Bill > H5026

This bill amends health insurance laws in Rhode Island to cap the out-of-pocket cost for diabetes-related equipment and supplies at $25 per 30-day supply or per item designed to last longer than 30 days, starting January 1, 2026. The legislation applies to various types of health insurance plans, including individual and group health insurance contracts, nonprofit hospital and medical service corporations, and health maintenance organizations. The bill specifically targets equipment and supplies used for insulin administration and glucose monitoring, such as blood glucose monitors, test strips, insulin pumps, and related items. Importantly, these items will not be subject to annual deductibles, though there is a provision to ensure the cap does not impact health savings account (HSA) eligibility under federal tax law. The bill also includes state employee health plans in this requirement, ensuring consistent coverage across different types of health insurance in Rhode Island. By implementing this cap, the legislation aims to make diabetes management equipment more affordable and accessible for people with diabetes.

Health and Social Services

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