The bill amends Minnesota Statutes 2023 Supplement, section 256B.0625, subdivision 13e, to increase the professional dispensing fee for outpatient drugs from $10.77 to $11.55. This change applies to various categories of drugs, including intravenous solutions and over-the-counter drugs that meet the definition of covered outpatient drugs. The bill also outlines the basis for determining payment rates for drugs, which includes ingredient costs and usual and customary prices, while ensuring that the net submitted charge does not exceed the patient liability for the service.
Additionally, the bill introduces a new effective date for these changes, stating that they will take effect on July 1, 2024. The legislation emphasizes the importance of maintaining access to care while adjusting reimbursement rates and includes provisions for pharmacies to conduct cost of dispensing surveys to ensure fair compensation for services rendered. Overall, the bill aims to enhance the financial viability of pharmacies while ensuring that patients receive necessary medications at reasonable costs.