Prior authorization for opioid use disorder care.
HB 1112 prohibits insurance companies and health plans from requiring prior authorization for medications treating opioid use disorder. This directly affects patients seeking medication-assisted treatment for opioid addiction and the healthcare providers who prescribe these medications. The bill’s key provision blocks insurers from demanding pre-approval before covering these specific treatments, removing a common administrative barrier. This policy change aims to streamline access to critical care without altering insurance coverage requirements for other treatments. The bill is currently pending in committee after being amended and adopted by a committee report.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 8, 2025
Last action Feb 4, 2025
Maddy AI version diff · 1 comparison
What changed between versions
Introduced House Bill (H)
→
House Bill (H)
·
4 edits
MODERATE
This bill was amended to narrow its scope by removing coverage for behavioral therapy and limiting the definition of medication to those approved by the FDA by January 1, 2025. The amendments also added expiration dates to the new sections, requiring them to sunset on July 1, 2027.
Scope change
The bill's scope was narrowed by excluding behavioral therapy from the prior authorization prohibition and limiting medication coverage to FDA-approved treatments available by a specific date.
DEFINITION
Changed the definition of 'medication or treatment for opioid use disorder' to 'medication for opioid use disorder', removing the inclusion of counseling and behavioral therapy.
TIMELINE
Added a requirement that medications must have been approved by the federal Food and Drug Administration not later than January 1, 2025.
Added expiration dates to Sections 5.5, 8.3, and 18.2, requiring them to expire on July 1, 2027.
ELIGIBILITY
Expanded the definition of 'utilization review entity' to include health plans and preferred provider organizations as distinct categories.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
5
Key actions
1
Committee
2
Feb 4, 2025
Lower · Passed
Committee report: amend do pass, adopted
lower
Feb 4, 2025
Committee
Recommitted to Committee on Ways and Means pursuant to House Rule 126.3
lower
1 primary · 1 co-sponsor
Sponsors
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