Becker's Healthcare January 8, 2025
North Dakota has become the first state to cover weight loss drugs under the ACA for diabetes and obesity.
As of Jan. 1, individual ACA plans and small-group plans from employers in the state include coverage for GLP-1s and gastric inhibitory polypeptide drugs, according to the North Dakota Insurance Department.
CMS approved the changes to the state’s essential health benefit benchmark plan in 2023, which also includes added coverage for insulin and insulin supplies, hearing aids, periodontal disease and PET scans for prostate cancer.
North Dakota Insurance Commissioner Jon Godfread told The Forum the state is the first to cover GLP-1s through the ACA, and others are expected to follow.
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