Oregon 2025 Regular Session

Oregon Senate Bill SB598

Introduced
1/13/25  
Refer
1/17/25  
Refer
4/15/25  
Refer
4/15/25  
Report Pass
6/19/25  
Engrossed
6/23/25  
Refer
6/23/25  
Report Pass
6/25/25  
Enrolled
6/26/25  
Passed
7/17/25  
Chaptered
7/25/25  

Caption

Relating to step therapy for nonopioids.

Impact

The introduction of SB598 would likely impact state insurance regulations and healthcare delivery systems by obligating insurers to create clearer and more flexible guidelines around step therapy. The goal is to streamline the process for patients, particularly those with chronic conditions who may require immediate access to effective treatment without first going through potentially ineffective alternatives. This could lead to both improved patient satisfaction and potential cost savings by reducing the time and resources spent on ineffective therapies.

Summary

SB598 addresses the practice of step therapy in the context of nonopioid medications. Step therapy is a managed care protocol that often requires patients to try less expensive treatments before obtaining coverage for more costly options. This bill seeks to reform such practices in order to ensure improved access to necessary medications for patients who do not respond to initial treatments. The underlying intent is to prioritize patient health outcomes by mandating that insurance providers allow for exceptions to step therapy protocols when warranted by a patient's medical needs.

Sentiment

The sentiment surrounding SB598 appears to be largely supportive among healthcare advocates and patient rights organizations, who argue that the bill would enhance patient autonomy and care quality. Nonetheless, there are concerns among some insurance providers who fear that the legislation could lead to increased costs associated with covering higher-priced medications without appropriate justification. As a result, the dialogue surrounding the bill reflects a balance between patient rights and the financial considerations of healthcare providers.

Contention

Notable points of contention around SB598 include the potential for higher healthcare costs and the implications for insurance provider practices. Some stakeholders argue that requiring insurers to accommodate exceptions to step therapy could lead to escalated healthcare expenditures and complicate managed care practices. Others counter that prioritizing patient health will ultimately result in cost savings by reducing complications and enhancing treatment effectiveness. These differing viewpoints highlight the ongoing debate over the best methods to regulate patient access to necessary healthcare treatments.

Companion Bills

No companion bills found.

Previously Filed As

OR HB2499

Relating to services paid for by medical assistance.

OR SB608

Relating to prescription drugs; and declaring an emergency.

OR HB4113

Relating to the cost of health care.

OR SB565

Relating to the cost of health care.

OR SB1506

Relating to pharmacy; prescribing an effective date.

OR HB4002

Relating to the addiction crisis in this state; declaring an emergency.

OR SB1508

Relating to health care.

OR SB192

Relating to prescription drugs; and prescribing an effective date.

OR HB4010

Relating to health care; prescribing an effective date.

OR HB2927

Relating to sickle cell disease.

Similar Bills

CT HB07052

An Act Preventing Prescription Opioid Diversion And Abuse.

MS HB1389

Nonopioid drugs for pain management; require health plans and Medicaid to cover and not make use of more restrictive than for opioid drugs.

MT HB774

Generally revise laws relating to pharmacies

MS HB1468

Medicaid; nonopiod drugs for pain management will not be disadvantaged with respect to coverage on preferred drug list.

MS SB2751

Medicaid services; require division to ensure nonopioid drug is disadvantaged relative to an opioid or narcotic.

WV HB3070

Relating to the requirement of insurance coverage for a nonopioid drug for a person diagnosed with a substance use disorder

MS SB2386

Medicaid; make various amendments to the provisions of the program.

MS SB2867

Medicaid; make various amendments to the provisions of the program.