HF 149

as introduced - 91st Legislature (2019 - 2020) Posted on 02/18/2019 03:37pm

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 2018, section 151.214.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2018, 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
and, the pharmacy's own usual and customary price of the prescription or, and the net amount
the pharmacy will be paid for the prescription drug receive from all sources for dispensing
the prescription drug, once the claim has been completed 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 registered licensed under this chapter,
may prohibit the:

(1) a pharmacy from disclosing to patients information a pharmacy is required or given
the option to provide under subdivision 1.; or

(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.