State Updates

New Restrictions on Cost-Sharing for Treatment of Diabetes

 

On March 23, 2023, Gov. Justice signed SB 577 into law. The law restricts health insurance carriers in West Virginia from charging more than $35 total for a 30-day supply of prescription insulin (including where more than one insulin drug is prescribed) or more than $100 total for a 30-day supply of a covered device (including where more than one device is prescribed). Each cost-share maximum is required to be covered regardless of the person’s deductible, copayment, coinsurance, or any other cost-sharing requirement. These limitations apply to policies issued or renewed in West Virginia on and after January 1, 2024. Employers sponsoring health plans in West Virginia should be aware of this development and contact their carrier for further information.

SB 577»

PPI Benefit Solutions does not provide legal or tax advice. Compliance, regulatory and related content is for general informational purposes and is not guaranteed to be accurate or complete. You should consult an attorney or tax professional regarding the application or potential implications of laws, regulations or policies to your specific circumstances.

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