Minnesota Legislature prohibits step therapy for insulin coverage in new health bill

March 03, 2025 | Senate Bills, Introduced Bills, 2025 Bills, Minnesota Legislation Bills, Minnesota


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Minnesota Legislature prohibits step therapy for insulin coverage in new health bill
Minnesota lawmakers are taking a significant step towards improving access to essential diabetes medications with the introduction of Senate Bill 2071. Proposed on March 3, 2025, this bill aims to prohibit health plans from implementing step therapy protocols for prescription insulin drugs, a move that advocates argue will enhance patient care and reduce barriers to necessary treatments.

Step therapy, a cost-control strategy used by insurers, often requires patients to try and fail on less expensive medications before being approved for their prescribed treatment. Critics of this practice argue that it can delay access to effective medications, particularly for individuals managing chronic conditions like diabetes. By eliminating these requirements for insulin, Senate Bill 2071 seeks to ensure that patients receive timely and appropriate care without unnecessary hurdles.

The bill defines diabetes in accordance with guidelines from the Centers for Disease Control and Prevention, encompassing type I, type II, and gestational diabetes. It mandates that health plans providing coverage for diabetes treatment cannot impose step therapy protocols on insulin drugs, thereby streamlining access for patients who rely on these medications.

As the bill progresses through the legislative process, it has sparked discussions among healthcare professionals, insurers, and patient advocacy groups. Supporters argue that the bill addresses a critical need for patients who may suffer health complications due to delays in receiving their prescribed insulin. However, some insurance representatives have raised concerns about potential increases in costs associated with the removal of step therapy protocols, emphasizing the need for a balanced approach to healthcare spending.

Senate Bill 2071 is set to take effect on January 1, 2027, applying to health plans offered, issued, or renewed after that date. If passed, it could significantly impact the lives of many Minnesotans living with diabetes, ensuring they have direct access to the medications they need without unnecessary barriers.

As the legislative session unfolds, the outcome of this bill will be closely watched, with potential implications for healthcare policy and patient rights in Minnesota. The ongoing debates surrounding the bill highlight the broader conversation about healthcare accessibility and the role of insurance practices in patient care.

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This article is based on a bill currently being presented in the state government—explore the full text of the bill for a deeper understanding and compare it to the constitution

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Scribe from Workplace AI
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