Minnesota HF4373 amends health insurance provisions, including prescription drug prior authorizations, health maintenance organizations, network.

Minnesota HF4373 amends health insurance provisions to standardize drug prior authorization transactions between providers and group purchasers. It mandates electronic exchange of prescription drug prior authorization requests using the NCPDP SCRIPT Standard by January 1, 2027. The bill also revises health maintenance organization regulations, requiring them to allocate administrative expenses and submit financial statements. It establishes a process for accepting complaints from enrollees regarding health carrier compliance with network adequacy requirements.

Minnesota HF4373 amends health insurance provisions, including prescription drug prior authorizations, health maintenance organizations, network.

Minnesota HF4373 amends health insurance provisions to standardize drug prior authorization transactions between providers and group purchasers. It mandates electronic exchange of prescription drug prior authorization requests using the NCPDP SCRIPT Standard by January 1, 2027. The bill also revises health maintenance organization regulations, requiring them to allocate administrative expenses and submit financial statements. It establishes a process for accepting complaints from enrollees regarding health carrier compliance with network adequacy requirements.