What it means for you
For state-regulated policies delivered, issued, reissued, amended, or extended on or after Jan. 1, 2027, Virginians will pay no more than $35 per 30-day supply of insulin and $35 per 30-day supply of covered diabetes equipment and supplies.
Who benefits: Virginians with diabetes whose health insurance plans are regulated by the state.
If you use insulin and your health plan is regulated by Virginia, your copay or coinsurance for a 30-day supply will be capped at $35, no matter how many kinds of insulin you take. A separate $35 aggregate cap will apply to a 30-day supply of covered diabetes equipment and supplies: glucose meters and test strips, syringes, continuous glucose monitors, and insulin pump supplies. You don’t need to apply, and your deductible can’t push your cost above the cap. The limits apply when your policy is delivered, issued for delivery, reissued, amended, or extended on or after Jan. 1, 2027.
Virginia first capped insulin costs at $50 per 30-day supply in 2020. The 2026 law lowers that cap by $15 and adds the first cost-sharing limit for diabetes equipment and supplies.
Del. Karrie Delaney sponsored the bill, and it passed with bipartisan support. The Senate passed the amended bill 40–0, and the House agreed to the Senate amendment 97–0. Gov. Abigail Spanberger approved it on April 13, 2026, and held a ceremonial signing in May with other health care cost bills.
Health careLower costs
Where it stands, and how we know
Source for this status, checked November 5, 2026.
Sources
- Acts of Assembly, 2026 Session, Chapter 752 (HB 1214)Virginia General Assembly, April 13, 2026
- Governor Spanberger signs bipartisan bills to cap the cost of insulin and lower health care costsOffice of the Governor of Virginia, May 13, 2026
- Code of Virginia § 38.2-3407.15:5: Limit on cost-sharing payments for prescription insulin drugsVirginia Legislative Information System
- American Diabetes Association applauds Virginia for enacting landmark insulin affordability legislationAmerican Diabetes Association
How we checked this
Drafted by Claude Opus 5.5 (Anthropic) on November 11, 2026. Checked against its sources by GPT-5.6-sol (OpenAI) on November 11, 2026, with no problems found. Confirmed both $35 caps, Jan. 1, 2027 applicability, credited roles, and the 40–0 and 97–0 votes against the enacted chapter and current Virginia Code. No later repeal, block, or active rollback was found.
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