SF 1876 Minnesota Senate · 2025-2026 Regular Session

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
Photo of Alice Mann
Alice Mann
DDemocratic-Farmer-Labor
MN
50