Colorado Becomes First State to Pass Bill Capping Insulin Costs

5/23/19
WRITTEN BY: T'ara Smith
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On Wednesday, May 22, Colorado became the first state in the U.S. to put a price cap on insulin. Governor Jared Polis signed the bill into law, which was co-sponsored by Rep. Dylan Roberts, who lost his brother to Type 1 diabetes three years ago. The law caps the copay for insulin at $100/month for those with private insurance. “We will declare that the days of price gouging are over in Colorado,” Polis said.

Diabetes-related medical costs in Colorado alone have risen to almost $4 billion annually, with $700 million accounting for prescription drugs. In the U.S., overall costs related to the diagnosis of diabetes are up to $327 billion.

According to CBS Denver, many individuals with diabetes in Colorado are paying $600 to $900 per month for vials of insulin. At least for those with private insurance, this bill caps co-pays at the pharmacy at $100 regardless of the number of vials or type of insulin needed. The cap will extend to patients with high deductible healthcare plans who are currently spending exorbitant amounts of money on insulin. Colorado lawmakers and advocates are hopeful that this bill represents a starting point for insulin price reform. 

“For Coloradans living with Type 1 diabetes, insulin is essential to their survival. It is the same as oxygen. The skyrocketing cost of insulin is outrageous and it is literally putting people’s lives at risk,” said Roberts. “With this new law, Coloradans will no longer be forced to choose between this life-saving and life-sustaining drug and their other expenses.”

As a result of the law, Attorney General Phil Wiser will also investigate the past price increases of insulin and the companies involved. Rep. Roberts said the investigation could jumpstart helping other states who are attempting to cap prices on insulin and could be the tip of the iceberg in assuring that other drug manufacturers don’t inflate prices to unreasonable levels. He also added that “this soon-to-be law is just a start. I look forward to working with the Attorney General’s office on their investigation and to bring forward more legislation for transparency and lower costs for Coloradans with diabetes.”

This push for manufacturer accountability comes on the heels of immense outcry already this year regarding insulin costs and the effect it’s having on people all across the country. Stories of insulin rationing and deaths related to lack of insulin affordability have been prominent. On April 10, the Oversight and Investigations Subcommittee held a series of hearings with representatives from insulin manufacturers as well as Pharmacy Benefit Managers (PBMs) to answer questions about the high and rising price of insulin in the United States.


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T'ara Smith

T’ara was diagnosed with Type 2 diabetes in July 2017 at the age of 25. Since her diagnosis, she focused her academic studies and career on diabetes awareness and living a full life with it. She’s excited to have joined the Beyond Type 1 team to continue her work as the Project Manager for Beyond Type 2. Outside the office, T’ara enjoys going to the movies, visiting parks with her dog, listening to BTS, and cooking awesome healthy meals. T’ara holds an MS in Nutrition Education from American University.