Insulin-Requiring Diabetes Coverage, Affordability, and Access in State-Regulated Private Health Insurance

Amy Killelea, Christine H. Monahan, Billy Dering, Hanan Rakine, Vrudhi Raimugia | 2025-05-01This issue brief focuses on how cost-sharing requirements affect access to insulin-requiring diabetes care and examines state policy options to improve the affordability of diabetes medications, devices, and supplies in the private insurance market. This issue brief focuses on how prior authorization practices affect access to insulin-requiring diabetes care and outlines state policy options to improve the use of utilization management for clinically appropriate diabetes treatment. This state spotlight examines how Colorado and the District of Columbia used standardized plan design and stakeholder engagement to reduce cost-sharing and expand access to clinically recommended diabetes care. Please click here to view the publication.