The bill amends Minnesota Statutes 2024, section 62M.07, subdivision 2, to prohibit prior authorization for certain health services and medications. Specifically, it adds a new provision that prevents health plan companies, utilization review organizations, or claims administrators from requiring prior authorization for drugs that an enrollee has been prescribed and used on an ongoing basis for at least six months. This aims to streamline access to necessary medications for patients who have been stable on their prescribed treatments.

Additionally, the bill maintains existing prohibitions on prior authorization for emergency services, outpatient mental health and substance use disorder treatments (excluding medications), antineoplastic cancer treatments (excluding medications), preventive services with high ratings from the United States Preventive Services Task Force, pediatric hospice services, and treatments delivered through neonatal abstinence programs. The changes are intended to enhance patient care by reducing barriers to accessing essential medications and services.

Statutes affected:
Introduction: 62M.07