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MN HF668
Bill
Status
2/13/2025
Primary Sponsor
Kim Hicks
Click for details
AI Summary
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Medical Assistance must cover any drug on a recipient's primary third-party payer formulary after partial payment, even if the drug is excluded from the Medical Assistance formulary or preferred drug list
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No prior authorization required for drugs covered by a primary third-party payer, regardless of the payment amount initially covered by that payer
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Medical Assistance must cover services deemed out-of-network or requiring referral by a primary third-party payer, if those services are in-network and referral-free under Medical Assistance
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Amends Minnesota Statutes 2024, sections 256B.0625 (subdivisions 13 and 25b) and 256B.37 (subdivision 5)
Legislative Description
Medical assistance coverage of drugs covered by a primary third-party payer required, and coverage of in-network services by medical assistance regardless of network or referral status for a primary third-party payer required.
Last Action
Introduction and first reading, referred to Health Finance and Policy
2/13/2025