Wisconsin 2025-2026 Regular Session

Wisconsin Assembly Bill AB499

Introduced
10/9/25  
Refer
10/9/25  

Caption

Coverage of nonopioid drug alternatives for the treatment and management of pain.

Impact

The introduction of AB499 represents a significant shift in state healthcare policy, particularly in the context of the ongoing opioid crisis. By promoting the use of nonopioid treatments, the bill seeks to limit the reliance on opioids, potentially reducing prescription rates and dependency issues associated with these drugs. The bill also prohibits healthcare plans from implementing more restrictive measures on nonopioid medications than those applied to opioids, which could enhance patient access to alternative treatments and reshape prescribing behaviors among healthcare providers.

Summary

Assembly Bill 499 aims to establish comprehensive regulations surrounding the coverage and access to nonopioid alternatives for pain management in healthcare plans across Wisconsin. This bill mandates that health care insurance providers, including self-insured governmental plans, must develop a pain management access plan that guarantees coverage for a variety of nonopioid treatment options. Specifically, it requires plans to include at least two FDA-approved alternative prescription medications and three nonpharmacological treatment modalities, all aimed at effectively managing pain without the use of opioids.

Contention

While proponents of AB499 advocate for a proactive approach to pain management that prioritizes safety and efficacy, some stakeholders express concern regarding its potential consequences. Critics raise questions about how this legislation could impact pharmaceutical companies and the availability of certain treatments. Furthermore, there's apprehension regarding the financial implications for insurance providers and whether such mandates might lead to increased costs for consumers or lower overall care quality if alternatives are not adequately effective for all patients.

Companion Bills

WI SB492

Crossfiled Coverage of nonopioid drug alternatives for the treatment and management of pain.

Previously Filed As

WI SB492

Coverage of nonopioid drug alternatives for the treatment and management of pain.

WI HF1807

Nonopioid drugs coverage required for treatment or management of pain.

WI SB5916

Concerning nonopioid drugs for the treatment of pain.

WI HB1034

Concerning nonopioid drugs for the treatment of pain.

WI SF1947

Nonopioid drugs treatment or management of pain requirement provision

WI S3022

Requires insurers to develop plans for coverage and access to nonnarcotic, nonopioid and nonmedication pain management for moderate to severe pain. It further restricts utilization review for nonopioid drugs.

WI SB974

Maryland Medical Assistance Program and Health Insurance - Nonopioid Drugs for the Treatment of Pain

WI HF1806

Health plans required to provide coverage for nonopioid and nonpharmacologic pain management.

WI SB1238

NONOPIOID ALTERNATIVES

WI SSB1169

A bill for an act relating to nonopioid drugs on the medical assistance preferred drug list, and health carriers' development of a pain management access plan.

Similar Bills

WI AB925

Revising various provisions of the statutes for the purpose of making corrections and reconciling conflicts (Correction Bill).

WI SB904

Revising various provisions of the statutes for the purpose of making corrections and reconciling conflicts (Correction Bill).

AZ HB2944

Inpatient treatment days; computation; exclusion

CA AB1879

Substance use: treatment or residential data reporting.

AZ SB1244

court-ordered treatment; continuation

AZ HB2706

Mental health; intensive treatment orders

CA AB2538

Medi-Cal: hospice providers: forms.

IA HF518

A bill for an act establishing a veterans recovery pilot program and fund for the reimbursement of expenses related to providing hyperbaric oxygen treatment to eligible veterans and making appropriations.(Formerly HF 326.)