SB0551

Human services: medical services; exemption of certain prescription drugs for the treatment or management of pain from the medical assistance prior authorization process; provide for. Amends sec. 109h of 1939 PA 280 (MCL 400.109h) & adds sec. 109v.

Introduced·9/17/25
Introduced Text

Exempts certain non-opioid pain management drugs from prior authorization in Michigan Medicaid.

This bill amends Michigan's Medicaid program to exempt certain non-opioid prescription drugs used for pain management from the prior authorization process. Specifically, it ensures that drugs classified as anticonvulsants, antidepressants, or antipsychotics, and prescribed for pain management, are not subject to prior authorization. The Department of Health and Human Services must also ensure these drugs are not disadvantaged in coverage compared to opioid analgesics. The bill further mandates that such drugs be added to the preferred drug list within 90 days of the act's effective date.

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Where it stands

Current
Health Policy Committee
Next
Committee decision

Sponsors

DD
2
0
Democratic CaucusRepublican Caucus

History

Sep 17, 2025

Senate

Introduced By Senator Sylvia Santana

Sep 17, 2025

Senate

Referred To Committee On Health Policy