Bills in North Dakota and Minnesota aim to lower prescription costs for patients.

The North Dakota Senate has passed a bill that would allow health centers to contract with multiple pharmacies to provide discounted prescription medications under the federal 340b program, which serves low-income, rural, and specialized patient care communities. The bill awaits the governor's signature. Meanwhile, the Minnesota Health and Finance House Committee is considering two bills aimed at lowering prescription drug costs. HF1075 would require pharmacy benefit managers to use drug rebates to reduce patients' out-of-pocket costs, while HF1076 would mandate health carriers and PBMs to prioritize low-cost options in their coverage plans. If passed, these Minnesota bills would take effect on January 1, 2026.