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MN SF482
Bill
Status
1/19/2023
Primary Sponsor
Matt Klein
Click for details
AI Summary
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Prohibits pharmacy benefit managers and health carriers from requiring clinician-administered drugs or their administration to be covered as a pharmacy benefit effective January 1, 2024.
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Requires pharmacy benefit managers and health carriers to permit enrollees to obtain clinician-administered drugs from any authorized health care provider or pharmacy of their choice without financial incentives influencing that choice.
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Mandates that cost-sharing, coverage limitations, and reimbursement rates for clinician-administered drugs be identical whether obtained from an affiliated pharmacy, a plan-selected pharmacy, or an independent provider or pharmacy.
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Prohibits specialty pharmacies from dispensing clinician-administered drugs directly to patients for transport to a health care provider, and permits but does not require the use of home infusion pharmacies or external infusion sites.
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Ensures clinician-administered drug dispensing complies with federal Drug Supply Chain Security Act requirements.
Legislative Description
Requirements establishment for pharmacy benefit managers and health carriers related to clinician-administered drugs
Last Action
General Orders: Stricken and re-referred to Finance
3/16/2023