State Bill Tracker

Across the country, states are introducing legislation to ensure access to non-opioid treatments and therapies. These policy efforts, often referred to as “pain parity” legislation, address the health insurance barriers many patients face when trying to access non-opioid treatment options.

The state legislative page includes introduced and passed legislation that ensures non-opioid pain treatments are not disadvantaged or discouraged for the treatment of pain relative to opioid treatments. Use the filters to learn more about state legislation.

2025 - Introduced

Connecticut S.B. 1474

Requires non-opioid pain management training for prescribers of opioids who receive Medicaid reimbursement.

Education

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2025 - Introduced

Illinois S.B.1238

Prohibits a health insurer from denying coverage of a non-opioid in favor of an opioid and requires that in establishing a drug formulary, health insurers must ensure a non-opioid is not disadvantaged or discouraged with respect to coverage of an opioid. The bill also allows the Illinois Department of Public Health to develop and publish non-opioid educational resources.

Medicaid Parity State Regulated Commercial Parity Education

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2024 - Passed

Louisiana S.B. 224

Directs that the state Medicaid program may not impose more restrictive utilization controls for non-opioid drugs than for opioids.
Prohibits Medicaid managed care organizations from denying coverage for a non-opioid prescription prescribed for pain in favor of an opioid.
Directs the state to create education, awareness and technical assistance materials on the advantage of non-opioid drugs and provide assistance with grants that promote non-opioid pain drugs.

Education Medicaid Parity

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2024 - Passed

Maine L.D. 2096

Requires health insurers develop and submit a plan to the Maine Bureau of Insurance for review and approval of the inclusion of non-opioid pain management services and treatments. Upon approval, insurers must develop and disseminate related educational materials.

State Regulated Commercial Parity Education

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2024 - Passed

Oklahoma S.B.1344

Requires that the state Medicaid preferred drug list and utilization management not disadvantage a non-opioid pain medication relative to an opioid pain medication.
Requires the state government to seek grant opportunities relating to education and services regarding non-opioid medications.
Provides that the state may assist in using opioid settlement funds to support education regarding non-opioid alternatives.

Medicaid Parity Education

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2025 - Introduced

South Carolina S.B. 161

Prohibits preferencing coverage of an opioid prescription treatment over a non-opioid treatment and requires the South Carolina Department of Public Health to create educational materials and guidelines for practitioners about non-opioid alternative treatment options.

Medicaid Parity Education

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