Read the full stored bill text
A bill for an act
relating to health care; modifying provisions governing hospital reimbursement
for certain biological products to treat rare diseases; amending Minnesota Statutes
2024, section 256.969, subdivision 32.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2024, section 256.969, subdivision 32, is amended to read:
Subd. 32.
Biological products for cell and gene therapy.
(a)
deleted text begin
Effective July 1, 2025,
and upon necessary federal approval of documentation required to enter into a value-based
arrangement under section
256B.0625, subdivision 13k
,
deleted text end
The commissioner
deleted text begin
may
deleted text end
new text begin
shall
new text end
provide
separate reimbursement to hospitals for biological products provided in the inpatient hospital
setting as part of cell or gene therapy to treat rare diseases, as defined in United States Code,
title 21, section 360bb
deleted text begin
, if the drug manufacturer enters into a value-based arrangement with
the commissioner
deleted text end
.
(b)
deleted text begin
The commissioner shall establish the separate reimbursement rate for biological
products provided under paragraph (a) based on the methodology used for drugs administered
in an outpatient setting under section
256B.0625, subdivision 13e
, paragraph (e).
deleted text end
new text begin
Hospitals
must be paid the actual acquisition cost for biological products provided under paragraph
(a).
new text end