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MN SF1023

MN SF1023
Inherited metabolic diseases coverage by health plans requirement provision


summary

Introduced
02/06/2025
In Committee
02/06/2025
Crossed Over
Passed
Dead

Introduced Session

94th Legislature 2025-2026

Bill Summary

A bill for an act relating to health insurance; requiring health plans to cover treatment of inherited metabolic diseases; amending Minnesota Statutes 2024, section 256B.0625, by adding a subdivision; proposing coding for new law in Minnesota Statutes, chapter 62Q.

AI Summary

This bill requires health insurance plans in Minnesota to provide comprehensive coverage for inherited metabolic diseases, which are rare genetic conditions that affect an individual's body chemistry and metabolism. Specifically, the bill mandates that health plans cover medically necessary treatments, including medical foods and low-protein modified food products prescribed by a physician to manage these conditions. The bill defines key terms such as "inherited metabolic disease" as a genetic condition affecting metabolism, "medical food" as a specialized dietary treatment formulated for a specific medical condition, and "low-protein modified food product" as a food with less than one gram of protein per serving designed for treating metabolic diseases. Importantly, the bill prohibits health plans from imposing any unique limitations, cost-sharing, prior authorization requirements, or restrictions on this coverage that would not apply to other medical treatments. The bill also extends these coverage requirements to medical assistance programs, ensuring that individuals with inherited metabolic diseases receive consistent and comprehensive support across different types of health insurance in Minnesota.

Committee Categories

Business and Industry

Sponsors (5)

Last Action

Referred to Commerce and Consumer Protection (on 02/06/2025)

bill text


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