Senate
Adjourned Sine Die
2025 Regular Session

SB128

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AN ACT relating to utilization controls for nonopioid analgesics in the Medicaid program.

Create a new section of KRS Chapter 205 to prohibit the Department for Medicaid Services, any Medicaid managed care organization contracted by the department, and the Medicaid state pharmacy benefit manager from denying coverage for a nonopioid analgesic in favor of opioid analgesic or establishing more restrictive or more extensive utilization controls for nonopioid analgesics than the least restrictive or extensive utilization controls for any opioid or narcotic analgesic.

Introduced: February 11, 2025

Last action: February 13, 2025

To Health Services (S)
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This bill would require Kentucky's Medicaid program to make it at least as easy to get coverage for non-opioid pain medications as it is to get opioids. It prohibits Medicaid and its managed care partners from placing stricter coverage rules on non-opioid pain relievers than on opioids, or from denying a non-opioid option in favor of an opioid. Who it may affect: Kentuckians who rely on Medicaid for health coverage and need treatment for pain.

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Legislative History

Feb 11, 2025 · Senate
Introduced In Senate
Feb 11, 2025 · Senate
To Committee On Committees (S)
Feb 13, 2025 · Senate
To Health Services (S)

Primary Sponsor

Portrait of Gerald Neal
Gerald Neal

Senator · Senate District 33

Primary sponsor
Gerald.Neal@kylegislature.gov
BallotpediaOfficial profile

Bill Text Versions

Introduced (original)

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