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SD HB1085
Bill
Status
1/20/2026
Primary Sponsor
Brian Mulder
Click for details
AI Summary
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Health insurers cannot deny coverage of a nonopioid prescription drug in favor of an opioid when a licensed physician has prescribed the nonopioid for pain treatment
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Prior authorization, step therapy, and other utilization controls for nonopioid drugs cannot be more restrictive than requirements for opioid or narcotic drugs
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Nonopioid drugs must be placed on formulary tiers with cost-sharing no higher than the lowest cost-sharing required for any opioid or narcotic drug
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Applies to health insurance policies delivered, issued, or renewed in South Dakota under chapter 58-17
Legislative Description
Establish provisions for the coverage of nonopioid prescription drugs.
Insurance
Last Action
Health and Human Services Deferred to the 41st legislative day, Passed, YEAS 10, NAYS 3. H.J. 4
1/29/2026