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MI SB0552
Bill
Status
9/17/2025
Primary Sponsor
Sylvia Santana
Click for details
AI Summary
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Requires health insurers that cover prescription drugs to provide coverage for non-opioid medications prescribed for pain treatment or management
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Mandates insurers add FDA-approved non-opioid pain drugs to their preferred drug list or formulary within 90 days of the drug becoming available for retail sale
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Prohibits insurers from disadvantaging non-opioid pain medications compared to opioid analgesics, including designating non-opioids as non-preferred when opioids are preferred
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Bars insurers from imposing more restrictive prior authorization or step therapy requirements on non-opioid pain drugs than the least restrictive controls applied to opioid medications
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Allows insurers to prefer one opioid over another opioid, or one non-opioid pain drug over another non-opioid, when establishing formularies
Legislative Description
Insurance: health insurers; coverage for a nonopioid analgesic drug for pain treatment; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406ll.
Insurance: health insurers
Last Action
Referred To Committee On Health Policy
9/17/2025