issuer offering group health insurance.
Policy Domains
Whole bill
Identified Gains
- Patients and health care consumers affected by the bill
- Homeowners, tenants, or housing market participants affected by the bill
Identified Costs
- Federal, state, or local agencies responsible for implementing the clause
- Public beneficiaries or protected communities affected by the clause
Sponsors
Legislative Progress
IntroducedMr. Landsman introduced the following bill; which was referred to …
Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →
Bill Structure & Actor Mappings
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