SF 1509 Minnesota Senate · 2025-2026 Regular Session

Medical assistance coverage requirement of drugs covered by a primary third-party payer

This bill requires Minnesota's medical assistance program (Medicaid) to cover prescription drugs that are already covered by a patient's primary third-party insurance plan (such as Medicare or private insurance), rather than denying coverage for those drugs. It also mandates that medical assistance cover in-network healthcare services regardless of whether the primary insurer's network or referral requirements would otherwise restrict access. These changes directly affect Medicaid recipients who have primary insurance coverage for medications or healthcare services. The policy removes barriers that previously prevented Medicaid from covering these items when primary insurance already provides coverage.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 17, 2025 Last action Mar 17, 2026
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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
Feb 17, 2025
Committee
Referred to Health and Human Services
upper
Feb 17, 2025
Introduced
Introduction and first reading
upper
1 primary · 2 co-sponsors

Sponsors