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---
type: "Bill"
title: "Relating to step therapy for nonopioids."
description: "Requires certain health insurance providers to ensure that coverage for a nonopioid prescription drug is available as an alternative for an opioid prescription drug and to use the same utilization review requirements and cost-sharing provisions for opioid and nonopioid drugs when they are prescribed for the same treatment. Requires the Pharmacy and Therapeutics Committee to include nonopioid prescription drug alternatives to opioid prescription drugs with the same utilization review requirements when making recommendations to the Oregon Health Authority for the preferred drug list and Practitioner-Managed Prescription Drug Plan."
jurisdiction: "us/states/or"
legislature: "Oregon Legislative Assembly"
session: "2025R1"
identifier: "SB 598"
citation: "Oregon SB 598 (2025R1)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Wlnsvey Campos"]
version_count: 8
action_count: 23
vote_count: 4
first_action: "2025-01-13T17:07:30+00:00"
last_action: "2025-07-25T17:17:50+00:00"
source: "openstates"
source_identifier: "ocd-bill/0142b958-bfb0-42db-9643-2349d888d089"
source_url: "https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/SB598"
source_hash: "a8a53724ca2c59eb528b22885b53b077eb8f0a28d6dcd718e86287e0a34a5b66"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-or"]
---
# Oregon SB 598 (2025R1) — Relating to step therapy for nonopioids.
Requires certain health insurance providers to ensure that coverage for a nonopioid prescription drug is available as an alternative for an opioid prescription drug and to use the same utilization review requirements and cost-sharing provisions for opioid and nonopioid drugs when they are prescribed for the same treatment. Requires the Pharmacy and Therapeutics Committee to include nonopioid prescription drug alternatives to opioid prescription drugs with the same utilization review requirements when making recommendations to the Oregon Health Authority for the preferred drug list and Practitioner-Managed Prescription Drug Plan.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/SB598/Introduced)
2. **Senate Amendments to Introduced** (filed) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/SB598/Senate%20Amendments%20to%20Introduced)
3. **A-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/SB598/A-Engrossed)
4. **B-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/SB598/B-Engrossed)
5. **JWM Amendment -A3** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/ProposedAmendment/29658)
6. **SHC Amendment -2** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/ProposedAmendment/28384)
7. **Senate Amendments to A-Engrossed** (committee substitute) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/SB598/Senate%20Amendments%20to%20A-Engrossed)
8. **Enrolled** (enrolled) — [source](https://olis.oregonlegislature.gov/liz/2025R1/Downloads/MeasureDocument/SB598/Enrolled)
## Votes
- Third reading. Carried by Grayber. Passed. — **45–3** (pass) · lower
- Heard and Reported Out with Amendments — **40–4** (pass) · legislature
- Third reading. Carried by Campos. Passed. — **23–6** (pass) · upper
- Heard and Reported Out with Amendments — **4–1** (pass) · upper
## Sponsors
- Wlnsvey Campos — primary (person)
- Dacia Grayber — cosponsor (person)
- Deb Patterson — cosponsor (person)
- Emerson Levy — cosponsor (person)
- Rob Nosse — cosponsor (person)
- Travis Nelson — cosponsor (person)
- Willy Chotzen — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-01-13T17:07:30+00:00** Introduction and first reading. Referred to President's desk. `introduction, reading-1, referral-committee`
- **2025-01-17T22:13:22+00:00** Referred to Health Care. `referral-committee`
- **2025-03-11T22:01:00+00:00** Public Hearing held.
- **2025-04-08T22:02:00+00:00** Work Session held.
- **2025-04-15T21:31:41+00:00** Recommendation: Do pass with amendments and be referred to Ways and Means. (Printed A-Eng.) `committee-passage-favorable`
- **2025-04-15T21:31:42+00:00** Referred to Ways and Means by order of the President. `referral-committee`
- **2025-06-07T23:51:00+00:00** Assigned to Subcommittee On Human Services. `referral-committee`
- **2025-06-12T20:33:00+00:00** Returned to Full Committee.
- **2025-06-12T20:32:00+00:00** Work Session held.
- **2025-06-17T15:02:00+00:00** Work Session held.
- **2025-06-19T22:43:30+00:00** Recommendation: Do pass with amendments to the A-Eng. bill. (Printed B-Eng.) `committee-passage-favorable`
- **2025-06-20T20:01:33+00:00** Second reading. `reading-2`
- **2025-06-23T18:21:45+00:00** Third reading. Carried by Campos. Passed. `passage, reading-3`
- **2025-06-23T22:48:28+00:00** First reading. Referred to Speaker's desk. `introduction, reading-1, referral-committee`
- **2025-06-23T23:09:35+00:00** Referred to Ways and Means. `referral-committee`
- **2025-06-25T17:32:41+00:00** Recommendation: Do pass. `committee-passage-favorable`
- **2025-06-26T01:29:22+00:00** Second reading. `reading-2`
- **2025-06-26T21:16:45+00:00** Third reading. Carried by Grayber. Passed. `passage, reading-3`
- **2025-06-27T22:58:40+00:00** President signed. `passage`
- **2025-06-28T04:01:10+00:00** Speaker signed. `passage`
- **2025-07-17T17:03:00+00:00** Governor signed. `executive-signature`
- **2025-07-25T17:09:25+00:00** Chapter 536, 2025 Laws.
- **2025-07-25T17:17:50+00:00** Effective date, January 1, 2026.
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0142b958-bfb0-42db-9643-2349d888d089`. Confidence: reported (aggregated from official Oregon legislature records).