Bill > HF668

This bill modifies Minnesota's medical assistance (Medicaid) regulations to enhance coverage and simplify access to healthcare services and prescription drugs. Specifically, the bill requires medical assistance to cover any drug that is on the recipient's primary third-party payer formulary, even if the drug is not typically included in the medical assistance formulary, and mandates coverage without requiring prior authorization. Additionally, the bill stipulates that medical assistance must cover medical services that a primary third-party payer considers out-of-network or requiring referral, as long as those services are considered in-network and do not require a referral under medical assistance. The legislation aims to reduce barriers to healthcare by ensuring that recipients can access necessary medications and services, regardless of initial insurance limitations. This change applies to situations where a primary third-party payer has made partial payment for a drug or service, and it applies regardless of the initial payment amount. The bill represents an effort to provide more comprehensive and flexible healthcare coverage for medical assistance recipients by aligning medical assistance rules more closely with those of primary insurance providers.

Health and Social Services

https://www.revisor.mn.gov/bills/bill.php?b=House&f=HF0668&ssn=0&y=2025