Insulin cost sharing capped at $35 a month in individual and small group plans
Individual and small group health plans and policies can't charge more than $35 in copays, coinsurance or deductibles for a 30-day insulin supply. Where a plan sorts drugs into tiers, the cap covers Tier 1 and Tier 2 insulin. Large group plans already have it.
Who it affects
People with diabetes in individual or small group plans; health plans and insurers
When
This law took effect on January 1, 2026, but the changes described here start on January 1, 2027.
- : Signed into law
- : Law took effect
- : The changes described here start to apply
Official text
California SB 40: Health care coverage: insulin.
On California Legislative Information. The official text is what counts; read it before you act.
Not legal advice. Plain-English summaries to help you find what changes and when. Not legal advice: read the official text, and ask a lawyer about your situation.