An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in public assistance, providing for pain parity in Medicaid and for pain parity in commercial insurance.
First consideration
Summary
The legislation adds rules so Pennsylvania’s Medicaid program and commercial health insurers cannot place FDA‑approved non‑opioid pain medications on less favorable tiers, require stricter prior authorizations, or charge higher cost‑shares than opioid drugs. The requirements apply as soon as a non‑opioid drug receives FDA approval for pain treatment. The aim is to give patients equal access to effective pain‑relief options.
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