1.1 	A bill for an act
1.2 	relating to health; placing additional limits on enrollee prescription drug 
1.3 	cost-sharing;amending Minnesota Statutes 2020, section 62W.12.
1.4 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.5 	Section 1. Minnesota Statutes 2020, section 62W.12, is amended to read:
1.6 	62W.12 POINT OF SALE.
1.7 	(a) No pharmacy benefit manager or health carrier shall require an enrollee to make a 
1.8 	payment at the point of sale for a covered prescription drug in an amount greater than the 
1.9 	lesser of:
1.10 	(1) the applicable co-payment for the prescription drug;
1.11 	(2) the allowable claim amount for the prescription drug; ~~or~~
1.12 	(3) the amount an enrollee would pay for the prescription drug if the enrollee purchased 
1.13 	the prescription drug without using a health plan or any other source of prescription drug 
1.14 	benefits or discounts; or
1.15 	(4) the net price of the prescription drug.
1.16 	(b) For purposes of this section, "net price" means the pharmacy benefit manager's or 
1.17 	health carrier's cost for a prescription drug, after applying any rebates or discounts received 
1.18 	by or accrued directly or indirectly to the pharmacy benefit manager or health carrier from 
1.19 	a drug manufacturer.

1.20 	EFFECTIVE DATE. This section is effective for health plans offered, issued, or 
1.21 	renewed on or after January 1, 2022.