California lawmakers try again to cap insulin costs

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California lawmakers try again to cap insulin costs
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A recent national survey found that approximately 16.5% of insulin users ration their medication.

By Ana B. Ibarra | CalMatters

California legislators have tried passing cost-sharing caps in the past without success. Last session’s bill, carried by former Republican Sen. Patricia Bates of Laguna Niguel, died in an Assembly committee. Despite bipartisan support, the insurance industry pushed back, arguing that capping costs only on the consumer’s end does little to tackle the underlying issue: the list price of insulin.

In California, an estimated 3.2 million people are diabetic, and many of them rely on insulin. An analysis for last year’s similar copay cap bill estimated that there are about 118,000 diabetics with insurance plans that would be subject to the state cap. One recent drug spending report from California’s Department of Managed Health Care noted that among the 10 costliest brand-name drugs insurers paid for in 2021, half were diabetes medications and three of those were insulins. Humulin, a short-acting insulin, was the most prescribed brand name drug after the Pfizer and Moderna COVID-19 vaccines, according to the report.

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