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MN HF2242
Bill
Status
3/12/2025
Primary Sponsor
Danny Nadeau
Click for details
AI Summary
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Commissioner of Human Services must select a single pharmacy benefit manager (PBM) through competitive procurement to process all pharmacy claims for Medical Assistance and MinnesotaCare managed care enrollees
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State PBM is prohibited from requiring enrollees to obtain specialty drugs from pharmacies owned by or affiliated with the PBM
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Commissioner gains authority to approve or disapprove all utilization review limitations, reimbursement rates, and fees for prescription drugs imposed by managed care plans
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PBM applicants must disclose conflicts of interest, ownership relationships with health plans or pharmacies, fees imposed on pharmacies, and financial arrangements with drug manufacturers
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State PBM must provide quarterly reports on negotiated drug prices, rebates received, payments to pharmacies, and savings passed to enrollees; effective January 1, 2027, or upon federal approval
Legislative Description
Commissioner of human services required to select a state pharmacy benefit manager through procurement, commissioner required to enter into a master contract with the state pharmacy benefit manager, program authority and eligibility requirements specified, and report required.
Last Action
Author added Bahner
4/3/2025