Relating to: coverage of nonopioid drug alternatives for the treatment and management of pain.

AB 499 requires health insurance plans and self-insured health plans to provide equal coverage for nonopioid pain treatments compared to opioids. Specifically, plans must cover at least two nonopioid prescription medications (not controlled substances) and three non-drug pain management options, without imposing stricter prior authorization or step therapy rules on nonopioid treatments than on opioids. The law prohibits designating nonopioid drugs as "nonpreferred" if opioids are listed and mandates annual public disclosure of pain management coverage details to enrollees and providers. This directly affects all health plans covering prescription drugs in Wisconsin, aiming to expand access to nonopioid pain management alternatives.