#OBBBA also undermines bipartisan state progress to increase affordability and accessibility of care thru diabetes coverage requirements, limits on cost sharing, and #priorauth reforms, as attention/funding turn to responding to the mess #OBBBA will cause the individaul market.

Even if they avoid a gap in coverage, with every plan change, individuals w/ diabetes could face re-starting their #deductibles, going thru #priorauthorization (again!), or finding a new care provider. All of these changes could disrupt their access to care and negatively affect health/finances.

The #OneBigBeautifulBillAct is going to increase churn exponentially, kicking people off their existing coverage thanks to new paperwork burdens and eligiblity restrictions.

As Amy Killelea and I wrote in @healthaffairs.bsky.social last month, coverage transitions are really stressful if you have diabetes and need consistent access to insulin and additional health care devices and services to stay healthy.
www.healthaffairs.org/content/fore...

Read our new research for more on the current barriers to coverage, affordability, and acess in private health insurance for people with insulin-requiring diabetes and state-led policy reforms chir.georgetown.edu/diabetes/sta...

Yet millions of Americans, including many people with insulin-requiring diabetes, will regularly face #coverage losses and plan changes under the policies being debated in #Congress today.

Even just transitioning from one source of coverage to another — like switching from #Medicaid to #privateinsurance or between private plans — poses significant risks and burdens.

This population requires access to #insulin and other life-saving care every day. #Healthinsurance is not optional; losing coverage is life-threatening.

In response to these and other concerns, states are implementing critical #policy solutions. Find out more on our website: chir.georgetown.edu/diabetes/sta...

Our research further shows that for many people living with insulin-requiring #diabetes, #priorauthorization can be a huge barrier to staying healthy.

Christina Choate shared her experience with us:

As our research shows, every person is unique, which means their #healthcare needs are, too. That’s why for people with insulin-requiring #diabetes, it’s vital that #insurance plans cover a variety of options rather than taking a one-size-fits-all approach.

Hear more from Hugh O'Hara:

By limiting the amount hospitals can get paid for care that that can be safely and effectively provided in an independent setting, policymakers can protect consumers and lower total spending.

Notably, there was no separate facility fee in this case: just one very high hospital lab bill. This is where site-neutral legislation can come into play.