Minnesota Legislature
HF 3016
as introduced - 90th Legislature (2017 - 2018) Posted on 02/22/2018 01:25pm
Current Version - as introduced
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A bill for an act
relating to health care; prohibiting a health plan company from contractually
preventing a pharmacist from informing a patient of a price differential; amending
Minnesota Statutes 2016, section 151.214.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2016, section 151.214, is amended to read:
151.214 PAYMENT DISCLOSURE.
Subdivision 1.
Explanation of pharmacy benefits.
A pharmacist licensed under this
chapter must provide to a patient, for each prescription dispensed where part or all of the
cost of the prescription is being paid or reimbursed by an employer-sponsored plan or health
plan company, or its contracted pharmacy benefit manager, the patient's co-payment amount
deleted text begin anddeleted text end new text begin ,new text end the pharmacy's own usual and customary price of the prescription deleted text begin ordeleted text end new text begin , andnew text end the new text begin net new text end amount
the pharmacy will deleted text begin be paid for the prescription drugdeleted text end new text begin receive from all sources for dispensing
the prescription drug, once the claim has been completed new text end by the patient's employer-sponsored
plan or health plan company, or its contracted pharmacy benefit manager.
Subd. 2.
No prohibition on disclosure.
No contracting agreement between an
employer-sponsored health plan or health plan company, or its contracted pharmacy benefit
manager, and a resident or nonresident pharmacy deleted text begin registereddeleted text end new text begin licensednew text end under this chapter,
may prohibit deleted text begin thedeleted text end new text begin :
new text end
new text begin (1) a new text end pharmacy from disclosing to patients information a pharmacy is required or given
the option to provide under subdivision 1deleted text begin .deleted text end new text begin ; or
new text end
new text begin
(2) a pharmacist from informing a patient when the amount the patient is required to
pay under the patient's health plan for a particular drug is greater than the amount the patient
would be required to pay for the same drug if purchased out-of-pocket at the pharmacy's
usual and customary price.
new text end