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MN SF593

MN SF593
Prescription drug coverage prior authorization requirements modification; prescription drug benefit transparency and disclosure requirement


summary

Introduced
02/02/2017
In Committee
02/02/2017
Crossed Over
Passed
Dead
05/20/2018

Introduced Session

90th Legislature 2017-2018

Bill Summary

Prescription drug coverage prior authorization requirements modification; prescription drug benefit transparency and disclosure requirement

AI Summary

This bill aims to modify prescription drug coverage prior authorization requirements and establish prescription drug benefit transparency and disclosure requirements. Key provisions include: 1. Requiring prior authorizations for prescription drugs to remain valid for the duration of an enrollee's contract term, with some exceptions, to ensure continuity of care. 2. Mandating health plan companies that provide prescription drug benefits to make their formularies and related benefit information available to enrollees at least 30 days prior to annual renewal dates. 3. Placing restrictions on when health plan companies can remove brand-name drugs from their formularies or increase enrollee costs, requiring at least 60-day notice to affected parties. 4. Requiring managed care plans and county-based purchasing plans under Medicaid and MinnesotaCare to comply with the new prescription drug benefit transparency and management requirements. The bill aims to improve access to prescription drugs and provide more transparency around drug coverage and costs for enrollees in health plans.

Committee Categories

Health and Social Services

Sponsors (5)

Last Action

Referred to Health and Human Services Finance and Policy (on 02/02/2017)

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