HB1466 - Access to Affordable Insulin Act

• Creates an urgent-need insulin program allowing Illinois residents without medical assistance or qualifying drug coverage to receive a 30-day supply of insulin from pharmacies for a maximum copayment of $35.

• Requires eligible individuals to complete an application form attesting to residency, lack of qualifying coverage, and urgent need (having less than 7-day supply available), with valid Illinois identification required at the pharmacy.

• Permits pharmacies to seek reimbursement from insulin manufacturers for the acquisition cost of dispensed insulin through electronic claims or to receive replacement product directly from the manufacturer.

• Mandates the Department of Public Health develop application forms, information sheets, and a navigator training program to help individuals access long-term insulin coverage options including medical assistance, qualified health plans, and manufacturer copayment assistance programs.

• Amends the Illinois Insurance Code to cap the total cost-sharing (copayments, deductibles, coinsurance) for a 30-day supply of prescription insulin at $35 for all health insurance plans issued or renewed after the effective date, with annual increases tied to the Consumer Price Index for medical care.