The bill establishes a Minnesota Prescription Drug Purchasing Program, which will be administered by the commissioner of human services. This program aims to provide prescription drugs to medical assistance and MinnesotaCare enrollees at the lowest possible cost. The commissioner is tasked with several duties, including maintaining a list of effective prescription drugs, administering benefits, and negotiating prices with manufacturers and wholesalers. The program will also require pharmacies to enroll and accept the terms set by the commissioner, who will seek necessary federal approvals for implementation.

Additionally, the bill mandates the development of recommendations for expanding the program to include enrollees from health plan companies that contract with the commissioner. This expansion will involve outlining the process for contracting with these companies to manage prescription drug benefits and formulary development. A report detailing these recommendations is required to be presented to relevant legislative committees by December 15, 2026. The program is set to take effect on January 1, 2026, or upon receiving federal approval, whichever occurs later.