American Diabetes Association: Survey - West Virginia: Help Reduce Diabetes Costs!

West Virginia: Help Reduce Diabetes Costs!

ADA is working with West Virginia Delegates Matt Rohrbach and Barbara Fleischauer to reduce insulin co-pay caps from $100 to $25 per month and set co-pay caps on non-insulin medications used to treat diabetes ($25/month) as well as diabetes equipment and supplies ($100/month).
We need your help to ensure this bill becomes law--please complete this short survey today!

Your Info

*

Name:

First Required	Last Required

*

E-mail: Required

Street 1:

City/State/ZIP:

City	State	ZIP

Phone Number:

Yes, I would like to receive e-mail from American Diabetes Association

*

Question - Required - What is your relationship to diabetes?

	I live with diabetes
	A family member or friend lives with diabetes
	Health care provider
	Other

Question - Not Required - Has the price of insulin, other diabetes medications, or diabetes equipment and supplies (such as continuous glucose monitors, or CGM) impacted you or your community? If so, please share your story.

Question - Not Required - I can help to support legislation to reduce the insulin co-pay cap and cap co-pays for non-insulin diabetes medications as well as diabetes equipment and supplies by doing the following:

	Urging my State Delegate to co-sponsor the legislation (ADA will even draft an email message for you to personalize and send!)
	Writing a Letter to the Editor to my local newspaper (ADA will help with drafting a letter!)
	Sharing your story with state legislators regarding your personal struggle to afford your diabetes medications and supplies (ADA will help you put your personal story on paper!)
	Joining the West Virginia Team for Insulin Affordability Facebook page to receive valuable updates: https://www.facebook.com/West-Virginia-Team-for-Insulin-Affordability-102604401282581