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VT H0207

VT H0207
An act relating to health insurance coverage for diabetes treatment


summary

Introduced
02/12/2025
In Committee
02/12/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 Session

Bill Summary

This bill proposes to modify provisions regarding health insurance coverage of diabetes treatment, including eliminating language allowing a health insurer to require that the treatment be provided by a health care professional under contract with the insurer and adding a prohibition on cost-sharing requirements.

AI Summary

This bill modifies Vermont's health insurance regulations for diabetes treatment by eliminating insurers' ability to require that diabetes-related prescriptions and care be provided only by professionals under their contract. The bill mandates that health insurers cover diabetes-related equipment, supplies, outpatient self-management training, and medical nutrition therapy when prescribed by legally authorized healthcare professionals. Importantly, the bill prohibits insurers from applying any dollar limits, co-payments, coinsurances, deductibles, or other cost-sharing requirements to these diabetes treatment benefits. The training and education must be provided by healthcare professionals with specialized diabetes education and management training. The bill will take effect on January 1, 2026, and will apply to all health insurance plans as they are issued, renewed, or offered, with a final implementation deadline of January 1, 2027. This change aims to make diabetes treatment more accessible and affordable for patients by removing financial barriers and provider network restrictions.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

House Committee on Health Care Hearing (00:00:00 2/21/2025 ) (on 02/21/2025)

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