This bill amends various sections of the General Laws to ensure comprehensive coverage for diabetes treatment under health insurance policies in the state. It mandates that all individual or group health insurance contracts, plans, or policies that provide medical coverage must include coverage for essential diabetes equipment and supplies, such as insulin administration and glucose monitoring equipment and supplies, when prescribed by a physician.

A significant aspect of the bill is the introduction of a cap on out-of-pocket expenses for insulin administration and glucose monitoring supplies, set at no more than $25 per supply lasting 30 days, effective January 1, 2026. The bill also stipulates that this coverage will not be subject to any annual deductible. Additionally, if the application of this cap to a specific item of equipment or supply before a covered person has met their plan's deductible would result in health savings account ineligibility under 26 U.S.C. 223, then the cap would only apply to that specific item of equipment or supply after the covered person has met their plan's deductible.

Statutes affected:
196: 27-18-38, 27-19-35, 27-20-30, 27-41-44