Assembly Bill 921 aims to establish a cost-sharing cap on insulin for health insurance policies and governmental self-insured health plans in Wisconsin. Specifically, the bill prohibits these plans from imposing cost-sharing amounts that exceed $35 for a one-month supply of insulin. This new provision is introduced as section 632.895 (6) (b) and clarifies that while coverage for insulin is required, it cannot be subject to the same exclusions, limitations, deductibles, and coinsurance provisions as other covered expenses, which is a change from current law.

Additionally, the bill amends existing statutes to reflect these changes, including renumbering and amending section 632.895 (6) and updating the title to include insulin. The bill also clarifies definitions related to cost-sharing and self-insured health plans. It is important to note that while the bill sets a maximum cost-sharing limit, it does not prevent insurers from charging less or from offering plans with no cost-sharing for insulin. The act is set to take effect four months after publication.

Statutes affected:
Bill Text: 609.83, 632.895(6)(title), 632.895