AN ACT relating to utilization controls for nonopioid analgesics in the Medicaid program.
passed over and retained for concurrence in House Floor Amendment (1) and Floor Amendment (2-title)
Summary
The bill stops Kentucky’s Medicaid agency, its contracted health plans and pharmacy benefit manager from denying a prescribed non‑opioid pain drug in favor of an opioid, and from applying stricter prior‑authorization or step‑therapy requirements to non‑opioids than to opioids. It also obligates the state to seek any needed federal approvals within 90 days to avoid losing federal funds. The goal is to ensure Medicaid patients have fair access to non‑opioid pain treatments.
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