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Bill Summary · LC 860

Summary of Legislative Bill LC 860: Require Coverage for Continuous Glucose Monitors and Supplies

Purpose and Intent

This bill aims to require health insurance plans in the state to provide coverage for continuous glucose monitors (CGMs) and related supplies for individuals with diabetes. The primary goal is to improve access to this important medical technology and help those with diabetes better manage their condition.

Key Provisions

  • Mandates that all health insurance plans, including both public and private plans, cover the cost of CGMs and necessary supplies (such as sensors and transmitters) for individuals diagnosed with diabetes.
  • Prohibits insurance plans from imposing any deductibles, copayments, coinsurance, or other cost-sharing requirements on CGM coverage that are more restrictive than those applied to other diabetes equipment and supplies.
  • Requires coverage of CGMs to be provided in a manner consistent with the current medical standards and guidelines for diabetes treatment.
  • Applies to all new health insurance policies issued or renewed on or after January 1, 2025.

Affected Parties

This bill would directly benefit individuals with diabetes who rely on CGMs to monitor their blood glucose levels and manage their condition. It would reduce the financial burden on these patients and increase access to this important technology.

Insurance providers in the state would also be impacted, as they would be required to adjust their coverage policies and benefit structures to comply with the new CGM coverage mandate.

Procedural and Timeline Aspects

This bill is currently in the draft (LC) stage and has not been formally introduced in the state legislature. If passed, the new CGM coverage requirements would take effect for all health insurance policies issued or renewed on or after January 1, 2025.

Compiled from official sources — confirm details with the bill’s official record.

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