What You Need to Know
- H.R. 6833 would apply to people with commercial health coverage.
- The bill does not limit how much drug manufacturers could charge health plans or health insurers for insulin.
- Twelve House Republicans crossed party lines to vote for the bill.
House members voted Thursday to cap what diabetic patients with commercial health coverage pay for insulin at $35 per month.
The House passed H.R. 6833, the Affordable Insulin Now bill, by a 232-193 vote.
The bill may have a chance of attracting some Republican votes in the Senate. Rep. Angie Craig, D-Minn., the sponsor, attracted no Republican cosponsors in the House, but 12 Republicans crossed party lines to vote for it.
If the bill becomes law and works as supporters expect, it could decrease what insurance and retirement planning clients with diabetes pay for insulin.
It also could set the stage for more intense battles between health insurers and insulin manufacturers over the price of insulin.
H.R. 6833 Details
H.R. 6833 would not have a direct effect on the price of insulin.
Instead, the bill would require health insurers, self-insured employer health plans and Medicare Part D prescription drug plans to cover insulin before patients meet plan deductibles, and to limit any monthly copayments or other cost-sharing payments for insulin at $35.
If a coverage provider could negotiate an insulin price under $140, it would have to cap a patient’s monthly cost-sharing amount at less than $35.