MN HF4373

Requires electronic prescription drug prior authorization requests using NCPDP SCRIPT Standard starting January 1, 2027, and exempts certain group purchasers not covered by HIPAA from eligibility transaction requirements only

Expands prescription drug price transparency reporting by requiring pharmacy benefit managers and wholesale drug distributors to disclose rebate arrangements with group purchasing organizations, including total amounts received and percentages paid to health plans

Extends Commissioner of Health's regulatory authority over health maintenance organizations (HMOs) under insurance holding company system provisions, including examination powers and expense allocation reporting requirements

Updates network adequacy requirements to include dental, retail pharmacy, and specialty services under federal time and distance standards, and requires health carriers to maintain accurate, searchable online provider directories

Repeals obsolete provisions including the Health Technology Advisory Committee, Minnesota Center for Health Care Electronic Data Interchange, and HMO insolvency alternative coverage through MCHA