Pharmacy benefit manager requirement clarified.

HF 3708 requires Minnesota's commissioner of management and budget to compare actual prescription drug costs under the current pharmacy benefit manager (PBM) contract (2023-2024) with projected costs under the previous contract (2018-2022), adjusting for formulary or utilization changes. The commissioner must report this comparison to the legislative auditor and relevant committees by March 1, 2025, using industry-recognized data. The legislative auditor then verifies the accuracy of this report by April 1, 2025. If the comparison shows no savings (after adjustments), the state may skip the reverse auction process for selecting a new PBM; if savings were achieved, the reverse auction must be used for the next contract. This directly affects how Minnesota selects future state health program PBMs.