Remove Authorization Requirement Adjust Chronic Prescription
Summary
The act allows a health-care provider to, under certain circumstances, adjust the dose or frequency of a chronic maintenance drug without needing prior authorization from an insurance carrier. (Note: This summary applies to this bill as enacted.)
Bill status
signed
all 5 stages cleared
Introduction
Apr 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House Passage
May 2025
Signed into Law
May 2025
Introduced Apr 21, 2025
Signed May 29, 2025
Maddy AI version diff · 5 comparisons
What changed between versions
Revised (05/01/2025)
→
PA1 (04/25/2025)
·
4 edits
MODERATE
The bill was amended to clarify that prescribing providers can adjust chronic maintenance drug doses or frequency without prior insurance authorization when following evidence-based guidelines. The amendment also added a requirement that the drug must not be an opioid or controlled substance and clarified that dose adjustments cannot exceed two times without authorization.
Scope change
The bill's scope was expanded to explicitly include evidence-based guidelines as a condition for dose adjustments and added a specific exclusion for opioids and controlled substances.
REQUIREMENT
Added requirement that dose adjustments must be based on evidence-based guidelines.
Modified the text to clarify that the drug must be for a chronic or debilitating disease and the provider must continue prescribing for the same condition.
ELIGIBILITY
Added explicit exclusion that the prescription drug cannot be an opioid or scheduled controlled substance.
TECHNICAL
Removed references to '2nd Reading Unamended' and '3rd Reading Unamended' status labels, indicating the bill is now in a pre-amended state.
Floor votes · Senate Apr 28, 2025 · House May 2, 2025
How they voted
33–0
Passed · 1 other
Total votes 34
Apr 28, 2025
D
Democratic22
95% Yea
R
Republican12
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
13
Key actions
5
Committee
2
Amendments
1
May 29, 2025
Signed into law
Governor Signed
executive
May 5, 2025
Introduced
Senate Considered House Amendments - Result was to Concur - Repass
upper
May 2, 2025
Lower · Passed
House Third Reading Passed with Amendments - Floor
lower
Apr 30, 2025
Lower · Passed
House Committee on Health & Human Services Refer Unamended to House Committee of the Whole
lower
Apr 28, 2025
Introduced
Introduced In House - Assigned to Health & Human Services
lower
Apr 28, 2025
Upper · Passed
Senate Third Reading Passed - No Amendments
upper
Apr 24, 2025
Upper · Passed
Senate Committee on Health & Human Services Refer Amended - Consent Calendar to Senate Committee of the Whole
upper
Apr 21, 2025
Introduced
Introduced In Senate - Assigned to Health & Human Services
upper
4 primary · 49 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Barbara Kirkmeyer
RRepublican
P
Dusty Johnson
RRepublican
P
Katie Wallace
DDemocratic
P
Sheila Lieder
DDemocratic
Co
Amy Paschal
DDemocratic
Co
Andy Boesenecker
DDemocratic
Co
Brianna Titone
DDemocratic
Co
Byron Pelton
RRepublican
Co
Carlos Barron
RRepublican
Co
Cathy Kipp
DDemocratic
Co
Chad Clifford
DDemocratic
Co
Chris Kolker
DDemocratic
Co
Dafna Michaelson Jenet
DDemocratic
Co
Dylan Roberts
DDemocratic
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