SB 577 - Reduces Insulin Copays; Authorizes Non-Prescription Purchase of Ketone Blood Testing Kits - West Virginia Key Vote

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Title: Reduces Insulin Copays; Authorizes Non-Prescription Purchase of Ketone Blood Testing Kits

Vote Smart's Synopsis:

Vote to pass a bill that reduces insulin copays and authorizes the non-prescription purchase of ketone blood testing kits.

Highlights:

  • Requires every health care plan to cover at least one type of insulin from each of the following categories (Article 59): 

    • Rapid-acting; 

    • Short-acting;  

    • Intermediate-acting;  

    • Long-acting; 

    • Pre-mixed insulin products; 

    • Pre-mixed insulin/GLP-1 RA products; and 

    • Concentrated human regular insulin.

  • Authorizes insurance companies to ensure that cost-sharing a 30-day supply of a covered prescription insulin drug does not exceed $35 (Article. 59).

  • Specifies that this is regardless of how much insulin it takes to fill this prescription (Article 59).

  • Authorizes insurance companies to ensure that cost-sharing 30-day supply of covered device(s) does not exceed $100 (Article 59).

  • Specifies that this is regardless of if the person is prescribed more than one device (Article 59).

  • Requires all health care providers to provide coverage for the following devices: 

  • Blood glucose monitors, monitor supplies, insulin, injection aids, syringes (Article 59): 

    • Insulin infusion devices;

    • Pharmacological agents for controlling blood sugar; and

    • Orthotics.

  • Requires insurers to provide coverage for diabetic self-management education (Article 59).

  • Requires insurance companies to provide an appeals process for those unable to take one or more of the prescription insulin noted (Article 59).

  • Specifies that to obtain a blood testing kit for ketones a prescription is not required (Article 59).

 

Title: Reduces Insulin Copays; Authorizes Non-Prescription Purchase of Ketone Blood Testing Kits

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