2026 - Introduced
Rhode Island S.B. 3022
  • Requires health insurers to provide equal access to FDA-approved non-opioid pain medications, eliminating prior authorization and step therapy requirements that currently give opioids a prescribing advantage
State Employee Health Plan Parity
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2025 - Introduced
South Carolina S.B. 161/H.B. 4165
  • Prohibits preferencing coverage of an opioid prescription treatment over a non-opioid treatment and requires the South Carolina Department of Public Health to create educational materials and guidelines for practitioners about non-opioid alternative treatment options.
Medicaid ParityEducation
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2026 - Introduced
South Dakota H.B. 1085
  • Prohibits South Dakota insurers from denying coverage of a prescribed non-opioid medication in favor of an opioid.
  • Bars insurers from imposing stricter utilization controls or higher cost-sharing for non-opioid drugs than for clinically appropriate opioid or narcotic drugs.
State Employee Health Plan Parity
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2025 - Introduced
South Dakota H.B.1137
  • Ensures FDA-approved non-opioid drugs are not disadvantaged or discouraged with respect to coverage of an opioid on the state preferred drug list.
Medicaid ParityState Regulated Commercial Parity
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2026 - Passed
Tennessee H.B. 1741/S.B. 1790
  • Requires a health insurer that offers a policy covering an inmate incarcerated in Tennessee to adopt or amend their preferred drug list so that any FDA-approved non-opioid medication is not disadvantaged or discouraged in coverage compared with an opioid for the treatment or management of pain.
State Regulated Commercial Parity
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2024 - Passed
Tennessee H.B.37
  • Aligns group health insurance plans providing coverage for state employees with Medicaid non-opioid parity policy, ensuring reimbursement of all FDA-approved non-opioid drugs.
State Employee Health Plan Parity
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2025 - Passed
Tennessee S.B.2011/H.B.2903
  • Prevents opioids from being preferred over a non-opioid pain medication on TennCare's preferred drug list and makes a non-opioid available immediately upon FDA-approval.
  • Requires state Medicaid departments to ensure prescribers and hospitals are reimbursed for providing non-opioid medications.
  • Prohibits health insurers from denying coverage of a non-opioid prescription drug in favor of an opioid, when prescribed.
Medicaid Parity
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2025 - Introduced
Utah S.B. 331
  • Prohibits Medicaid and health insurers from imposing more restrictive or extensive prescription drug utilization management practices for a non-opioid drug than the least restrictive or extensive practice applicable to any opioid.
  • Requires that if Utah Department of Health and Human Services funding is available, pamphlets about opiates should include information about non-opioid drug alternatives.
Medicaid ParityState Regulated Commercial Parity
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2026 - Passed
Utah Senate Concurrent Resolution 5
  • Directs the state employee health plan to include at least one clinically appropriate non-opioid prescription alternative for each covered opioid.
  • Prohibits health plan from establishing more restrictive or extensive utilization controls for non-opioid treatments than the least restrictive or extensive utilization control for any opioid.
State Employee Health Plan Parity
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2026 - Introduced
Virginia H.B. 516
  • Prohibits commercial health insurers from imposing limitations or utilization controls on coverage of a covered FDA-approved non-opioid drug that are more restrictive or less favorable to the enrollee relative to the coverage of an opioid drug for the treatment or management of pain.
State Employee Health Plan Parity
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2025 - Introduced
Virginia H.B.1765
  • Prohibits health insurers from imposing cost-sharing, prior authorization, step therapy, or other coverage limitations on a covered FDA-approved non-opioid drug.
Medicaid ParityState Regulated Commercial Parity
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2024 - Passed
Virginia H.B.699
  • Provides that the Virginia Boards of Medicine, Optometry, Dentistry, and Medicine and Nursing update regulations to require prescribers to document and discuss risks with patients.
Provider Education
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