State Advocacy

puzzle pieces map of united states

Each state has diverse diabetes communities with unique needs, and we advocate for policy change in every state across the country to improve health care access, coverage, and affordability; support healthy diets; and address health barriers to ensure the needs of these communities are met.

We know the diabetes epidemic hits close to home regardless of which state you live in. Will you join us and become a Diabetes Advocate today to support the diabetes communities where you work, live, play, and pray?

Become a Diabetes Advocate

State Alerts

Want to know what diabetes advocacy issues are happening where you live? Check out our Engagement Platform to see if your state has active alerts and what you can do to help!

Find Out Now

State Officials Need to Hear Your Stories

The American Diabetes Association is collecting stories to help our elected officials understand how important it is to make insulin more affordable. If you or someone you know has been negatively impacted by the cost of insulin, please share your story—it is a powerful and necessary tool to make insulin affordability a reality for everyone!

Share Your Story

Fact sheets

Learn more about the diabetes burden in your state, including the prevalence, the cost of diabetes care, and the actions being taken to improve lives. 

Get the Facts

2023 State Advocacy Wins

The American Diabetes Association leads or collaborates with others to advance policy change to further our mission to prevent and cure diabetes and to improve the lives of all people affected by diabetes.

Recent state achievements include:

  • March 2023: A law was passed requiring pharmacy benefit managers to pass 100% of rebates to the consumer at the point of sale to lower their medication costs.
  • April 2023: A bill was signed that moves continuous glucose monitors (CGMs) in the Medicaid program to a pharmacy benefit to improve access.
  • April 2023: A bill was signed that provides free breakfast and lunch to students who qualify for reduced school meals to help reduce food insecurity.

June 2023: A bill was signed that provides person-centered obesity treatment, including anti-obesity medication and nutritional counseling, for Medicaid and HUSKY B beneficiaries.

  • May 2023: A bill was signed that expands the definition of telehealth to allows audio-only visits.
  • June 2023: A bill was signed which expands eligibility for continuous glucose monitors (CGMs) to all Floridians on Medicaid with diabetes who are insulin dependent. The law adds adult coverage for the benefit, reduces coverage requirements, and directed that CGMs be made available through pharmacies to improve access.

April 2023: A bill was signed that allows for undesignated glucagon to be prescribed in the school setting to provide a backup supply.

May 2023: Legislation was signed into law to pass on at least 85% of rebates to the customer at the point of sale to lower medication costs.

  • June 2023: The state budget includes $950k for diabetes research and programs.
  • June 2023: The state budget provides coverage to state employees for injectable medicines to improve glucose or weight loss for use by adults diagnosed or previously diagnosed with prediabetes, gestational diabetes, or obesity.
  • August 2023: A bill was signed to reduce cost-sharing on insulin from $100 to $35 for a 30-day supply for those with state-regulated commercial health insurance. The new law, effective July 1, 2025, also creates an insulin discount program allowing Illinoisans, particularly those with no health insurance or on a high deductible health plan, to purchase insulin at a discounted price.

More advocacy resources

We're fighting for your rights under the law.

Grassroots Advocacy

Get everything you need to become a Diabetes Advocate and make an impact. Learn how to sign up as an advocate, take action, see our priorities, access resources, and more.

Federal Advocacy

The ADA fights for people with diabetes to thrive by advocating for their rights, increased funding for diabetes programs and research, and so much more. 

Know Your Rights

As a person living with diabetes, you have certain rights at school, at work, in public places, and more. Learn more about your rights and how we can help if you're being mistreated.