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HF 3024

1st Engrossment - 90th Legislature (2017 - 2018) Posted on 05/07/2018 03:06pm

KEY: stricken = removed, old language. underscored = added, new language.

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Current Version - 1st Engrossment

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; establishing
a standard for prescription cost to consumers; amending Minnesota Statutes 2016,
sections 151.214, subdivision 2; 151.71, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2016, section 151.214, subdivision 2, is amended to read:


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
.

Sec. 2.

Minnesota Statutes 2016, section 151.71, is amended by adding a subdivision to
read:


Subd. 3.

Lowest cost to consumers.

(a) A health plan company or pharmacy benefits
manager shall not require an individual to make a payment at the point of sale for a covered
prescription medication in an amount greater than the allowable cost to consumers, as
defined in paragraph (b).

(b) For purposes of paragraph (a), "allowable cost to consumers" means the lowest of:
(1) the applicable co-payment for the prescription medication; or (2) the amount an individual
would pay for the prescription medication if the individual purchased the prescription
medication without using a health plan benefit.

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