Signed by Governor Gavin Newsom

Vote Smart's Synopsis:

Vote to concur with House amendments and pass a bill that prohibits health care service plans or health insurance policies from imposing copays of over $35 for a 30-day supply of insulin in California.

Highlights:

• Prohibits group health care service plans from issuing a copayment, coinsurance, or deductible that exceeds $35 for a 30-day supply (Sec. 2).

• Prohibits the implementation of a “step therapy protocol” as a prerequisite for authorizing coverage of an insulin prescription drug (Sec. 2).

• Requires a health care service plan to provide coverage for diabetes outpatient self-management training, education, and medical nutrition therapy necessary to enable the enrollee to properly use equipment, supplies, and medication (Sec. 2).

Full Bill Text

Vote Smart's Synopsis:

Vote to amend and pass a bill that would prohibit health care service plans or health insurance policies from imposing copays of over $35 for a 30-day supply of insulin.

Highlights:

• Prohibits group health care service plans from issuing a copayment, coinsurance, or deductible that exceeds $35 for a 30-day supply (Sec. 2).

• Prohibits the implementation of a “step therapy protocol” as a prerequisite for authorizing coverage of an insulin prescription drug (Sec. 2).

• Requires a health care service plan to provide coverage for diabetes outpatient self-management training, education, and medical nutrition therapy necessary to enable the enrollee to properly use equipment, supplies, and medication (Sec. 2).

Full Bill Text