SESSION WATCH
Died SENATE · SESSION 2026

No. SB 222

Cost-sharing Requirements for Diabetes Management
Send via email
SPONSOR
Smith
FILED BY
Carlos Guillermo Smith — District 17, Democrat [search donations]
EFFECTIVE
7/1/2026
DIED IN
Banking and Insurance

Filed under Insurance.

PROVIDED SUMMARY

Cost-sharing Requirements for Diabetes Management; Prohibiting health insurance policies from imposing a cost-sharing requirement exceeding a certain amount for a 30-day supply of insulin or any diabetes device or diabetic ketoacidosis device, etc.

Full bill text →

Plain English Summary

AI-GENERATED
Caps insulin cost-sharing at $35 and device cost-sharing at $100.

Florida health insurance policies can no longer charge more than $35 in cost-sharing for a 30-day supply of insulin, no matter how much insulin someone needs or which type they use.

The same policies can't charge more than $100 in cost-sharing for a 30-day supply of diabetes devices, such as test strips, glucometers, lancets, or insulin syringes, or for diabetic ketoacidosis devices.

These caps apply to group, blanket, and franchise health policies, prepaid limited health service plans, discount plan organizations, and HMOs, for coverage issued, renewed, or amended on or after January 1, 2027.

KEY PROVISIONS
§ 1 Monthly cost-sharing cap on insulin majors. 627.42398

AIA health insurance policy cannot make an insured pay more than $35 in deductible, coinsurance, copayment, or similar cost-sharing for a 30-day supply of insulin, regardless of dose or insulin type.

“Exceeds $35 for a 30-day supply of insulin for any insured, regardless of the quantity or type of insulin prescribed” bill text, line 29 →
§ 2 Monthly cost-sharing cap on diabetes devices majors. 627.42398

AIA health insurance policy cannot make an insured pay more than $100 in cost-sharing for a 30-day supply of covered diabetes devices, such as glucose test strips or glucometers, or diabetic ketoacidosis devices.

“Exceeds $100 for a 30-day supply of any diabetes device or diabetic ketoacidosis device” bill text, line 32 →
§ 3 Applies broadly across insurance and plan types moderates. 627.42398

AIThe caps reach all Florida health insurance policies delivered, issued, renewed, or amended on or after January 1, 2027, including group, blanket, and franchise policies, prepaid limited health service organizations, discount plan organizations, and HMOs.

“policies provided by group, blanket, or franchise health insurers; prepaid limited health service organizations and discount plan organizations” bill text, line 36 →
TIMELINE
3/13/2026
Died in Banking and Insurance
1/13/2026
Introduced
11/3/2025
Referred to Banking and Insurance; Appropriations Committee on...
10/17/2025
Filed
STATUTES IT CHANGES
s. 627.42398
+184 / −0