2025 - Introduced
Michigan S.B. 551
  • Requires Michigan Medicaid to cover non-opioid pain medications and add them to the preferred drug list within 90 days.
  • Prohibits prior authorization and expands existing Medicaid protections that exempt certain drugs from prior authorization.
Medicaid Parity
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2025 - Introduced
Michigan S.B. 552
Requires health insurers to cover at least one non-opioid drug for pain management on the state preferred drug list.
State Regulated Commercial Parity
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2025 - Introduced
Minnesota S.F. 1946/H.F. 1806
  • Requires health insurers cover non-opioid treatments and prohibits utilization controls that are more restrictive or extensive than the least restrictive or extensive utilization controls for opioids. Also requires health insurers to distribute non-opioid educational materials to in-network providers and enrollees and to publish resources on the health plan company's website.
State Regulated Commercial ParityProvider Education
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2025 - Introduced
Minnesota S.F. 1947/H.F. 1807
  • Requires that in establishing and maintaining Minnesota's preferred drug list, health insurers must not disadvantage or discourage a non-opioid drug with respect to coverage of an opioid drug.
Medicaid Parity
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2026 - Introduced
Mississippi H.B. 956
  • Requires prescribers, before ordering any Schedule II controlled substance or other opioid, to counsel patients on the risks of opioids and discuss available non-opioid alternatives.
Provider Education
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2025 - Introduced
Mississippi H.B.1389
  • Prohibits practices that disadvantage or discourage the use of non-opioid drugs relative to opioids in state Medicaid program.
Medicaid Parity
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2026 - Introduced
Missouri H.B. 1680
  • Requires commercial plans to cover non-opioid medications for acute pain without disadvantaging them compared to opioids.
State Employee Health Plan Parity
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2026 - Introduced
Missouri H.B. 1966
  • Requires health insurance plans to cover non-opioid medications for acute pain without denying coverage, mandating prior opioid use, or charging higher cost-sharing compared to opioids.
State Regulated Commercial Parity
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2026 - Introduced
Missouri H.B. 2296
  • Requires Missouri health insurance plans to cover non-opioid medications for acute pain without denying coverage, mandating prior opioid use, or charging higher cost-sharing compared to opioids.
State Regulated Commercial Parity
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2026 - Introduced
Missouri H.B. 2372
  • Requires insurance to cover non-opioid medications for enrollees at elevated risk of opioid misuse without requiring prior opioid use, denying coverage in favor of opioids, or imposing higher cost-sharing.
State Regulated Commercial Parity
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2026 - Introduced
Missouri S.B. 1024
Limits initial opioid prescriptions for acute pain in Missouri to a seven-day supply, requires practitioners to discuss risks, alternatives, and dosing options with patients, and mandates documentation if a longer supply is medically necessary.
Medicaid ParityState Employee Health Plan Parity
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2026 - Introduced
Missouri S.B. 902/S.B. 1340/S.B. 1449/S.B. 841/H.B. 2642/S.B. 878/ S.B. 1350
  • Requires Missouri commercial plans to cover non-opioid medications for acute pain without denying coverage in favor of opioids, mandating prior opioid use, or imposing utilization controls, such as higher cost-sharing or step therapy, or prior authorization when prescribed.
State Employee Health Plan ParityState Regulated Commercial Parity
Read S.B. 902Read S.B. 1350Read S.B. 1449Read S.B. 841Read H.B. 2642Read S.B. 878Read S.B. 1350