Parity for Non-Opioid Pain Management Drugs
Summary
The act requires a health insurance carrier that provides prescription drug benefits to require that:The utilization review requirements, including prior authorization and step therapy, for a non-opioid drug prescribed and approved by the federal food and drug administration (FDA) for the treatment or management of chronic or acute pain (non-opioid pain management drug) are no more restrictive than the least restrictive utilization review requirements for opioid drugs prescribed for the treatment or management of chronic or acute pain; andThe cost-sharing, copayment, or deductible for a non-opioid pain management drug is not greater than the cost-sharing, copayment, or deductible for an opioid drug prescribed for the treatment or management of chronic or acute pain. The act requires each individual and small group health benefit plan issued or renewed on or after January 1, 2027, and each large employer health benefit plan issued or renewed on and after January 1, 2028, to ensure there is at least one non-opioid pain management drug available as a clinically appropriate alternative for an opioid pain management drug. If the division of insurance determines that coverage for a non-opioid pain management drug offered by individual and small group health benefit plans requires state defrayal of the cost of coverage, the requirement to make a non-opioid pain management drug available is inoperative. The state employee health benefit plan is excluded from the requirements of the act. The act appropriates $15,415 to the department of regulatory agencies for use by the division of insurance to implement the act.(Note: This summary applies to this bill as enacted.)
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
May 2026
Senate Passage
May 2026
House Passage
May 2026
Signed into Law
Jun 2026
Introduced Jan 14, 2026
Signed Jun 3, 2026
Maddy AI version diff · 5 comparisons
What changed between versions
Rerevised
→
Final Act
·
3 edits
·
May 21, 2026
MINOR
The bill was finalized with minor formatting corrections and the addition of a standard note regarding the Governor's signature. The core policy requirements for insurance parity between non-opioid and opioid pain management drugs remain unchanged, including the mandates on utilization review restrictions and cost-sharing limits.
Scope change
The scope of applicability for large employer health plans was extended to include plans issued or renewed on and after January 1, 2028, whereas the original text did not explicitly specify this start date for large employers.
TECHNICAL
Added a standard disclaimer note at the beginning of the final act regarding the Governor's signature status.
Removed internal legislative tracking markers, committee lists, and draft summary text that were present in the revised version but are not part of the final law.
TIMELINE
Clarified the effective date for large employer health plans to be January 1, 2028, ensuring they are included in the new parity requirements.
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
18
Key actions
8
Committee
5
Amendments
1
Jun 3, 2026
Signed into law
Governor Signed
executive
May 22, 2026
Lower · Passed
Signed by the Speaker of the House
lower
May 22, 2026
Upper · Passed
Signed by the President of the Senate
upper
May 8, 2026
Introduced
Senate Considered House Amendments - Result was to Concur - Repass
upper
May 6, 2026
Lower · Passed
House Third Reading Passed with Amendments - Floor
lower
May 1, 2026
Lower · Passed
House Committee on Appropriations Refer Amended to House Committee of the Whole
lower
Apr 22, 2026
Committee
House Committee on Health & Human Services Refer Unamended to Appropriations
lower
Apr 20, 2026
Introduced
Introduced In House - Assigned to Health & Human Services
lower
Apr 20, 2026
Upper · Passed
Senate Third Reading Passed - No Amendments
upper
Apr 17, 2026
Upper · Passed
Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole
upper
Apr 8, 2026
Committee
Senate Committee on Health & Human Services Refer Amended to Appropriations
upper
Apr 2, 2026
Upper · Passed
Senate Committee on Health & Human Services Witness Testimony and/or Committee Discussion Only
upper
Jan 14, 2026
Introduced
Introduced In Senate - Assigned to Health & Human Services
upper
4 primary · 13 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Barbara Kirkmeyer
RRepublican
P
Judy Amabile
DDemocratic
P
Kyle Brown
DDemocratic
P
Rick Taggart
RRepublican
Co
Andy Boesenecker
DDemocratic
Co
Byron Pelton
RRepublican
Co
Emily Sirota
DDemocratic
Co
James Coleman
DDemocratic
Co
Jennifer Bacon
DDemocratic
Co
Karen McCormick
DDemocratic
Co
Katie Wallace
DDemocratic
Co
Lesley Smith
DDemocratic
Co
Lisa Cutter
DDemocratic
Co
Lisa Frizell
RRepublican
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