Pharmacy benefit managers and health carriers inclusion of lower-cost drugs in formularies requirement provision and lowest out-of-pocket-cost drug to patient formulary tiering preference provision
SF 1876 requires pharmacy benefit managers (PBMs) and health insurance carriers to include lower-cost versions of drugs in their formularies. Specifically, if a plan covers a brand-name drug, it must also cover the equivalent generic drug with the lowest wholesale acquisition cost, and vice versa for generics. The bill mandates that formularies must structure tiers to prioritize the drug with the lowest out-of-pocket cost for patients, without imposing prior authorization or access barriers on that option. This directly affects PBMs, health plans, and patients seeking prescription drugs covered under Minnesota health plans.
Bill status
in committee
1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 27, 2025
Last action Mar 27, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
1st Engrossment
→
2nd Engrossment
·
2 edits
·
Mar 27, 2025
MINOR
The bill was updated from the 1st to the 2nd engrossment, changing the posting date to March 28, 2025. The most significant substantive change is the addition of a new exception clause that exempts pharmacy benefit managers and health carriers from the bill's requirements if the patient's out-of-pocket cost for a generic drug is $25 or less, or for a brand-name drug is $55 or less.
Scope change
The bill's applicability is now narrowed for plans where patient cost-sharing already meets specific low-cost thresholds.
ELIGIBILITY
Added an exception stating the law does not apply if the patient's cost-sharing is $25 or less for generic drugs or $55 or less for brand-name drugs.
TIMELINE
Updated the document title and posting date from March 26, 2025, to March 28, 2025.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
4
Key actions
2
Committee
3
Mar 27, 2025
Upper · Passed
Comm report: To pass as amended and re-refer to Commerce and Consumer Protection
upper
Mar 13, 2025
Upper · Passed
Comm report: To pass as amended and re-refer to Health and Human Services
upper
Feb 27, 2025
Committee
Referred to Commerce and Consumer Protection
upper
Feb 27, 2025
Introduced
Introduction and first reading
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Alice Mann
DDemocratic-Farmer-Labor
Ask Maddy
·
AI policy assistant
Ask Maddy about SF 1876
Scope: MN
Hi! I can help you understand SF 1876. What would you like to know?
Try one of these
i
Maddy answers using official bill text and legislative records. Always verify before sharing.
Sources cited inline