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