H.207, introduced by Representative Branagan, aims to enhance health insurance coverage for diabetes treatment in Vermont. The bill proposes to amend existing provisions by removing the allowance for health insurers to mandate that diabetes treatment be provided by healthcare professionals under contract with them. Additionally, it introduces a prohibition on any cost-sharing requirements, ensuring that benefits related to diabetes treatment are not subject to co-payments, coinsurance, deductibles, or other financial barriers.

The bill specifies that health insurers must cover necessary equipment, supplies, and outpatient self-management training for various types of diabetes, provided these are prescribed by authorized healthcare professionals. It also clarifies that the coverage must be offered without any dollar limits or cost-sharing requirements. The act is set to take effect on January 1, 2026, and will apply to all health insurance plans issued or renewed on or after that date, but no later than January 1, 2027.

Statutes affected:
As Introduced: 8-4089c