All Roll Calls
Yes: 210 • No: 0
CaliforniaSB 402025-2026 Regular SessionSenateWALLET
Health care coverage: insulin.
Sponsored By: Aisha Wahab (Democratic), Scott Wiener (Democratic)
Signed by Governor
Your PRIA Score
Score Hidden
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
4 provisions identified: 4 benefits, 0 costs, 0 mixed.
Plans cover diabetes supplies and medicines
Your health plan or disability insurance must cover medically necessary diabetes supplies and equipment, like meters, test strips, pumps, syringes, pen systems, ketone strips, and visual dosing aids. It must also cover insulin, other diabetes prescription drugs, and glucagon when medically needed. These rules apply to plans and policies that cover medical or prescription benefits. They do not apply to vision‑only, dental‑only, Medicare supplement, long‑term care, disability income, or other limited policies. For accident‑only, specified disease, and hospital indemnity plans, diabetes benefits apply only if those plans already cover similar benefits under their general terms.
Diabetes training covered with low copays
Plans and insurers cover outpatient diabetes self‑management training, education, and medical nutrition therapy you need to use your supplies and medicines correctly. Extra sessions are covered when your in‑network doctor orders them. Your copays, coinsurance, and deductibles for these visits cannot be higher than for a regular doctor office visit. Plans and insurers must show these benefits in their coverage documents. They also may not cut other coverage to get around these rules.
Insulin costs capped at $35
The law caps what you pay for insulin at $35 for a 30‑day supply. For large‑group coverage, this starts January 1, 2026. For individual and small‑group plans, it starts January 1, 2027. If your plan has drug tiers, at least one insulin in each drug type must be in Tier 1 or Tier 2, and if none there is right for you, your cost for a higher‑tier insulin is still capped at $35. High‑deductible health plans must follow the $35 limit unless federal HDHP rules would be broken. The cap also applies to any insulin the state labels or makes, when available. Plans and insurers must list at least one insulin for each drug type (rapid‑acting, short‑acting, intermediate, long‑acting, ultra‑long, and premixed).
No step therapy for insulin
Beginning January 1, 2026, plans and insurers cannot make you try other drugs first before covering insulin. At least one insulin in each drug type is covered without step therapy. This applies to both self‑administered and doctor‑administered insulin. The ban does not apply to certain Medi‑Cal managed care plans under state contracts.
Sponsors & Cosponsors
Sponsors
Aisha Wahab
Democratic • Senate
Scott Wiener
Democratic • Senate
Cosponsors
Joaquin Arambula
Democratic • House
Jasmeet Bains
Democratic • House
Susan Rubio
Democratic • Senate
Akilah Weber Pierson
Democratic • Senate
Roll Call Votes
Senate vote • 9/9/2025
Item 17 — Senate SFLOOR
Yes: 40 • No: 0
House vote • 9/3/2025
Item 186 — Assembly AFLOOR
Yes: 79 • No: 0
legislature vote • 8/20/2025
Vote in CX25
Yes: 15 • No: 0
legislature vote • 7/15/2025
Vote in CX08
Yes: 16 • No: 0
Senate vote • 5/28/2025
Item 223 — Senate SFLOOR
Yes: 37 • No: 0
legislature vote • 5/23/2025
Vote in CS61
Yes: 6 • No: 0
legislature vote • 4/21/2025
Vote in CS61
Yes: 6 • No: 0
legislature vote • 4/2/2025
Vote in CS60
Yes: 11 • No: 0
Actions Timeline
Chaptered by Secretary of State. Chapter 737, Statutes of 2025.
10/13/2025SenateApproved by the Governor.
10/13/2025legislatureEnrolled and presented to the Governor at 3 p.m.
9/16/2025legislatureAssembly amendments concurred in. (Ayes 40. Noes 0. Page 2709.) Ordered to engrossing and enrolling.
9/9/2025SenateIn Senate. Concurrence in Assembly amendments pending.
9/3/2025SenateRead third time. Passed. (Ayes 79. Noes 0. Page 2865.) Ordered to the Senate.
9/3/2025HouseOrdered to third reading.
8/29/2025HouseRead third time and amended.
8/29/2025HouseRead second time. Ordered to third reading.
8/21/2025HouseFrom committee: Do pass. (Ayes 15. Noes 0.) (August 20).
8/20/2025HouseRead second time and amended. Re-referred to Com. on APPR.
7/17/2025HouseFrom committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 16. Noes 0.) (July 15).
7/16/2025HouseFrom committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
6/27/2025HouseJune 24 hearing postponed by committee.
6/18/2025HouseReferred to Com. on HEALTH.
6/5/2025HouseIn Assembly. Read first time. Held at Desk.
5/28/2025HouseRead third time. Passed. (Ayes 37. Noes 0. Page 1280.) Ordered to the Assembly.
5/28/2025SenateRead second time. Ordered to third reading.
5/27/2025SenateRead second time and amended. Ordered to second reading.
5/23/2025SenateFrom committee: Do pass as amended. (Ayes 6. Noes 0. Page 1189.) (May 23).
5/23/2025SenateSet for hearing May 23.
5/16/2025SenateApril 21 hearing: Placed on APPR. suspense file.
4/21/2025SenateSet for hearing April 21.
4/8/2025SenateRead second time and amended. Re-referred to Com. on APPR.
4/7/2025SenateFrom committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0. Page 635.) (April 2).
4/3/2025Senate
Bill Text
Chaptered
10/13/2025
Enrolled
9/12/2025
Amended Assembly
8/29/2025
Amended Assembly
7/17/2025
Amended Assembly
6/27/2025
Amended Senate
5/23/2025
Amended Senate
4/7/2025
Amended Senate
3/17/2025
Introduced
12/3/2024