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Bill > HF2533


MN HF2533

MN HF2533
Prior authorization mental health carve out expanded.


summary

Introduced
03/20/2025
In Committee
03/20/2025
Crossed Over
Passed
Dead

Introduced Session

94th Legislature 2025-2026

Bill Summary

A bill for an act relating to human services; expanding prior authorization mental health carve out; amending Minnesota Statutes 2024, section 256B.0625, subdivision 13f.

AI Summary

This bill modifies Minnesota's prior authorization rules for prescription drugs, specifically focusing on mental health medications. The bill expands protections for central nervous system prescription drugs used to treat mental health conditions by prohibiting prior authorization or other utilization management controls for drugs classified as anticonvulsants, antidepressants, antipsychotics, or noncontrolled substance antianxiety medications. It defines "utilization management controls" as formal techniques used by health carriers to monitor and evaluate prescription drug use, including prior authorization and step therapy protocols. The bill also introduces an automatic 60-day prior authorization approval for brand name mental health drugs when generic equivalents become available, and includes provisions that streamline authorization processes for specific drug scenarios, such as liquid medications and drugs prescribed for patients using enteral feeding tubes. Additionally, the bill maintains existing protections for HIV and AIDS medications, ensuring they remain free from prior authorization requirements. The changes aim to reduce barriers to mental health treatment by making it easier for patients to access necessary medications.

Committee Categories

Health and Social Services, Labor and Employment

Sponsors (2)

Last Action

Motion to recall and re-refer, motion prevailed Health Finance and Policy (on 03/24/2025)

bill text


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