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MN HF558

Bill

Status

Introduced

2/1/2021

Primary Sponsor

Keith Franke

Click for details

Origin

House of Representatives

92nd Legislature 2021-2022

AI Summary

  • Prohibits pharmacy benefit managers and health carriers from restricting pharmacists or pharmacies from disclosing health care information to enrollees, including treatment nature, risks, alternatives, utilization review decisions, authorization processes, and financial incentives.

  • Requires pharmacies to provide enrollees with total cost information for each prescription drug, including the patient's co-payment amount, pharmacy's usual and customary price, acquisition cost, and reimbursement amount from the pharmacy benefit manager or health carrier.

  • Prohibits pharmacy benefit managers from preventing pharmacists or pharmacies from discussing with health carriers the reimbursement amount paid to the pharmacy or the pharmacy's acquisition cost for prescription drugs.

  • Prohibits pharmacy benefit managers and health carriers from restricting discussion of therapeutically equivalent alternative prescription drugs or alternative purchasing methods, including out-of-pocket payment options that may be less expensive than the enrollee's required health plan cost.

  • Effective the day following final enactment.

Legislative Description

Pharmacy benefit managers prohibited from restricting pharmacists or pharmacies from discussing reimbursement amount paid by pharmacy benefit managers with health carriers and consumers.

Last Action

Author added Munson

2/15/2021

Committee Referrals

Commerce Finance & Policy2/1/2021

Full Bill Text

No bill text available