The bill in question amends existing legislation to modify how prescription drugs are managed within Minnesota's medical assistance program. Key points include:

1. Allowing the state's health commissioner to adjust prescription drug coverage under managed care contracts to maximize savings through additional prescription drug rebates.

2. These contracts must continue to encourage managed care plans to control drug costs and use, and might include using preferred drug lists and requiring prior approval for certain prescriptions.

3. The bill mandates that health plans providing prescription drug coverage under state healthcare programs pay pharmacies a minimum dispensing fee per prescription, ensuring pharmacies are adequately compensated.

The changes depend on federal approval of the contract adjustments and the rebates system. This legislative effort aims to enhance cost-efficiency while ensuring essential medication access through state-supported health programs.