Bill > SF52

This bill amends Minnesota's medical assistance program regulations regarding prescription drug coverage by establishing dispensing fee requirements for prepaid health plans and county-based purchasing plans. Specifically, the bill mandates that these plans must pay a dispensing fee for pharmacy services when dispensing prescribed drugs that is at least equal to the fee outlined in a specific existing statute (section 256B.0625, subdivision 13e, paragraph (a)). The bill allows the commissioner of human services to exclude or modify prescription drug coverage in prepaid managed care contracts to increase state savings by collecting additional prescription drug rebates. The managed care plans can still use strategies like preferred drug lists and prior authorization to manage drug costs and utilization. The changes will become effective on January 1, 2026, or upon federal approval, whichever occurs later, with the commissioner required to notify the revisor of statutes once federal approval is obtained. This legislation aims to ensure fair compensation for pharmacies and potentially reduce prescription drug costs within the medical assistance program.

Health and Social Services

https://www.revisor.mn.gov/bills/bill.php?b=Senate&f=SF0052&ssn=0&y=2025