The American Diabetes Association® (ADA) applauds Senators Jeanne Shaheen, Susan Collins, Raphael Warnock, and John Kennedy for introducing the Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act of 2026. This is critical, bipartisan legislation that will make insulin more affordable and accessible for millions of Americans.
Over 40 million Americans live with diabetes, and over 8 million people rely on insulin to survive. Diabetes is one of the most expensive chronic conditions in the United States, accounting for one in every four health care dollars spent nationwide, but too many individuals and families continue to face impossible choices because of high insulin costs.
The ADA has fought to make insulin affordable across the U.S., but it remains unaffordable for almost 30% of individuals, according to the ADA’s October 2025 national survey. Too many individuals choose between paying for lifesaving insulin or other life necessities, such as rent or food.
The INSULIN Act of 2026 takes meaningful steps to address barriers by limiting out-of-pocket costs to no more than $35 or 25% of the negotiated price for at least one insulin of each type and dosage form. Additionally, the legislation extends relief to uninsured individuals by establishing a five-year pilot grant program to help provide low-cost insulin through federally qualified health centers, retail pharmacies, and manufacturer assistance programs, along with creating an insulin resource center and hotline.
Affordable insulin is essential to prevent costly complications, reducing emergency room visits and hospitalizations, and ensuring every person living with diabetes can manage their condition effectively and safely.
The ADA urges lawmakers in both chambers to pass this bipartisan legislation swiftly and stands ready to continue to work with Congress to advance policies that protect access to care, improve affordability, and put the health of Americans living with diabetes first.
###
About the American Diabetes Association
The American Diabetes Association (ADA) is the nation’s leading voluntary health organization fighting to end diabetes and helping people thrive. This year, the ADA celebrates 85 years of driving discovery and research to prevent, manage, treat, and ultimately cure diabetes—and we’re not stopping. There are over 155 million Americans living with diabetes or prediabetes. Through advocacy, program development, and education, we’re fighting for them all. To learn more or to get involved, visit us at or call 1-800-DIABETES (800-342-2383). Join us in the fight on Facebook (American Diabetes Association), Spanish Facebook (Asociación Americana de la Diabetes), LinkedIn (American Diabetes Association), and Instagram (@AmDiabetesAssn). To learn more about how we are advocating for everyone affected by diabetes, visit us on X (@AmDiabetesAssn).
