Iowa 2025-2026 Regular Session

Iowa Senate Bill SSB1169

Introduced
2/20/25  

Caption

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.

Impact

The legislation impacts state laws pertaining to the preferred drug lists administered by Medicaid, requiring them to favor nonopioid medications equally alongside opioids. This is an important change in state healthcare policy aimed at promoting alternative pain management therapies that avoid the addictive potential of opioid medications. The regulations also establish standards for utilization controls applicable to these medications, which could lead to broader access to safer pain management options for Medicaid beneficiaries.

Summary

Senate Study Bill 1169 addresses the regulations surrounding the inclusion of nonopioid drugs in the medical assistance preferred drug list, particularly for pain management. The bill introduces measures to ensure that nonopioid drugs, once approved by the FDA for pain management, are not disadvantaged compared to opioids and narcotics regarding Medicaid coverage. Specifically, it prohibits the designation of nonopioid drugs as nonpreferred if their opioid counterparts are preferred, indicating a drive towards equitable treatment of pain management options within state guidelines.

Contention

Notable points of contention likely revolve around the potential resistance from pharmaceutical companies that produce opioid medications, who may see this bill as undermining their product's preferred status. Additionally, there may be concerns regarding implementation and monitoring of compliance by health carriers to ensure they do not favor opioids over nonopioids. This bill represents a significant shift in addressing the opioid crisis while seeking to give patients and healthcare providers alternative options for managing pain without resorting to narcotics.

Companion Bills

IA HSB151

Related 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.

Previously Filed As

IA HSB151

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.

MS HB1389

Nonopioid drugs for pain management; require health plans and Medicaid to cover and not make use of more restrictive than for opioid drugs.

NJ A1821

Prohibits health insurance carriers from denying coverage of nonopioid prescription drugs in favor of opioid prescription drugs.

NJ S4283

Prohibits health insurance carriers from denying coverage of nonopioid prescription drugs in favor of opioid prescription drugs.

MN HF1807

Nonopioid drugs coverage required for treatment or management of pain.

MN SF1947

Nonopioid drugs treatment or management of pain requirement provision

WI AB499

Coverage of nonopioid drug alternatives for the treatment and management of pain.

WI SB492

Coverage of nonopioid drug alternatives for the treatment and management of pain.

WA SB5916

Concerning nonopioid drugs for the treatment of pain.

WA HB1034

Concerning nonopioid drugs for the treatment of pain.

Similar Bills

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AZ HB2944

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CA AB1879

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WI SB904

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CA AB2538

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AZ SB1244

court-ordered treatment; continuation

IA HF518

A bill for an act establishing a veterans recovery pilot program and fund for the reimbursement of expenses related to providing hyperbaric oxygen treatment to eligible veterans and making appropriations.(Formerly HF 326.)

IA HF326

A bill for an act establishing a veterans recovery pilot program and fund for the reimbursement of expenses related to providing hyperbaric oxygen treatment to eligible veterans and making appropriations.(See HF 518.)