HF3100 Summary: Alec Smith Insulin Affordability Act

• Establishes an insulin safety net program requiring manufacturers to provide urgent-need insulin supplies by July 1, 2020, and continuing patient assistance programs for eligible Minnesota residents with family income at or below 400% of federal poverty guidelines.

• Creates a two-part insulin access system: an urgent-need program providing 30-day supplies for those with less than 7 days of insulin on hand, and a continuing program providing 90-day supplies through manufacturer patient assistance programs with pharmacy co-payments capped at $35-$50.

• Requires health insurers to notify enrollees with dependent coverage at least 60 days before dependent child coverage ends at age 26, including information about MNsure enrollment options.

• Mandates manufacturer compliance with specific timelines for eligibility determination, reimbursement, and hotline availability (8 a.m. to 10 p.m. weekdays, 10 a.m. to 6 p.m. Saturdays), with penalties of $200,000-$600,000 per month for noncompliance.

• Appropriates $759,000 total across fiscal years 2020-2021 for navigator training, public awareness campaigns, and program administration, with the long-term safety net program set to expire December 31, 2024, unless the legislature votes to continue it.