To provide for appropriate cost-sharing for insulin products covered under private health plans, and to establish a program to support health care providers and pharmacies in providing discounted insulin products to uninsured individuals.
Summary
What This Bill Does
The bill provides appropriate cost-sharing for insulin products covered under private health plans 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, Healthcare, and Housing.
Who Benefits and How
Public beneficiaries or protected communities affected by the clause could face reduced risk, 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, Patients and health care consumers affected by the bill would take on compliance duties, and Homeowners, tenants, or housing market participants affected by the bill would take on compliance duties.
Key Provisions
- Provides appropriate cost-sharing for insulin products covered under private health plans 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 provide coverage of selected insulin products, and...
- Creates reimbursement for insulin furnished to uninsured individuals.
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 insulin products covered under private health plans 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, Healthcare, Housing
Primary Purpose
The bill provides appropriate cost-sharing for insulin products covered under private health plans 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
- Public beneficiaries or protected communities affected by the clause
- 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
- Patients and health care consumers affected by the bill
- Homeowners, tenants, or housing market participants affected by the bill
- Public beneficiaries or protected communities affected by the clause
Sponsors
Legislative Progress
IntroducedMr. Warnock (for himself and Mr. Kennedy) introduced the following …
Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology