Islets of Hope  state diabetes insurance coverage laws

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Information for this article was compiled and edited by Lahle A. Wolfe, Islets of Hope.

Important Disclaimer

This information for general information purposes only.  

It is not intended to be used a recommendation or endorse- ment of any program or entity

This information is not intended to serve as any form of medical or legal advice.


Article Sources

National Conference of State Legislatures

Government Accountability Office (GAO) report number GAO-05-210 entitled "Managing Diabetes: Health Plan Coverage of Services and Supplies;" released on March 28, 2005.


State Prescription Laws for Purchase of Insulin (Children with Diabetes Link)

As of January 2007, 46 states have some type of laws requiring health insurance coverage to include treatment for diabetes. Most states require coverage of both direct treatment and the costs of diabetes treatment equipment and supplies often used by the patient at home when prescribed by a doctor for diabetes treatment.

The states that do not have diabetes coverage laws are Alabama, Idaho, North Dakota and Ohio.

The laws in Mississippi, Missouri, and Washington State only require that insurers offer coverage, but not necessarily include the coverage in all active policies- Mississippi, Missouri and Washington.

The first state to include mandates for diabetes coverage was California (1981).

Federal Laws Pertaining to Persons with Diabetes

Diabetes Assistance Programs

Diabetes Laws

Summary of State Diabetes Insurance Coverage Laws


The following chart summaries, by state, what provisions for diabetes care and coverage are  mandated by law in each state.  

Chart by Lahle Wolfe, Islets of Hope.  For permission to use, please contact us.

 

State

Requirement related to diabetes

Diabetes education services

Medical nutrition therapy svcs

Diabetes supplies

Specified Supplies

Alabama

No No No No No

Alaska

Yes Yes Yes Yes No

Arizona

Yes No No Yes Yes

Arkansas

Yes Yes Yes Yes Yes

California

Yes Yes Yes Yes Yes

Colorado

Yes Yes Yes Yes No

Connecticut

Yes Yes Yes Yes No

Delaware

Yes No No Yes Yes

Florida

Yes Yes No Yes No

Georgia

Yes Yes Yes Yes Yes

Hawaii

Yes Yes No Yes No

Idaho

No No No No No

Illinois 

Yes Yes Yes Yes Yes

Indiana

Yes Yes No Yes No

Iowa

Yes Yes No Yes Yes

Kansas

Yes Yes Yes Yes Yes

Kentucky

Yes Yes Yes Yes No

Louisiana

Yes Yes Yes Yes No

Maine

Yes Yes No Yes Yes

Maryland

Yes Yes Yes Yes No

Massachusettes

Yes Yes Yes Yes Yes

Michigan

Yes Yes No Yes Yes

Minnesota

Yes Yes Yes Yes No

Mississippi

Yes Yes Yes Yes Yes

Missouri

Yes Yes No Yes No

Montana

Yes Yes No Yes Yes

Nebraska

Yes Yes Yes Yes Yes

Nevada

Yes Yes No Yes No

New Hampshire

Yes Yes Yes Yes Yes

New Jersey

Yes Yes No Yes Yes

New Mexico

Yes Yes Yes Yes Yes

New York

Yes Yes No Yes Yes

North Carolina

Yes Yes No Yes No

North Dakota

No No No No No

Ohio

No No No No No

Oklahoma

Yes Yes Yes Yes Yes

Oregon

Yes Yes No Yes No

Pennsylvania

Yes Yes Yes Yes Yes

Rhode Island

Yes Yes Yes Yes Yes

South Carolina

Yes Yes No Yes No

South Dakota

Yes Yes Yes Yes Yes

Tennessee

Yes Yes No Yes Yes

Texas

Yes Yes No Yes Yes

Utah

Yes Yes Yes Yes Yes

Vermont

Yes Yes Yes Yes No

Virginia

Yes Yes Yes Yes No

Washington (State)

Yes Yes Yes Yes Yes

Washington, DC

Yes Yes Yes Yes No

West Virginia

Yes Yes No Yes Yes

Wisconsin

Yes Yes No Yes Yes

Wyoming

Yes Yes Yes Yes No

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Page Updated  03/11/2007