BILL AS INTRODUCED H.207
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VT LEG #380803 v.1
H.207 1
Introduced by Representative Branagan of Georgia 2
Referred to Committee on 3
Date: 4
Subject: Health; health insurance; diabetes treatment 5
Statement of purpose of bill as introduced: This bill proposes to modify 6
provisions regarding health insurance coverage of diabetes treatment, including 7
eliminating language allowing a health insurer to require that the treatment be 8
provided by a health care professional under contract with the insurer and 9
adding a prohibition on cost-sharing requirements. 10
An act relating to health insurance coverage for diabetes treatment 11
It is hereby enacted by the General Assembly of the State of Vermont: 12
Sec. 1. 8 V.S.A. § 4089c is amended to read: 13
§ 4089c. DIABETES TREATMENT 14
(a)(1) A health insurer shall provide coverage for the equipment, supplies, 15
and outpatient self-management training and education, including medical 16
nutrition therapy, for the treatment of insulin dependent diabetes, insulin using 17
diabetes, gestational diabetes, and noninsulin using diabetes if prescribed by a 18
health care professional legally authorized to prescribe such items under law. 19 BILL AS INTRODUCED H.207
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VT LEG #380803 v.1
A health insurer may require that such prescriptions be made, and care be 1
given, by a health care professional under contract with the insurer. 2
(2) Diabetes outpatient self-management training and education required 3
to be covered by this section shall be provided by a certified, registered, or 4
licensed health care professional with specialized training in the education and 5
management of diabetes. 6
(3) Benefits required to be covered by this section shall not be subject to 7
the same any dollar limits, deductibles, and coinsurance factors within the 8
provisions of the health insurance policy or to any co-payment, coinsurance, 9
deductible, or other cost-sharing requirement. 10
(b) For the purposes of this section, “insurer” means any health insurance 11
company, nonprofit hospital and medical service corporation, and health 12
maintenance organization. The term does not apply to coverage for specified 13
disease or other limited benefit coverage. 14
Sec. 2. EFFECTIVE DATE 15
This act shall take effect on January 1, 2026 and shall apply to all health 16
insurance plans issued on and after January 1, 2026 on such date as a health 17
insurer offers, issues, or renews the health insurance plan, but in no event later 18
than January 1, 2027. 19