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H.R. 3134 118th Congress House

Emergency Access to Insulin Act of 2023

Official title: To amend the Public Health Service Act to establish insulin assistance programs, and for other purposes.

Introduced: May 9, 2023 Introduced by: Angie Craig Democratic · Minnesota See on congress.gov
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This bill died when the 118th Congress ended
It never became law before the 118th Congress (2023–2024) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 4 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Dec 17, 2024
Referred to the Subcommittee on Health.
May 12, 2023
Referred to the Subcommittee on Health.
May 9, 2023
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
May 9, 2023
Introduced in House
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 Latest action December 17, 2024

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

Emergency Access to Insulin Act of 2023

This bill reduces the marketing exclusivity period for biological drug products from 12 to 7 years and establishes policies and programs designed to increase access to prescription insulin.

Specifically, the bill requires the Department of Health and Human Services (HHS) to award grants to states to create insulin card programs, which provide uninsured or underinsured individuals with insulin at no cost for specified time periods. Payments for insulin prescriptions made through the program must count toward an underinsured individual’s health plan deductible or other out-of-pocket expenses required under the plan. Further, HHS must collect annual fees from insulin manufacturers, based on each manufacturer’s market share, equal to the total estimated expenditures under the insulin grants program.

Subject to certain exceptions, the bill also establishes an excise tax on insulin manufacturers when the price of an insulin product spikes. The tax amount is a specified percentage of the revenue a manufacturer received as a result of the price spike. The tax amount increases in tiers based on the percentage of the price spike for that product.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
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APA
U.S. Congress. (2026). H.R. 3134: Emergency Access to Insulin Act of 2023. 118th Congress. Open America. https://openamerica.io/bill/118-HR-3134/
MLA
"H.R. 3134: Emergency Access to Insulin Act of 2023." 118th Congress, 2026, Open America, https://openamerica.io/bill/118-HR-3134/.
Bluebook (legal)
H.R. 3134, 118th Cong. (2026), https://openamerica.io/bill/118-HR-3134/.
Markdown link
[H.R. 3134: Emergency Access to Insulin Act of 2023](https://openamerica.io/bill/118-HR-3134/)
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