California governor vetoes bill that would have set a $35 cap for insulin

Authored by theguardian.com and submitted by xdeltax97
image for California governor vetoes bill that would have set a $35 cap for insulin

Gavin Newsom has vetoed a bill that would have stopped insurance companies from charging more than $35 for insulin.

The bill would have banned health plans and disability insurance policies from imposing any out-of-pocket expenses on insulin prescription drugs above $35 for a 30-day supply. That would have included deductibles and co-pays.

The California governor, a Democrat, said earlier this year that the state would soon start making its own brand of insulin. California has a $50m contract with the non-profit pharmaceutical company Civica Rx to manufacture the insulin under the brand CalRx. The state would sell a 10-milliliter vial of insulin for $30.

“With CalRx, we are getting at the underlying cost, which is the true sustainable solution to high-cost pharmaceuticals,” Newsom wrote in a message explaining why he vetoed the bill on Saturday. “With co-pay caps however, the long-term costs are still passed down to consumers through higher premiums from health plans.”

State senator Scott Wiener, a Democrat from San Francisco who crafted the bill, called Newsom’s veto “a major setback that will keep tens of thousands of diabetic Californians trapped in the terrible choice between buying insulin and buying food”.

“This is a missed opportunity that will force them to wait months or years for relief from the skyrocketing costs of medical care when they could have had it immediately,” Wiener said in a news release.

Insulin is a hormone produced by the pancreas that converts sugar into energy. People who have diabetes don’t produce enough insulin, and people with type 1 diabetes must take insulin every day to survive.

In January, California attorney general Rob Bonta sued the companies that make and promote most of the nation’s insulin, accusing them of colluding to illegally increase the price.

skip past newsletter promotion Sign up to First Thing Free daily newsletter Our US morning briefing breaks down the key stories of the day, telling you what’s happening and why it matters Privacy Notice: Newsletters may contain info about charities, online ads, and content funded by outside parties. For more information see our Newsletters may contain info about charities, online ads, and content funded by outside parties. For more information see our Privacy Policy . We use Google reCaptcha to protect our website and the Google Privacy Policy and Terms of Service apply. after newsletter promotion

In March, the largest insulin makers announced they would voluntarily reduce the price of their products.

LazzzyButtons on October 9th, 2023 at 00:03 UTC »

The California governor, a Democrat, said earlier this year that the state would soon start making its own brand of insulin. California has a $50m contract with the non-profit pharmaceutical company Civica Rx to manufacture the insulin under the brand CalRx. The state would sell a 10-milliliter vial of insulin for $30.

“With CalRx, we are getting at the underlying cost, which is the true sustainable solution to high-cost pharmaceuticals,” Newsom wrote in a message explaining why he vetoed the bill on Saturday. “With co-pay caps however, the long-term costs are still passed down to consumers through higher premiums from health plans.”

The bill he vetoed would make insulin $35.

He already has a plan in place to make insulin $30.

That’s why he vetoed the bill

Frenetic_Platypus on October 8th, 2023 at 23:56 UTC »

The bill would have banned health plans and disability insurance policies from imposing any out-of-pocket expenses on insulin prescription drugs above $35 for a 30-day supply.

I don't get how that bill would have fixed anything though. Insurance companies are not going to just start losing money on insulin out of the goodness of their heart, that money would have been taken somewhere else, like in premiums.

A bill to make insulin affordable would need to cap the price, not the way insurance companies make you pay for it. That's insane.

Dr_Ifto on October 8th, 2023 at 23:53 UTC »

His reasoning makes sense. If you cap the price, then the insurance payments go.up. if he makes a low cost solution, the price will automatically come down