SB 598 requires certain health insurance providers to ensure that coverage for a nonopioid prescription drug is available as an alternative for an opioid prescription drug and to use the same utilization review requirements and cost-sharing provisions for opioid and nonopioid drugs when they are prescribed for the same treatment. This legislation also requires the Pharmacy and Therapeutics Committee to include nonopioid prescription drug alternatives to opioid prescription drugs with the same utilization review requirements when making recommendations to the Oregon Health Authority for the preferred drug list and Practitioner-Managed Prescription Drug Plan.

This legislation amends Alaska's insurance statutes to establish comprehensive requirements for health care insurers regarding prior authorization processes for medical care and prescription drugs. It mandates that insurers must implement efficient and transparent prior authorization procedures, including clear timelines for determinations and automatic approval if deadlines are not met.

Senate Bill 2308 creates a process for Texas to support and oversee FDA clinical trials of ibogaine for opioid and related disorders, establishing a consortium model, funding requirements, state revenue sharing and strict oversight, with treatment only allowed upon federal approval.

SB 224 provides for prohibitions and requirements for Medicaid managed care organizations regarding coverage for nonopioid and opioid prescription drugs. This law provides for duties of the Louisiana Department of Health regarding nonopioid education and awareness, collaboration regarding funding opportunities and assistance to political subdivision that receive opioid grant awards through opioid settlements.

SB 126 requires Illinois health insurance plans, including public employee, county, municipal, school and private policies, to cover all medically necessary, FDA-approved treatments and diagnostic testing to slow the progression of Alzheimer's disease and related dementias, with implementation beginning in 2025 for state employees and 2027 for other plans, and prohibits step therapy for these treatments.

The act clarifies that the health benefits coverage for the prevention of, screening for and treatment of behavioral, mental health and substance use disorders must be no less extensive than the coverage provided for any physical illness. The act requires that every health benefit plan provide coverage for medically necessary treatment of covered behavioral, mental health and substance use disorder benefits, consistent with specified criteria.

House Bill 428 ensures that in vitro fertilization is legally accessible in Georgia by clarifying that no state law prohibits or prevents the procedure and it repeals any conflicting laws.

The bill prohibits the enforcement of a court order for removal of a child or enforcement of another state’s law being applied in a pending child protection action in Minnesota when the law of another state allows the child to be removed from the parent or guardian for receiving medically necessary health care or mental health care that respects the gender-identity of the patient.

Currently medical and psychiatric hospitals cannot receive reimbursement for LAI antipsychotic medications outside of their usual daily rate (DRG). The established hospital daily rate does not consider the cost of LAIs. This failure to adapt reimbursement to the emergence of this medical innovation compromises continuity of care and may contribute to high rates of readmissions for patients living with schizophrenia and other serious mental illnesses. In 2024, Georgia enacted policies to enable reimbursement for LAI antipsychotic medications during inpatient medical and psychiatric stays, in addition to the per diem rate.

Amends KRS 304.17C-125, 205.522, 205.6485, 164.2871 and 18A.225 to require limited health service benefit plans, Medicaid, self-insured employer group health plans provided by the governing board of a state postsecondary education institution, and the state employee health plan to comply with the speech therapy coverage requirement and to make technical amendments; creates a new section of Subtitle 17A of KRS Chapter 304 to require health insurance coverage for speech therapy as a treatment for stuttering; provides that various sections apply to health insurance policies, certificates, plans or contracts issued or renewed on or after January 1, 2025; establishes the construction of Section 1 for purposes of federal law and requires state officials to comply; and requires the Department of Insurance and the Cabinet for Health and Family Services to seek federal approval, if necessary.

This bill creates a Voluntary Firearms Do-Not-Sell Registry in which a person may voluntarily enroll themselves onto a list for the purpose of being prohibited from buying a firearm. The bill will allow that person who voluntarily places themselves on the registry to request removal from the list no sooner than 30 days after they placed themselves on the list. However, once the request for removal is made, the person’s name must be removed no sooner than 30 days after the removal request. Additionally, an individual who transfers a firearm to a person in violation of the section is guilty of a class A misdemeanor for a first offense and a class G felony for a subsequent offense.

Promotes school mental health screenings while allowing local choice; requires local education agencies (LEAs) to identify whether they are opting in or out; provides funds to LEAs who opt-in to screening to assist parents in accessing follow-up mental health services.  

