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MN HF3123
Bill
Status
4/7/2025
Primary Sponsor
Kaohly Her
Click for details
AI Summary
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Health plan companies and pharmacy benefit managers must count any payments made by an enrollee or on their behalf by another person (such as copay assistance programs) toward the enrollee's cost-sharing and out-of-pocket maximum requirements
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Requirement applies to prescription drugs approved for coverage by the health plan, whether covered under medical or pharmacy benefits
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Exception provided for health savings account (HSA) eligible plans and catastrophic health plans: the requirement applies only after the enrollee has met their plan deductible to preserve federal eligibility
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Effective January 1, 2026, for health plans offered, issued, or renewed on or after that date
Legislative Description
Requirements for the calculation of an enrollee's contribution toward cost-sharing and out-of-pocket maximum requirements set.
Last Action
Introduction and first reading, referred to Commerce Finance and Policy
4/7/2025