South Dakota HB1085 ensures health insurers cannot deny coverage of nonopioid prescription drugs in favor of opioids.
South Dakota HB1085 establishes that health insurance policies cannot deny coverage of nonopioid prescription drugs if a licensed physician prescribes them for pain treatment. Insurers are also prohibited from imposing more restrictive prior authorization or step therapy requirements on nonopioid drugs compared to opioids. Additionally, nonopioid drugs cannot be placed on higher cost-sharing tiers than opioids on insurer formularies. This bill aims to ensure equitable treatment of nonopioid and opioid prescription drugs in health insurance coverage.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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