Establishes that health care providers are not required to maintain a physical presence in the Commonwealth to maintain eligibility to enroll as a Medicaid provider. Additionally, the bill establishes that telemedicine services provider groups with health care providers duly licensed by the Commonwealth are not required to maintain an in-state service address to maintain eligibility to enroll as a Medicaid vendor or Medicaid provider group.  

Concerning health-care billing requirements for indigent patients receiving services not reimbursed through the Colorado indigent care program, and, in connection therewith, establishing procedures before initiating collections proceedings against a patient and making and reducing appropriations.

Requires certain health insurance to cover treatment of certain conditions relating to gender dysphoria and gender incongruence.

This bill authorizes a minor to consent to healthcare services related to the prevention of sexually transmitted diseases and the dispensing of contraceptives without parental involvement. 

This bill would ensure that a health insurance plan that is Health Savings Account-qualified is exempt from any state law that would cause the plan to be disqualified because the law requires coverage of and/or cost-sharing for benefits that would cause that plan to fail to meet the federal definition of a “high deductible health plan.”

This bill requires all health care professionals seeking licenses or registration renewals to complete one hour of training in the diagnosis, treatment and care of Alzheimer's disease and other forms of dementia.

Senate Bill 420 requires the director of the Department of Health and Human Services, in consultation with the executive director of the Silver State Health Insurance Exchange and the commissioner of insurance of the Department of Business and Industry, to design, establish and operate a public health benefit plan known as the Public Option.

This bill amends titles 15, 20, 31, 33, 37, 45 and 49 of the Georgia statutes relating to courts, education, health, insurance, mental health, public officers and employees and social services, respectively, to implement the recommendations of the Georgia Behavioral Health Reform and Innovation Commission.

This bill revises the law governing health insurance and Medicaid coverage of screening mammography by requiring coverage for one screening mammography every year and specifying that screening mammography includes digital breast tomosynthesis. The bill requires health insurers and the Medicaid program to cover supplemental breast cancer screening if certain conditions are met. The bill revises the language a mammography facility must use when notifying a mammography patient in writing of the presence of dense breast tissue.

Amends the Illinois Insurance Code to provide that an individual or group health care service plan contract that is issued, amended, delivered or renewed on or after Jan. 1, 2022, shall not require prior authorization for biomarker testing for an insured with advanced or metastatic stage 3 or 4 cancer, nor shall prior authorization be required for biomarker testing of cancer progression or recurrence in the insured with advanced or metastatic stage 3 or 4 cancer. Defines "biomarker testing".

This legislation builds upon significant administration efforts toward health equity including expanding telehealth coverage in order to increase health care access to vulnerable and rural populations, including mental health services; eliminating the Medicaid backlog; bringing an additional $250 million in federal health care funding to Illinois; signing the Healthcare and Hospital Transformation bill into law; and working with the General Assembly to make Illinois the first state in the nation to offer health care access assistance to undocumented seniors.

This bill relates to coverage for doula services, defines doula services and provides that such services include support and assistance during labor and childbirth, prenatal and postpartum support and education, breastfeeding assistance and lactation support, parenting education and support for a birthing person following loss of pregnancy. 

The Oklahoma Kratom Consumer Protection Act mandates kratom vendors to disclose specific information on product labels, websites, or QR codes. It prohibits vendors from preparing, distributing, or selling kratom products that do not meet these disclosure requirements or are adulterated, contaminated, or contain unsafe levels of certain substances, including synthetic alkaloids and controlled substances. The Act also bans the sale of kratom products to minors and requires vendors to provide test results upon request.

The bill requires that third-party cost-sharing assistance used by patients is applied toward the enrollee's health insurance deductibles and any out-of-pocket limits. Additionally, the bill defines what constitutes a “cost-sharing requirement” and how to calculate the assistance when applying to patient’s deductibles and out-of-pocket limits. 

This bill creates the Public Employee Health Protection Act, making it an unfair practice for a covered employer to fail or refuse to maintain or pay for continued health care or other medical coverage for an enrolled employee or their enrolled dependents, for the duration of the enrolled employee's participation in an authorized strike, at the level and under the conditions that coverage would have been provided if the employee had continued to work in their position for the duration of the strike. 

The bill provides that the commissioner of the Department for Children and Families shall establish and implement a regional mental and behavioral health consultation and care coordination program for primary care providers who serve children, and the pediatric patients of such providers. It also provides that the program shall refer the pediatric patient of a primary care provider who serves children for not more than three follow up telehealth or in person appointments with a mental health care provider under specified circumstances.