Commissioner of human services required to establish a directed pharmacy dispensing payment to improve and maintain access to pharmaceutical services, and money appropriated.

HF 1100 requires Minnesota's human services commissioner to establish a $4.50 per prescription payment to eligible community pharmacies in rural or underserved areas. This payment, added to existing fees, must be paid by managed care plans, county health programs, and pharmacy benefit managers to qualifying pharmacies that serve medically underserved populations or share ownership with 12 or fewer Minnesota pharmacies. The bill appropriates funds for this program in fiscal years 2026 and 2027, with the payment ending if federal approval isn't obtained. It explicitly states this payment cannot replace or reduce other fees paid to pharmacies.