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MN SF5176

Bill

Status

Introduced

3/25/2024

Primary Sponsor

Kelly Morrison

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Origin

Senate

93rd Legislature 2023-2024

AI Summary

  • Modifies Medical Assistance payment rates to Indian health services facilities for drugs purchased through the Federal Supply Schedule (FSS), requiring payment of FSS actual acquisition cost plus professional dispensing fee for claims exceeding federal rates.

  • Establishes requirements for Indian health services providers to submit FSS rates with basis of cost indicator "08" and allows facilities to establish written protocols for calculating actual acquisition drug costs based on monthly, quarterly, or other averages without adding inflation, markup, spread, or margin.

  • Modifies Medical Assistance payment rates for drugs purchased through the federal 340B Drug Pricing Program, requiring payment at the 340B reimbursement rate for claims exceeding federal rates and submission with basis of cost indicator "08" and submission clarification code "20."

  • Removes requirement that adult day treatment providers must be accredited by the Joint Commission on Accreditation of Health Organizations, allowing any hospital licensed under sections 144.50 to 144.55 to apply as an adult day treatment provider.

  • Establishes that adult day treatment providers must review client progress and update individual treatment plans at least every 90 days, notwithstanding existing provisions, and must include discharge plans in treatment plans.

Legislative Description

Payment rates modification to Indian health services facilities for certain medications

Last Action

Referred to Health and Human Services

3/25/2024

Committee Referrals

Health and Human Services3/25/2024

Full Bill Text

No bill text available