SB 492 Wisconsin Senate · 2025-2026 Regular Session

Relating to: coverage of nonopioid drug alternatives for the treatment and management of pain.

SB 492 requires health insurance plans and self-insured employers to cover nonopioid pain treatment options equally with opioids. It mandates coverage for at least two nonopioid prescription drugs (approved by the FDA and not controlled substances) and three non-drug pain management options, such as physical therapy. The bill prohibits health plans from imposing stricter prior authorization or step therapy rules on nonopioid drugs compared to opioids. It also requires annual public reporting of pain management coverage details on plan websites. This affects all health plans covering prescription drugs in Wisconsin, directly impacting patients seeking nonopioid pain treatment options.
Bill status failed 1 of 4 stages cleared
Introduction
Oct 2025
Committee Review
Floor Vote
Governor
Introduced Oct 2, 2025 Last action Mar 23, 2026
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Full legislative history

Actions timeline

Total actions
10
Key actions
1
Committee
1
Amendments
1
Jan 22, 2026
Upper · Passed
Report passage by Committee on Mental Health, Substance Abuse Prevention, Children and Families, Ayes 2, Noes 3
upper
Dec 16, 2025
Introduced
Senate Amendment 1 offered by Senator James
upper
Oct 2, 2025
Introduced
Introduced by Senators James, Dassler-Alfheim and Keyeski; cosponsored by Representatives Moses, Armstrong, Behnke, Duchow, Gundrum, Knodl, Melotik, Mursau, O'Connor, Wichgers and Murphy
upper
3 primary · 0 co-sponsors

Sponsors