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Senate bill · S. 4189 (119th Congress)

INSULIN Act of 2026

U.S. Senate

Latest action Aug 7, 2026

Sponsor: Jeanne Shaheen (U.S. Senator for New Hampshire, Democratic)

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From Congress.gov and official rosters. This record was last updated Aug 3, 2026. About our data

Summary

Establishes patient protections regarding the cost of insulin, including cost-sharing requirements for certain insulin products in commercial, retiree, and certain small-group plans, and provisions on pharmacy benefit manager transparency and rebate reform.

AI summary. Not an official summary. How we handle summaries

Where it stands

Out of committee and scheduled for a vote by the full chamber.

  1. Introduced
  2. In committee
  3. Up for a vote
  4. Passed one chamber
  5. Passed
  6. Enacted

Committee

Senate Committee on Health, Education, Labor, and Pensions · U.S. Senate

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Cosponsors

28

Cosponsors listed on Congress.gov, shown A to Z.

  • Republican14
  • Democratic13
  • Other1

This bill has cosponsors from more than one party.

Shown in neutral colors by design; Agora is non-partisan.

Show the full list (28 names)

Related bills

As identified by Congress.gov.

Full history

  1. Aug 7, 2026

    Reported out of committee

    Committee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.

  2. Aug 7, 2026

    Reported out of committee

    Committee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.

  3. Aug 7, 2026

    Placed on Senate Legislative Calendar Under General Orders. Calendar No. 552.

    Placed on Senate Legislative Calendar under General Orders. Calendar No. 552.

    U.S. Senate

  4. Jul 22, 2026

    Reported out of committee

    Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

  5. Jul 22, 2026

    In committee

    Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

    U.S. Senate

Show full history (6 earlier events)
  1. Jul 22, 2026

    Reported out of committee

    Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

  2. Jul 22, 2026

    Reported out of committee

    Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

  3. Mar 25, 2026

    Introduced

    Introduced in U.S. Senate

    U.S. Senate

  4. Mar 25, 2026

    Referred to committee

    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

  5. Mar 25, 2026

    Referred to committee

    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

  6. Mar 25, 2026

    Referred to committee

    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Read the record