Florida Senate - 2026                                     SB 222
       
       
        
       By Senator Smith
       
       
       
       
       
       17-00236A-26                                           2026222__
    1                        A bill to be entitled                      
    2         An act relating to cost-sharing requirements for
    3         diabetes management; creating s. 627.42398, F.S.;
    4         defining terms; prohibiting health insurance policies
    5         from imposing a cost-sharing requirement exceeding a
    6         certain amount for a 30-day supply of insulin or any
    7         diabetes device or diabetic ketoacidosis device;
    8         providing applicability; providing an effective date.
    9          
   10  Be It Enacted by the Legislature of the State of Florida:
   11  
   12         Section 1. Section 627.42398, Florida Statutes, is created
   13  to read:
   14         627.42398 Cost-sharing requirement for diabetes
   15  management.—
   16         (1) As used in this section, the term:
   17         (a) “Cost-sharing requirement” means an insured’s
   18  deductible, coinsurance, copayment, or similar out-of-pocket
   19  expense.
   20         (b) “Diabetes device” means a device, including, but not
   21  limited to, a blood glucose test strip, a glucometer, a
   22  continuous glucometer, a lancet, a lancing device, or an insulin
   23  syringe, used to cure, diagnose, mitigate, prevent, or treat
   24  diabetes or low blood sugar.
   25         (c) “Diabetic ketoacidosis device” means a device used to
   26  screen for or prevent diabetic ketoacidosis.
   27         (2) A health insurance policy may not impose a cost-sharing
   28  requirement that:
   29         (a) Exceeds $35 for a 30-day supply of insulin for any
   30  insured, regardless of the quantity or type of insulin
   31  prescribed.
   32         (b) Exceeds $100 for a 30-day supply of any diabetes device
   33  or diabetic ketoacidosis device.
   34         (3) This section applies to all health insurance policies
   35  delivered, issued, renewed, or amended on or after January 1,
   36  2027, for delivery to persons in this state, including policies
   37  provided by group, blanket, or franchise health insurers;
   38  prepaid limited health service organizations and discount plan
   39  organizations; and health maintenance organizations.
   40         Section 2. This act shall take effect July 1, 2026.