This bill amends Minnesota Statutes 2024, specifically section 256B.0625, to clarify medical assistance coverage for prescription drugs in instances where individuals have cost-effective health insurance. The amendments include provisions that require medical assistance to cover cost-sharing for prescription drugs approved by a commercial insurer, even if the quantity exceeds a 34-day supply, and without the need for prior approval when the enrollee is subject to a deductible. Additionally, the bill specifies that authorization is not required for certain cases of cost-effective prescription drug coverage, further streamlining the process for recipients.

The bill also includes an effective date of January 1, 2026, for these changes. Overall, the amendments aim to enhance access to necessary medications for individuals covered by commercial insurance while ensuring that medical assistance remains a viable option for those in need.

Statutes affected:
Introduction: 256B.0625