SB 1196 Pennsylvania Senate · 2025-2026 Regular Session

An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in public assistance, providing for pain parity in Medicaid and for pain parity in commercial insurance.

SB 1196 requires Pennsylvania's Medicaid program and commercial health insurers to treat non-opioid pain medications equally to opioid medications. Specifically, it prohibits Medicaid from labeling non-opioid drugs as "nonpreferred" when opioids are preferred and bans insurers from imposing stricter coverage rules, higher costs, or more restrictive prior authorization for non-opioid drugs compared to opioids. The law applies to all FDA-approved pain medications once approved, ensuring patients have equal access to non-opioid options without facing worse insurance terms than opioid alternatives. It takes effect 60 days after enactment.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 24, 2026 Last action Feb 24, 2026
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Total actions
1
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Committee
1
Feb 24, 2026
Committee
Referred to Health & Human Services
upper
1 primary · 5 co-sponsors

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