On April 4, 2025, North Dakota became the 27th state to pass a law to lower patient cost-sharing limits for insulin in state-regulated health insurance plans. In response to Governor Armstrong signing HB 1114, Matt Prokop, state government affairs director at the American Diabetes Association® (ADA), issued the following statement:
“The American Diabetes Association commends North Dakota policymakers for the passage of HB 1114, which limits cost sharing for insulin and certain related supplies at $25 for a 30-day supply for those on state employee health insurance plans and state-regulated commercial health insurance plans. Addressing insulin affordability by lowering cost-sharing burdens will help North Dakotans with diabetes to better manage their glucose levels to stay healthy and productive, remain out of the emergency room and the hospital, and away from expensive and potentially disabling or deadly complications.
The ADA, in partnership with a supportive community of Diabetes Advocates and partners, have consistently emphasized the need to make insulin and related supplies affordable and accessible for more North Dakotans. On behalf of the ADA, we thank Governor Armstrong, the bill sponsors (House Government and Veterans Affairs Committee; Senators Cleary, Dever, and Mathern; and Representative McLeod), and members of the North Dakota legislature for their support of this lifesaving legislation.”
The ADA’s estimated diabetes impact in North Dakota:
- Adults diagnosed with diabetes: 57,300
- New diagnoses every year: 3,000
- Cost of diagnosed diabetes: $1.5 billion annually
- Direct medical expenses for diagnosed diabetes: $620 million in 2022
- Indirect costs from lost productivity due to diabetes: $900 million in 2022
###
About the American Diabetes Association
The American Diabetes Association (ADA) is the nation’s leading voluntary health organization fighting to end diabetes and helping people thrive. This year, the ADA celebrates 85 years of driving discovery and research to prevent, manage, treat, and ultimately cure —and we’re not stopping. There are 136 million Americans living with diabetes or prediabetes. Through advocacy, program development, and education, we’re fighting for them all. To learn more or to get involved, visit us at diabetes.org or call 1-800-DIABETES (800-342-2383). Join us in the fight on Facebook (American Diabetes Association), Spanish Facebook (Asociación Americana de la Diabetes), LinkedIn (American Diabetes Association), and Instagram (@AmDiabetesAssn). To learn more about how we are advocating for everyone affected by diabetes, visit us on X (@AmDiabetesAssn).
