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NE LB252
Bill
Status
1/14/2025
Primary Sponsor
Eliot Bostar
Click for details
AI Summary
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Prohibits Nebraska Medicaid from designating non-opioid pain medications as "nonpreferred" if opioids are designated as "preferred," and bars more restrictive prior authorization or step therapy requirements for non-opioid drugs than those applied to opioids
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Requires commercial insurance policies and self-funded employee benefit plans to provide equal or better coverage and cost-sharing for FDA-approved non-opioid pain drugs compared to opioid alternatives
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Mandates that prescribing health care providers receive an exception to coverage restrictions on non-opioid drugs if the provider confirms the non-opioid is appropriate treatment for the patient
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Applies immediately to any non-opioid drug upon FDA approval for pain treatment, regardless of whether the drug has been formally reviewed for formulary inclusion
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Amends section 68-901 of the Medical Assistance Act; introduced by Senator Bostar (District 29) on January 14, 2025
Legislative Description
Prohibit disadvantaging insurance and Medicaid coverage for nonopioid drugs
Last Action
Title printed. Carryover bill
1/7/2026