SB128
Log in to followAN 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
Plain-language summary
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.
Open official bill text (PDF)·Report a problem with the summary
Legislative History
Primary Sponsor
Bill Text Versions
Something wrong on this page? Tell us
