2026 - Passed
Colorado S.B. 26-006
  • Requires health insurers and Colorado Medicaid to treat FDA-approved non-opioid pain medications at least as favorably as opioids by limiting prior authorization and step therapy, ensuring non-opioid alternatives are available, and prohibiting higher cost-sharing.
  • Aims to promote non-opioid pain management by removing financial and administrative barriers.
Medicaid ParityState Employee Health Plan Parity
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2025 - Introduced
Georgia H.B. 326
  • Prohibits practices that disadvantage or discourage the use of non-opioid drugs relative to opioids in state employees' health insurance and benefit plans.
State Employee Health Plan Parity
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2025 - Introduced
Kansas H.B. 2364
  • Requires state health programs to cover non-opioid pain medications without requiring patients to try opioids first and without less favorable coverage or higher cost-sharing than opioids.
  • Prohibits formularies from disadvantaging FDA-approved non-opioid pain treatments through stricter utilization controls or tier placement.
Medicaid ParityState Employee Health Plan 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 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
2026 - Introduced
New Jersey A1821/S.B. 4283
  • Prohibits health insurers from denying coverage of non-opioid prescription drugs in favor of opioid prescription drugs.
State Employee Health Plan ParityMedicaid Parity
Read BillRead Senate Bill
2025 - Introduced
Oklahoma H.B.1416
  • Ensures that a non-opioid drug approved by the FDA is not disadvantaged or discouraged with respect to coverage relative to an opioid for the treatment or management of pain on the state preferred drug list.
State Employee Health Plan Parity
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2026 - Introduced
Pennsylvania H.B. 2060/S.B. 1196
  • Requires Medicaid and commercial insurers to provide pain parity by ensuring FDA-approved non opioid drugs are not disadvantaged in coverage, cost sharing, or utilization controls compared with opioids, applying upon FDA approval.
Medicaid ParityState Employee Health Plan Parity
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2026 - Introduced
Rhode Island S.B. 3022/H.B. 2060
  • 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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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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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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