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IA SF209

Bill

Status

Introduced

2/4/2025

Primary Sponsor

Molly Donahue

Click for details

Origin

Senate

91st General Assembly

AI Summary

  • 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

  • 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

  • Defines "cost-sharing" broadly to include coverage limits, copayments, coinsurance, deductibles, and other out-of-pocket expenses

  • Excludes specialized insurance types including accident-only, dental, vision, Medicare supplement, long-term care, disability income, and workers' compensation coverage

  • 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

Committee Referrals

Commerce2/4/2025

Full Bill Text

No bill text available