SF52 (Legislative Session 94 (2025-2026))
Dispensing fee requirements establishment on health plan companies and county-based purchasing plans providing prescription drug coverage in the medical assistance program
Related bill: HF464
AI Generated Summary
Senate File No. 52 is a legislative bill in Minnesota that focuses on prescription drug coverage in the medical assistance program. It proposes changes to how health plan companies and county-based purchasing plans, which provide this coverage, handle their dispensing fees. Specifically, the bill requires these entities to pay pharmacies a dispensing fee at least equal to the minimum amount specified in another part of Minnesota law when they dispense prescribed drugs to eligible individuals.
Additionally, the bill allows the commissioner to alter prescription drug coverage in managed care contracts to save more money for the state by increasing the collection of prescription drug rebates. This involves potentially using strategies like preferred drug lists and prior authorization to manage costs and drug use. Any changes to managed care contracts would need federal approval and would be aimed at enhancing drug cost management while maintaining incentives for managed care plans to effectively manage these costs.
Bill text versions
- Introduction PDF file
Actions
| Date | Chamber | Where | Type | Name | Committee Name |
|---|---|---|---|---|---|
| January 15, 2025 | Senate | Floor | Action | Introduction and first reading | |
| January 15, 2025 | Senate | Floor | Action | Referred to | Health and Human Services |
Citations
[
{
"analysis": {
"added": [
"Introduces new requirements for health plans to pay dispensing fees at least equal to those in section 256B.0625, subdivision 13e."
],
"removed": [],
"summary": "This bill modifies dispensing fee requirements for prescription drug coverage under Minnesota Statutes, section 256B.69, subdivision 6d.",
"modified": [
"Allows exclusion or modification of drug coverage in prepaid managed care contracts to increase state savings."
]
},
"citation": "256B.69"
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "References section 256B.0625 in relation to prescription drug dispensing fees.",
"modified": [
"Clarifies that dispensing fees must be at least equal to those specified in section 256B.0625, subdivision 13e."
]
},
"citation": "256B.0625"
}
]