H 207

 BILL AS INTRODUCED  H.207
 2025  Page 1 of 2
1H.207
2 Introduced by Representative Branagan of Georgia
3 Referred to Committee on
4 Date:
5 Subject: Health; health insurance; diabetes treatment
6 Statement of purpose of bill as introduced: This bill proposes to modify
7 provisions regarding health insurance coverage of diabetes treatment, including
8 eliminating language allowing a health insurer to require that the treatment be
9 provided by a health care professional under contract with the insurer and
10 adding a prohibition on cost-sharing requirements.
11    An act relating to health insurance coverage for diabetes treatment
12 It is hereby enacted by the General Assembly of the State of Vermont:
13 Sec. 1. 8 V.S.A. § 4089c is amended to read:
14 § 4089c. DIABETES TREATMENT
15    (a)(1) A health insurer shall provide coverage for the equipment, supplies,
16 and outpatient self-management training and education, including medical
17 nutrition therapy, for the treatment of insulin dependent diabetes, insulin using
18 diabetes, gestational diabetes, and noninsulin using diabetes if prescribed by a
19 health care professional legally authorized to prescribe such items under law.
                                                                   VT LEG #380803 v.1
 BILL AS INTRODUCED  H.207
 2025  Page 2 of 2
1 A health insurer may require that such prescriptions be made, and care be
2 given, by a health care professional under contract with the insurer.
3(2) Diabetes outpatient self-management training and education required
4 to be covered by this section shall be provided by a certified, registered, or
5 licensed health care professional with specialized training in the education and
6 management of diabetes.
7(3) Benefits required to be covered by this section shall not be subject to
8 the same any dollar limits, deductibles, and coinsurance factors within the
9 provisions of the health insurance policy or to any co-payment, coinsurance,
10 deductible, or other cost-sharing requirement.
11    (b) For the purposes of this section, “insurer” means any health insurance
12 company, nonprofit hospital and medical service corporation, and health
13 maintenance organization. The term does not apply to coverage for specified
14 disease or other limited benefit coverage.
15 Sec. 2. EFFECTIVE DATE
16    This act shall take effect on January 1, 2026 and shall apply to all health
17 insurance plans issued on and after January 1, 2026 on such date as a health
18 insurer offers, issues, or renews the health insurance plan, but in no event later
19 than January 1, 2027.
                                                                    VT LEG #380803 v.1