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Session of 2026
HOUSE BILL No. 2684
By Committee on Insurance
Requested by Representative Meyer
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AN ACT concerning health and healthcare; relating to prescription drugs;
providing coverage for insulin drugs and diabetes management devices;
providing price limitations and requirements therefor under health
insurance plans.
Be it enacted by the Legislature of the State of Kansas:
Section 1. (a) Every individual or group health insurance policy,
medical service plan, contract, hospital service corporation contract,
hospital and medical service corporation contract, fraternal benefit society
or health maintenance organization that provides coverage for accident and
health services and is delivered, issued for delivery, amended or renewed
on or after January 1, 2027, shall provide coverage for prescription insulin
drugs in accordance with this section.
(b) All coverage for accident and health services described in
subsection (a) shall limit the total amount that a covered person is required
to pay for a 30-day supply for:
(1) All covered prescription insulin drugs, including any amount or
type of insulin needed to fill the covered person's prescription and any
number of prescriptions filled, to an amount of not to exceed $35; and
(2) all devices, to an amount of not to exceed $100.
(c) All coverage for accident and health services described in
subsection (a) shall cover:
(1) At least one type of prescription insulin drug in each of the
following categories:
(A) Rapid acting;
(B) ultra rapid acting;
(C) short acting;
(D) intermediate acting;
(E) long acting;
(F) pre-mixed insulin products;
(G) pre-mixed insulin/GLP-1 RA products; and
(H) concentrated human regular insulin; and
(2) diabetes self-management education to ensure that persons with
diabetes are educated on the proper self-management and treatment of
diabetes, including, but not limited to, information on proper diets
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provided by a healthcare provider who has been appropriately trained as
specified in rules and regulations adopted by the board of healing arts.
(d) Any provider of coverage for accident and health services
described in subsection (a) shall provide an appeals process for covered
persons who are not able to take one or more of the prescription insulin
drugs described in subsection (c)(1). Such appeals process shall be
provided in writing and provide covered persons and the covered person's
healthcare providers a meaningful opportunity to participate in the appeals
process.
(e) (1) The commissioner of insurance shall adopt rules and
regulations as necessary to implement the provisions of this section.
(2) The board of healing arts shall adopt rules and regulations to
establish training requirements for healthcare providers providing diabetes
self-management education required to be covered under subsection (c)(2).
(f) (1) No contract between a provider of coverage for accident and
health services described in subsection (a) and a pharmacy benefits
manager, as defined in K.S.A. 40-3822, and amendments thereto, shall
contain any provision that allows any charge, collection or other required
payment that exceeds the limitations provided in subsection (b).
(2) A pharmacy benefits manager, a provider of coverage for accident
and health services described in subsection (a) or any other third party that
reimburses a pharmacy for drugs or services shall not reimburse a
pharmacy at a lower rate or assess any fee, charge-back or adjustment
upon a pharmacy on the basis that a covered person's cost-sharing
requirements are being affected.
(g) As used in this section:
(1) "Device" means a blood glucose test strip, glucometer, continuous
glucose monitor and transmitter, lancet, lancing device or insulin syringe
used to cure, diagnose, mitigate, prevent or treat diabetes or low blood
sugar. "Device" does not include an insulin pump.
(2) "Prescription insulin drug" means a prescription drug that
contains insulin and is used to treat diabetes.
(h) The provisions of K.S.A. 40-2248, 40-2249 and 40-2249a, and
amendments thereto, shall not apply to this section.
Sec. 2. This act shall take effect and be in force from and after its
publication in the statute book.
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