SF1574

This bill requires the Minnesota Commissioner of Human Services to select a single state pharmacy benefit manager (PBM) through a competitive procurement process in order to manage prescription drug benefits for Medical Assistance and MinnesotaCare enrollees under the managed care system.

Key provisions of the bill include: - Establishing eligibility criteria for selecting the PBM and entering into a master contract. - Prohibiting the PBM from requiring enrollees to obtain specialty drugs from affiliated pharmacies. - Requiring transparency in PBM operations, such as disclosure of financial arrangements, rebates, and fees. - Giving the commissioner authority to oversee prescription drug utilization, pricing, and formulary management while ensuring compliance with federal and state laws. - Mandating reporting requirements for the PBM regarding drug prices, pharmacy reimbursements, and savings passed on to enrollees. - Allowing the commissioner to review and amend contracts between the PBM and pharmacies to ensure compliance. - Seeking necessary federal approvals to implement the program.

The bill aims to enhance cost efficiency, manage drug costs effectively, increase transparency, and improve prescription drug access and affordability for enrollees.