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IA SF209
Bill
Status
2/4/2025
Primary Sponsor
Molly Donahue
Click for details
AI Summary
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Caps out-of-pocket costs for prescription insulin at $25 maximum per prescription for up to a 31-day supply, covering rapid-acting, short-acting, intermediate-acting, and long-acting insulin types
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Applies to individual and group health insurance policies, hospital/medical service contracts, health maintenance organization contracts, and public employee health plans delivered or renewed on or after January 1, 2026
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Defines "cost-sharing" broadly to include coverage limits, copayments, coinsurance, deductibles, and other out-of-pocket expenses
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Excludes specialized insurance types including accident-only, dental, vision, Medicare supplement, long-term care, disability income, and workers' compensation coverage
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Authorizes the Commissioner of Insurance to adopt rules to administer the insulin cost-sharing cap requirements
Legislative Description
A bill for an act relating to insurance coverage for prescription insulin drugs.
Last Action
Subcommittee: Schultz, Rowley, and Trone Garriott. S.J. 203.
2/5/2025