Relating to: cost-sharing cap on insulin.
This bill limits the amount patients can pay out of pocket for insulin by setting a maximum cost-sharing cap of $35 per one-month supply for disability insurance policies and self-insured health plans. It applies to plans that currently cover insulin and charge copayments, deductibles, or coinsurance, while allowing insurers to charge less than the cap or no cost at all. The legislation also clarifies that existing diabetes coverage requirements for insulin pumps and supplies remain unchanged, though pump coverage may still be limited to one per year. The changes would take effect on the first day of the fourth month after the bill is published.
Bill status
failed
1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 27, 2026
Last action Mar 23, 2026
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Full legislative history
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9
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Committee
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Jan 27, 2026
Introduced
Introduced by Senators Pfaff, Dassler-Alfheim, Hesselbein, Ratcliff, Roys, Smith, Spreitzer, Wall and Wirch;
cosponsored by Representatives Billings, Arney, Clancy, DeSmidt, Goodwin, Miresse, Moore Omokunde, Neubauer, Prado, Roe, Sinicki, Snodgrass, Spaude, Stubbs, Udell and Joers
upper
9 primary · 0 co-sponsors
Sponsors
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