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MN SF3351

MN SF3351
Coverage requirement for orthotic and prosthetic devices


summary

Introduced
05/20/2023
In Committee
03/11/2024
Crossed Over
Passed
Dead
05/20/2024

Introduced Session

93rd Legislature 2023-2024

Bill Summary

A bill for an act relating to insurance; requiring medical assistance coverage for orthotic and prosthetic devices; requiring health plans to cover orthotic and prosthetic devices; authorizing rulemaking; amending Minnesota Statutes 2022, section 256B.0625, subdivision 12, by adding a subdivision; proposing coding for new law in Minnesota Statutes, chapters 62Q; 256B.

AI Summary

This bill proposes to require medical assistance coverage and health plan coverage for orthotic and prosthetic devices, supplies, and services. The key provisions include: 1. Defining "orthosis," "orthotics," "prosthesis," and "prosthetics" and establishing coverage requirements for health plans. Health plans must provide coverage for orthotic and prosthetic devices, supplies, and services at least equal to the coverage provided under federal law for Medicare. 2. Establishing standards for medical necessity and nondiscrimination in the coverage of prosthetics and orthotics, including requiring health plans to apply evidence-based criteria and not deny coverage solely based on a person's disability. 3. Amending Minnesota Statutes to explicitly include coverage for orthotic and prosthetic devices, supplies, and services under medical assistance, effective January 1, 2025. The bill aims to ensure comprehensive and nondiscriminatory coverage for orthotic and prosthetic devices and services, allowing Minnesotans to access the medical equipment they need.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (5)

Last Action

Hearing (08:30:00 3/20/2024 ) (on 03/20/2024)

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