How AB 921 changes current law

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill limits cost sharing for insulin under disability insurance policies and self-insured health plans to a maximum of $35 for a one-month supply.

• 609.83

  ss. 632.853, 632.861, and 632.895 (16t) and (16v) → ss. 632.853, 632.861, and 632.895 (6) (b), (16t), and (16v)

  This change includes the new insulin cost-sharing provision in the relevant statutes for certain health plans.

• 632.895 (6) (title)

  EQUIPMENT AND SUPPLIES FOR TREATMENT OF DIABETES ; → EQUIPMENT AND SUPPLIES FOR TREATMENT OF DIABETES ; INSULIN.

  This update reflects the new addition regarding insulin in the title of the section.

• 632.895 (6)

  coverage required under this subsection shall be subject to the same exclusions, limitations, deductibles, and coinsurance provisions of the policy as other covered expenses → coverage required under this subsection shall be subject to the same exclusions, limitations, deductibles, and coinsurance provisions of the policy as other covered expenses, except as provided in par. (b)

  This change specifies that the new section (b) will provide an exception to the standard cost-sharing rules for insulin.

• 632.895 (6)

  632.895 (6) (b) 1. In this paragraph: a. “Cost sharing” means the total of any deductible, copayment, or coinsurance amounts imposed on a person covered under a policy or plan. b. “Self-insured health plan” has the meaning given in s. 632.85 (1) (c). 2. Every disability insurance policy and self-insured health plan that covers insulin and imposes cost sharing on prescription drugs may not impose cost sharing on insulin in an amount that exceeds $35 for a one-month supply of insulin. 3. Nothing in this paragraph prohibits a disability insurance policy or self-insured health plan from imposing cost sharing on insulin in an amount less than the amount specified under subd. 2. Nothing in this paragraph requires a disability insurance policy or self-insured health plan to impose any cost sharing on insulin.

  This creates a new provision that caps insulin cost sharing at $35 for a one-month supply.