S. 4189 · 119th Congress
INSULIN Act of 2026
Introduced on Mar 25, 2026 by Jeanne Shaheen (D-NH). 28 cosponsors, 14 of them from another party. Latest action (Aug 7, 2026): Placed on Senate Legislative Calendar under General Orders. Calendar No. 552.
- Stage
- Reported by committee
- Introduced
- Mar 25, 2026
- Cosponsors
- 28
- 14 from the other party
- Policy area
- Health
Progress
The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.
- Introduced
- Reported by committee
- 3Passed one chamber
- 4Passed both chambers
- 5Sent to the President
- 6Became law
Official title
A bill to reduce the price of insulin and provide for patient protections with respect to the cost of insulin.
Subjects
- Administrative remedies
- Civil actions and liability
- Competition and antitrust
- Congressional oversight
- Digestive and metabolic diseases
- Drug safety, medical device, and laboratory regulation
- Drug therapy
- Government information and archives
- Government studies and investigations
- Health care costs and insurance
- Health care coverage and access
- Health programs administration and funding
- Prescription drugs
Summary
The Congressional Research Service has not summarized this measure yet.
Sponsor and cosponsors
Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.
Democrats · 13
- Tammy BaldwinD-WIoriginal
- Mark KellyD-AZoriginal
- Jacky RosenD-NVoriginal
- Raphael G. WarnockD-GAoriginal
- Christopher A. CoonsD-DEsigned on Apr 27, 2026
- Tim KaineD-VAsigned on May 18, 2026
- Lisa Blunt RochesterD-DEsigned on May 19, 2026
- John W. HickenlooperD-COsigned on Jun 3, 2026
- Angela D. AlsobrooksD-MDsigned on Jun 4, 2026
- Catherine Cortez MastoD-NVsigned on Jun 9, 2026
- Cory A. BookerD-NJsigned on Jun 10, 2026
- Elissa SlotkinD-MIsigned on Jun 18, 2026
- Mark R. WarnerD-VAsigned on Jul 21, 2026
Independents · 1
- Angus S. King, Jr.I-MEoriginal
Republicans · 14
- Katie Boyd BrittR-ALoriginal
- Susan M. CollinsR-MEoriginal
- Chuck GrassleyR-IAoriginal
- John KennedyR-LAoriginal
- Lisa MurkowskiR-AKoriginal
- Tommy TubervilleR-ALoriginal
- Roger F. WickerR-MSsigned on Apr 27, 2026
- Shelley Moore CapitoR-WVsigned on May 18, 2026
- James C. JusticeR-WVsigned on May 19, 2026
- Joni ErnstR-IAsigned on Jun 3, 2026
- Kevin CramerR-NDsigned on Jun 4, 2026
- Cindy Hyde-SmithR-MSsigned on Jun 9, 2026
- Jim BanksR-INsigned on Jun 10, 2026
- David McCormickR-PAsigned on Jun 18, 2026
Roll calls
Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.
No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.
History
Every action as published, oldest first. Roll calls link to how each member voted.
- Mar 25, 2026Introduced in Senate
- Mar 25, 2026 · SenateRead twice and referred to the Committee on Health, Education, Labor, and Pensions.
- Jul 22, 2026 · SenateCommittee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.
- Aug 7, 2026Committee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.
- Aug 7, 2026 · SenateCommittee on Health, Education, Labor, and Pensions. Reported by Senator Cassidy with an amendment in the nature of a substitute. Without written report.
- Aug 7, 2026 · SenatePlaced on Senate Legislative Calendar under General Orders. Calendar No. 552.
Committees
Committees and subcommittees the measure was referred to.
Agencies in its committees' jurisdiction
Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.
Who lobbied on it
Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.
- Breakthrough T1D (formerly known as JDRF Intl.)2 reports$500K reported (all issues)
- National Association of Free & Charitable Clinics2 reports$60K reported (all issues)
- National Association of Pediatric Nurse Practitioners2 reports$48K reported (all issues)
- AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)1 report$3M reported (all issues)
- BLUE CROSS BLUE SHIELD OF MICHIGAN1 report$276.3K reported (all issues)
- Blue Cross and Blue Shield Association1 report$990K reported (all issues)
- Blue Cross and Blue Shield of Florida, Inc.1 report$80K reported (all issues)
- GUIDEWELL MUTUAL HOLDING CORPORATION1 report$20K reported (all issues)
- HIGHMARK INC.1 report$230K reported (all issues)
- JOHNS HOPKINS UNIVERSITY1 report$350K reported (all issues)Federal contractor: THE JOHNS HOPKINS UNIVERSITY$30.2M in contracts, FY2026AI match · 100%
- PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION1 report$3.3M reported (all issues)
- Public Citizen1 report$99.6K reported (all issues)
- T1INTERNATIONAL USA1 report
- The diaTribe Foundation1 report$20K reported (all issues)
Reports filed in 2026.
Sources and method
Every figure on this page traces to these records.
- Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
- Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
- House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
- Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
- Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
- Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
- Money and votes are shown side by side; neither explains the other.