It has cleared committee and can be brought up at any time, though no date is set.
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Why This Matters
This bill caps the monthly cost of insulin at $35 for patients and removes deductibles for certain insulin products starting in 2027.
If you use insulin, your monthly cost will be capped at $35 starting January 1, 2027.
Who this affects
Diabetes patients · Health insurance holders
What changes is this bill making?
1Starting January 1, 2027, health plans must cover selected insulin products without any deductible.
2For plan years starting before January 1, 2028, patients will pay no more than $35 for a 30-day supply of insulin.
3From January 1, 2028, patients will pay either $35 or 25% of the negotiated price of insulin, whichever is lower.
4Health plans cannot impose prior authorization or other restrictions on selected insulin products, except for safety reasons.