| 1 | 1 | | 1.1 A bill for an act |
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| 2 | 2 | | 1.2 relating to human services; modifying coverage and payment for certain pharmacy |
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| 3 | 3 | | 1.3 services; amending Minnesota Statutes 2024, sections 256B.0625, by adding a |
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| 4 | 4 | | 1.4 subdivision; 256L.03, by adding a subdivision. |
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| 5 | 5 | | 1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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| 6 | 6 | | 1.6 Section 1. Minnesota Statutes 2024, section 256B.0625, is amended by adding a subdivision |
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| 7 | 7 | | 1.7to read: |
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| 8 | 8 | | 1.8 Subd. 13l.Coverage and payment for certain pharmacy services.(a) Medical |
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| 9 | 9 | | 1.9assistance covers services provided by a licensed pharmacist under the coverage for services |
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| 10 | 10 | | 1.10provided by a licensed physician to the extent the licensed pharmacist's services are within |
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| 11 | 11 | | 1.11both a pharmacist's and physician's scope of practice. |
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| 12 | 12 | | 1.12 (b) This subdivision applies to licensed pharmacist services provided: |
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| 13 | 13 | | 1.13 (1) under fee-for-service medical assistance; or |
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| 14 | 14 | | 1.14 (2) by a managed care plan under section 256B.69 or a county-based purchasing plan |
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| 15 | 15 | | 1.15under section 256B.692. |
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| 16 | 16 | | 1.16 (c) The commissioner, and managed care and county-based purchasing plans when |
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| 17 | 17 | | 1.17providing services under sections 256B.69 and 256B.692, must reimburse a participating |
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| 18 | 18 | | 1.18pharmacist or pharmacy for a service that is within both a pharmacist's and physician's scope |
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| 19 | 19 | | 1.19of practice at an amount no lower than the standard payment rate applied when reimbursing |
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| 20 | 20 | | 1.20a physician for the service. |
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| 21 | 21 | | 1Section 1. |
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| 22 | 22 | | REVISOR AGW/ES 25-0508603/24/25 |
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| 23 | 23 | | State of Minnesota |
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| 24 | 24 | | This Document can be made available |
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| 25 | 25 | | in alternative formats upon request |
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| 26 | 26 | | HOUSE OF REPRESENTATIVES |
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| 27 | 27 | | H. F. No. 2909 |
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| 28 | 28 | | NINETY-FOURTH SESSION |
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| 29 | 29 | | Authored by Bahner, Backer and Bierman03/27/2025 |
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| 30 | 30 | | The bill was read for the first time and referred to the Committee on Health Finance and Policy 2.1 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval, |
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| 31 | 31 | | 2.2whichever is later. The commissioner of human services must notify the revisor of statutes |
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| 32 | 32 | | 2.3when federal approval is obtained. |
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| 33 | 33 | | 2.4 Sec. 2. Minnesota Statutes 2024, section 256L.03, is amended by adding a subdivision to |
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| 34 | 34 | | 2.5read: |
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| 35 | 35 | | 2.6 Subd. 7.Coverage and payment for certain pharmacy services.MinnesotaCare must |
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| 36 | 36 | | 2.7cover and pay for pharmacy services in compliance with the requirements for medical |
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| 37 | 37 | | 2.8assistance specified under section 256B.0625, subdivision 13l. |
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| 38 | 38 | | 2.9 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval, |
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| 39 | 39 | | 2.10whichever is later. The commissioner of human services must notify the revisor of statutes |
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| 40 | 40 | | 2.11when federal approval is obtained. |
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| 41 | 41 | | 2Sec. 2. |
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| 42 | 42 | | REVISOR AGW/ES 25-0508603/24/25 |
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