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MN HF464

MN HF464
Dispensing fee requirements imposed on health plan companies and county-based purchasing plans providing prescription drug coverage in the medical assistance program.


summary

Introduced
02/13/2025
In Committee
02/13/2025
Crossed Over
Passed
Dead

Introduced Session

94th Legislature 2025-2026

Bill Summary

A bill for an act relating to human services; imposing dispensing fee requirements on health plan companies and county-based purchasing plans providing prescription drug coverage in the medical assistance program; amending Minnesota Statutes 2024, section 256B.69, subdivision 6d.

AI Summary

This bill modifies Minnesota's medical assistance program by establishing new requirements for dispensing fees related to prescription drug coverage. Specifically, the bill requires prepaid health plans and county-based purchasing plans to pay a dispensing fee for pharmacy services that is at least equal to the fee established in another section of Minnesota statutes (section 256B.0625, subdivision 13e, paragraph (a)). This means that when these health plans provide prescription drug coverage for eligible persons under Minnesota's medical assistance programs, they must compensate pharmacies with a minimum dispensing fee set by the state. The bill also maintains existing provisions allowing the commissioner of human services to exclude or modify prescription drug coverage in managed care contracts to increase state savings and collect additional drug rebates. The new dispensing fee requirement 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.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Hearing (13:00:00 3/12/2025 ) (on 03/12/2025)

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