West Virginia 2023 Regular Session

West Virginia Senate Bill SB577

Introduced
2/7/23  
Refer
2/7/23  
Engrossed
2/23/23  
Refer
2/23/23  
Refer
2/23/23  
Enrolled
3/11/23  
Passed
3/23/23  

Caption

Reducing copay cap on insulin and devices and permitting purchase of testing equipment without prescription

Impact

The implementation of SB577 will amend state insurance regulations and greatly affect the landscape of health care provisions for diabetes in West Virginia. By ensuring that the cost-sharing for insulin and associated devices is capped, this bill seeks to ameliorate the financial distress that many diabetes patients face. Given the rising costs of such necessities, this legislation is positioned to ease the financial strain on individuals, potentially reducing the occurrence of health complications that arise from unaffordable medication and supplies, thus having a positive long-term impact on public health.

Summary

Senate Bill 577 aims to significantly reduce the financial burden of diabetes management through insurance reforms. Key provisions in this bill include the stipulation that copayments for a 30-day supply of prescription insulin drugs shall not exceed $35, thereby making essential medication more affordable for patients in West Virginia. In addition, the bill mandates that coverage for necessary diabetes management devices must be provided, ensuring that both insulin-dependent and non-insulin-dependent diabetics have access to critical health care resources. This emphasizes the commitment to enhance public health by addressing the skyrocketing costs associated with diabetes care.

Sentiment

The sentiment surrounding SB577 is largely positive, with many advocates viewing it as a necessary step towards more equitable health care access. Proponents argue that capping insulin costs and expanding coverage for essential devices will save lives and prevent individuals from rationing insulin due to cost constraints. Nevertheless, some healthcare stakeholders express concerns about the implications for insurance providers and the potential financial strain on them. Overall, the bill is perceived as a progressive measure aimed at striking down barriers in health care access for individuals affected by diabetes.

Contention

While SB577 has gained overwhelming support among legislators, some contention arises regarding the execution of its provisions. Opponents question whether insurance companies can feasibly absorb these cost adjustments without diminishing the quality of coverage in other areas. Concerns also surface about how this legislation might influence the pricing strategies of pharmaceutical manufacturers and the overall sustainability of health care financing in West Virginia. The debate centers around balancing the interests of patients with those of insurers and pharmaceutical companies, aiming for a solution that prioritizes health without compromising the stability of the insurance market.

Companion Bills

WV HB2430

Similar To To reduce copay cap on insulin and devices

Previously Filed As

WV SB2010

Reducing copay cap on insulin and devices

WV HB4252

To reduce copay cap on insulin and devices

WV HB2430

To reduce copay cap on insulin and devices

WV SB1369

RS&UT; exemption for prescription medicine and drugs purchased by veterinarians, extends sunset.

WV SB426

Dissolving PEIA and converting to employer-owned mutual insurance company

WV SB333

Dissolving PEIA and converting to employer-owned mutual insurance company

WV HB972

Public purchasing; increase threshold for purchases without competitive bidding.

WV HB680

Public purchasing; increase threshold for purchases without competitive bidding.

WV HB06322

An Act Concerning State Prescription Drug Purchasing.

WV SB179

Authorizing small private employers to buy-in to PEIA

Similar Bills

WV SB238

Requiring health insurance coverage for persons with diabetes

WV SB2010

Reducing copay cap on insulin and devices

WV HB4252

To reduce copay cap on insulin and devices

VA HB1898

Optometry; TPA-Formulary; TPA-Formulary Committee; dissolution.

VA SB1081

Optometry; dissolves TPA-Formulary and TPA-Formulary Committee.

VA HB240

State health plan; insulin discount program, cost sharing for insulin.

WV HB2430

To reduce copay cap on insulin and devices

WV HB4324

To update collaborative pharmacy practice agreements