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SF 3064

1st Engrossment - 84th Legislature (2005 - 2006) Posted on 12/15/2009 12:00am

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

Current Version - 1st Engrossment

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A bill for an act
relating to human services; providing limited medical assistance coverage
for individuals eligible for Medicare Part D; directing commissioner to seek
reimbursement from federal government; amending Minnesota Statutes 2004,
section 256B.0625, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2004, section 256B.0625, is amended by adding a
subdivision to read:


new text begin Subd. 13i. new text end

new text begin Medicare Part D. new text end

new text begin (a) Notwithstanding subdivision 13, paragraph (d),
for recipients who are enrolled in a Medicare Part D prescription drug plan or Medicare
Advantage special needs plan, medical assistance covers the following:
new text end

new text begin (1) co-payments which the recipient is responsible for under a Medicare Part D
prescription drug plan or Medicare Advantage special needs plan, once the recipient
has incurred $12 per month in prescription drug co-payments, in accordance with the
requirements of the plan; and
new text end

new text begin (2) any prescription drug that is not included in the drug formulary used by the
Medicare Part D prescription drug plan or Medicare Advantage special needs plan in
which the recipient is enrolled. Coverage under this clause shall only occur upon a
determination by the Board of Aging that the recipient is enrolled in the plan that provides
the most comprehensive prescription drug coverage in terms of the recipient's prescription
drug needs and meets the low-income premium benchmark set for Minnesota. Once a
determination has been made by the Board of Aging, the commissioner shall not require
the recipient to pursue the plan's exception and appeal process before providing coverage
under this clause.
new text end

new text begin (b) Notwithstanding subdivision 13, paragraph (d), for recipients who are eligible for
Medicare Part D but who are awaiting enrollment into a Medicare Part D prescription drug
plan or Medicare Advantage special needs plan, medical assistance covers prescription
drugs as required under subdivision 13, paragraph (a), for a period of 60 days beginning
the date the Medicare Part D application was submitted.
new text end

new text begin (c) Medical assistance coverage under paragraphs (a) and (b) shall be provided in
accordance with the requirements of subdivisions 13 to 13h.
new text end

Sec. 2. new text begin FEDERAL GOVERNMENT CHANGES.
new text end

new text begin The commissioner of human services shall seek reimbursement from the federal
government for funds expended by the state to provide drug coverage to medical
assistance recipients who are enrolled or in the process of enrolling in Medicare Part D.
The commissioner shall also continue to pursue federal changes to Medicare Part D to
address lapses in drug coverage for medical assistance recipients who are also enrolled
or eligible for Medicare Part D.
new text end