Bill
Bill > HB2364
KS HB2364
Prohibiting certain health insurers from requiring cost-sharing for nonopioid prescription drugs or providing less favorable coverage for such drug than that for opioid or narcotic prescription drugs for the treatment of pain.
summary
Introduced
02/07/2025
02/07/2025
In Committee
02/07/2025
02/07/2025
Crossed Over
Passed
Dead
Introduced Session
2025-2026 Regular Session
Bill Summary
AN ACT concerning health insurance; relating to coverage for nonopioid prescription drugs for the treatment of pain; prohibiting certain health insurers from requiring cost-sharing for nonopioid prescription drugs or providing less favorable coverage for such drug than that for opioid or narcotic prescription drugs.
AI Summary
This bill aims to prevent health insurers (including Medicaid, state children's health insurance, and state employee health benefit programs) from discriminating against nonopioid pain medications in their drug coverage and cost-sharing practices. Specifically, health insurers would be prohibited from denying coverage of a nonopioid medication prescribed for acute pain, requiring patients to try an opioid drug first, or creating barriers that make nonopioid drugs less accessible or more expensive compared to opioid drugs. The bill requires that health insurers treat nonopioid drugs equally with opioid drugs in their drug formularies, which means they cannot impose more restrictive coverage criteria, more extensive prior authorization requirements, or place nonopioid drugs on higher cost-sharing tiers than comparable opioid medications. The goal appears to be ensuring patients have fair access to alternative pain management options without being financially or administratively steered towards opioid medications. The legislation would take effect upon publication in the state statute book and applies to various types of health insurance programs managed by the state.
Committee Categories
Health and Social Services
Sponsors (0)
No sponsors listed
Other Sponsors (1)
Health and Human Services (H)
Last Action
House Referred to Committee on Health and Human Services (on 02/07/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
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State Bill Page | https://kslegislature.gov/li/b2025_26/measures/hb2364/ |
Fiscal Note - Ficsal Note: As introduced | https://kslegislature.gov/li/b2025_26/measures/documents/fisc_note_hb2364_00_0000.pdf |
BillText | https://kslegislature.gov/li/b2025_26/measures/documents/hb2364_00_0000.pdf |
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