Bill > SF731

This bill amends Minnesota's health insurance regulations to prohibit health plan companies, claims administrators, and utilization review organizations from requiring prior authorization for certain medical services, and adds a new provision specifically preventing prior authorization for any service where the health plan company's potential liability would be $100 or less. The bill expands existing exemptions from prior authorization requirements to include a broad range of services such as emergency treatments, outpatient mental health and substance use disorder treatments (except medications), cancer treatments aligned with National Comprehensive Cancer Network guidelines, preventive services recommended by the U.S. Preventive Services Task Force, immunizations, specific preventive services for women, pediatric hospice services, and neonatal abstinence program treatments. The new provision regarding services with potential liability of $100 or less will become effective on January 1, 2026, and will apply to health benefit plans offered, sold, issued, or renewed on or after that date. This change aims to streamline healthcare access by reducing administrative barriers for low-cost medical services and treatments.

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https://www.revisor.mn.gov/bills/bill.php?b=Senate&f=SF0731&ssn=0&y=2025