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MN HF2533
Bill
Status
3/20/2025
Primary Sponsor
Joe Schomacker
Click for details
AI Summary
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Expands the exemption from prior authorization and utilization management controls for mental health medications from only atypical antipsychotics to all central nervous system drugs classified as anticonvulsants, antidepressants, antipsychotics, or noncontrolled substance antianxiety drugs prescribed for mental illness treatment
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Removes previous conditions that limited the exemption to drugs with no generic equivalent, drugs initially prescribed before July 1, 2003, or drugs that were part of a recipient's current treatment course
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Requires automatic 60-day prior authorization approval for brand name mental health drugs when a generic equivalent becomes available, if the brand name was part of the recipient's ongoing treatment
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Adds a definition of "utilization management controls" to include formal techniques used to monitor prescription drug use or evaluate medical necessity, including prior authorization and step therapy protocols
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Applies these expanded exemptions to any multistate preferred drug list or supplemental drug rebate program administered by the commissioner
Legislative Description
Prior authorization mental health carve out expanded.
Last Action
Motion to recall and re-refer, motion prevailed Health Finance and Policy
3/24/2025