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 and health insurers to treat nonopioid pain medications equally with opioids in coverage. It prohibits designating nonopioid drugs as "nonpreferred" when opioids are preferred and bans stricter prior authorization or step therapy requirements for nonopioid drugs compared to opioids. Health insurers must develop a "pain management access plan" covering at least two FDA-approved non-opioid prescription medications (not controlled substances) and three non-drug pain treatments, without more restrictive rules for nonopioid options. The bill applies immediately upon FDA approval of a nonopioid pain drug, regardless of prior committee review. It affects Medicaid managed care organizations and health carriers offering coverage in Iowa.