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OregonSB 5982025 Regular SessionSenateWALLET

Relating to step therapy for nonopioids.

Sponsored By: Wlnsvey Campos (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Health plans must cover nonopioid pain options

Health benefit plans, health care service contracts, and multiple employer welfare arrangements must cover suitable nonopioid pain medicines. They must cover at least one medically appropriate alternative for each opioid prescribed for acute or chronic pain. The alternative cannot face stricter prior approval, step therapy, drug-use review, or cost-sharing rules than the opioid. Nonopioid medicines must be FDA-approved and prescribed for pain. These requirements apply to coverage issued, renewed, or extended on or after the law’s effective date.

Medicaid drug recommendations must include nonopioid options

Oregon’s Pharmacy and Therapeutics Committee must include suitable nonopioid options when recommending medical assistance drug coverage and coverage rules. Its recommendations must provide at least one medically appropriate nonopioid alternative for each opioid prescription drug. Prior approval and other limits on using the alternative cannot be stricter than those for the opioid. This requirement governs the committee’s recommendations, not a direct cash benefit.

Higher spending limit for educator health plans

The law raises the Oregon Educators Benefit Board’s spending limit by $258,652 for the two-year period beginning July 1, 2025. This covers payments from the Oregon Educators Revolving Fund for health plan premiums and self-insurance. The added spending authority supports fair coverage of nonopioid prescription drugs for plan members. It does not create a direct payment to households.

Sponsors & Cosponsors

Sponsor

  • Wlnsvey Campos

    Democratic • Senate

Cosponsors

  • Dacia Grayber

    Democratic • House

  • Deb Patterson

    Democratic • Senate

  • Emerson Levy

    Democratic • House

  • Rob Nosse

    Democratic • House

  • Travis Nelson

    Democratic • House

  • Willy Chotzen

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 92 • No: 12

House vote • 6/26/2025

Third reading. Carried by Grayber. Passed.

Yes: 45 • No: 3

Senate vote • 6/23/2025

Third reading. Carried by Campos. Passed.

Yes: 23 • No: 6

legislature vote • 6/17/2025

Ways and Means: Heard and Reported Out with Amendments

Yes: 20 • No: 2

Senate vote • 4/8/2025

Health Care: Heard and Reported Out with Amendments

Yes: 4 • No: 1

Actions Timeline

  1. Effective date, January 1, 2026.

    7/25/2025Senate

  2. Chapter 536, 2025 Laws.

    7/25/2025Senate

  3. Governor signed.

    7/17/2025Senate

  4. Speaker signed.

    6/27/2025House

  5. President signed.

    6/27/2025Senate

  6. Third reading. Carried by Grayber. Passed.

    6/26/2025House

  7. Second reading.

    6/25/2025House

  8. Recommendation: Do pass.

    6/25/2025House

  9. Referred to Ways and Means.

    6/23/2025House

  10. First reading. Referred to Speaker's desk.

    6/23/2025House

  11. Third reading. Carried by Campos. Passed.

    6/23/2025Senate

  12. Second reading.

    6/20/2025Senate

  13. Recommendation: Do pass with amendments to the A-Eng. bill. (Printed B-Eng.)

    6/19/2025Senate

  14. Work Session held.

    6/17/2025Senate

  15. Returned to Full Committee.

    6/12/2025Senate

  16. Work Session held.

    6/12/2025Senate

  17. Assigned to Subcommittee On Human Services.

    6/7/2025Senate

  18. Referred to Ways and Means by order of the President.

    4/15/2025Senate

  19. Recommendation: Do pass with amendments and be referred to Ways and Means. (Printed A-Eng.)

    4/15/2025Senate

  20. Work Session held.

    4/8/2025Senate

  21. Public Hearing held.

    3/11/2025Senate

  22. Referred to Health Care.

    1/17/2025Senate

  23. Introduction and first reading. Referred to President's desk.

    1/13/2025Senate

Bill Text

  • JWM Amendment -A3 (Adopted)

    6/17/2025

    PDF

  • JWMHS Amendment -A3 (Proposed)

    6/12/2025

    PDF

  • SHC Amendment -1 (Proposed)

    4/8/2025

    PDF

  • SHC Amendment -2 (Adopted)

    4/8/2025

    PDF

  • SHC Amendment -1 (Proposed)

    4/3/2025

    PDF

  • A-Engrossed

    PDF

  • B-Engrossed

    PDF

  • Enrolled

    PDF

  • Introduced

    PDF

  • Senate Amendments to A-Engrossed

    PDF

  • Senate Amendments to Introduced

    PDF

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