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HB2048 • 2026
orders of protection; process servers
HB2048 - (NOW: AHCCCS; non-opioid prescription drugs; controls)
Passed Legislature
This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.
- Sponsor
- Selina Bliss
- Last action
- 2026-06-11
- Official status
- House passed
- Effective date
- Not listed
Plain English Breakdown
The official material mentions 'clinically appropriate' drugs but does not provide a definition for this term within the provided excerpts.
HB2048: Limits on AHCCCS Drug Controls for Non-Opioid Pain Medication
This bill stops the Arizona Health Care Cost Containment System from placing stricter rules on non-opioid pain drugs than it does on opioid or narcotic drugs.
What This Bill Does
- Prohibits AHCCCS from creating more restrictive utilization controls for approved non-opioid pain medications compared to opioids.
- Limits the use of prior authorization and step therapy requirements so they are not stricter for non-opioids than for narcotics.
- Applies these rules only to drugs used to treat moderate to severe chronic or acute pain that have FDA approval.
Who It Names or Affects
- The Arizona Health Care Cost Containment System (AHCCCS) administration
- Health plans contracted with AHCCCS to deliver services
Limits and Unknowns
- This law will no longer be in effect after August 31, 2028.
- The bill does not specify the exact financial cost this change may have on the state General Fund.
Amendments
These notes stay tied to the official amendment files and metadata from the legislature.
Plain English: This amendment stops Arizona's health care system from putting stricter rules on non-opioid pain medicines than it does for opioid painkillers.
- The state cannot create tougher approval or step-therapy requirements for FDA-approved, non-opioid drugs used to treat moderate to severe pain if those rules are stricter than the ones applied to opioids.
- This rule only applies until August 31, 2028.
- The text does not explain exactly what happens after this date or how 'clinically appropriate' is defined in practice.
Plain English: This amendment stops the state health agency from creating stricter rules for non-opioid pain medicines than it does for opioid pain medicines.
- The Arizona Health Care Cost Containment System cannot set tougher usage limits on FDA-approved, non-opioid drugs used to treat moderate or severe pain compared to opioids.
- This rule applies specifically to requirements like prior authorization and step therapy that might make it harder for patients to get their medicine.
- The amendment does not explain exactly what the current rules are, only how new ones must compare to existing opioid rules.
- This rule will automatically end on August 31, 2028, so it is a temporary change.
Bill History
-
2026-06-11
House
House passed
-
2026-06-10
House
House minority caucus
-
2026-06-09
House
Transmitted to House
-
2026-06-09
Senate
Senate third read passed
-
2026-06-01
Senate
Senate committee of the whole
-
2026-04-21
Senate
Senate minority caucus
-
2026-04-21
Senate
Senate majority caucus
-
2026-03-04
Senate
Senate second read
-
2026-03-03
Senate
Senate Rules: PFC
-
2026-03-03
Senate
Senate Health and Human Services: DPA/SE
-
2026-03-03
Senate
Senate Public Safety: W/D
-
2026-03-03
Senate
Senate first read
-
2026-02-26
Senate
Transmitted to Senate
-
2026-02-26
House
House third read passed
-
2026-02-25
House
House committee of the whole
-
2026-01-27
House
House minority caucus
-
2026-01-27
House
House majority caucus
-
2026-01-26
House
House consent calendar
-
2026-01-13
House
House second read
-
2026-01-12
House
House Rules: C&P
-
2026-01-12
House
House Judiciary: DP
-
2026-01-12
House
House first read
Official Summary Text
HB2048 - 572R - Senate Fact Sheet
Assigned to
HHS�������������������������������������������������������������������������������������������������������������� AS
PASSED BY COW
ARIZONA STATE SENATE
Fifty-Seventh
Legislature, Second Regular Session
AMENDED
FACT SHEET FOR
H.B. 2048
orders
of protection; process servers
(
NOW:
AHCCCS; non-opioid prescription drugs; controls
)
Purpose
Prohibits the Arizona Health Care Cost Containment System (AHCCCS) from
imposing more restrictive utilization controls on prescription non-opioid drugs
used to treat moderate to severe pain than on prescription opioid or narcotic
drugs.
Background
AHCCCS serves as Arizona's Medicaid agency, which offers Arizona
residents access to healthcare programs. AHCCCS contracts with health plans to
deliver medically necessary services to enrolled members, including low-income
adults, children, pregnant women and individuals with disabilities (
A.R.S. � 36-2903
).
The AHCCCS Pharmacy & Therapeutics Committee (Committee) serves as an
advisory body to the AHCCCS administration and is responsible for evaluating
scientific evidence of the relative safety, efficacy, effectiveness and
clinical appropriateness of prescription drugs. The Committee makes
recommendations to the AHCCCS administration on the development and maintenance
of a statewide drug list and prior authorization criteria as appropriate. The
Committee may also evaluate individual drugs and therapeutic classes of drugs (
AHCCCS
).
If prohibiting AHCCCS from imposing more restrictive utilization
controls on prescription non-opioid drugs than on prescription opioid or
narcotic drugs results in increased utilization or costs, there may be a fiscal
impact to the state General Fund.
Provisions
1.
Prohibits
AHCCCS from establishing utilization controls, including prior authorization or
step therapy requirements, on any clinically appropriate prescription
non-opioid drug approved by the U.S. Food and Drug Administration to treat
chronic or acute moderate to severe pain that are more restrictive or extensive
than the least restrictive or extensive utilization controls applicable to any
clinically appropriate prescription opioid or narcotic drug.
2.
Repeals
the prohibition on September 1, 2028.
3.
Becomes
effective on the general effective date.
Amendments
Adopted by Committee
�
Adopted the strike-everything amendment.
Senate Action
PS������������������� 3/17/26����� W/D
HHS��������������� 3/18/26����� DPA/SE���
4-3-0
Prepared by Senate Research
June 1, 2026
MM/hk
Current Bill Text
Read the full stored bill text
HB2048 - 572R - S Ver
Senate Engrossed
House Bill
orders
of protection; process servers
(now: AHCCCS;
non-opioid prescription drugs; controls)
State of Arizona
House of Representatives
Fifty-seventh Legislature
Second Regular Session
2026
HOUSE BILL 2048
AN
ACT
Relating to the Arizona health care cost
containment system prescription drug coverage.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1.
Arizona health care cost containment system
administration; prescription drugs; pain treatment; utilization controls;
delayed repeal
A. The Arizona health care
cost containment system administration may not establish more restrictive or
extensive utilization controls, including more restrictive or extensive prior
authorization or step therapy requirements, for any clinically appropriate
prescription drug that is not an opioid and that is approved by the United
States food and drug administration to treat chronic or acute moderate to
severe pain that are more restrictive or extensive than the least restrictive
or extensive utilization controls applicable to any clinically appropriate
prescription drug that is an opioid or narcotic.
B. This section is repealed
from and after August 31, 2028.