A bill for an act relating to nonopioid drugs on the medical assistance preferred drug list, and health carriers’ development of a pain management access plan.

This bill requires Medicaid plans and health carriers to treat nonopioid pain medications approved by the FDA equally with opioid drugs in coverage decisions. Specifically, nonopioid drugs cannot be labeled as "nonpreferred" if opioids are preferred, and must face no stricter coverage requirements (like prior authorization) than opioids. Health carriers must also create and submit "pain management access plans" covering at least two non-opioid prescription medications and three non-drug pain treatments (e.g., physical therapy), ensuring these options aren’t blocked by excessive barriers. The rules apply immediately upon FDA approval of a nonopioid drug, bypassing standard committee review for inclusion on preferred drug lists. This directly affects Medicaid managed care organizations and health insurance providers in Iowa.