Bill > SF1998

This bill requires health insurance companies to provide comprehensive coverage for medical services and prescription medications used to treat or slow the progression of dementia, including diagnostic testing to determine the appropriateness of such treatments. Specifically, health plan companies must cover every type of medical service and FDA-approved medication related to dementia treatment, and they are prohibited from using step therapy protocols (a process where patients must try less expensive or alternative treatments before accessing the prescribed medication) for these dementia-related services and medications. The bill amends existing Minnesota statutes to modify prior authorization requirements for medical assistance programs, ensuring that step therapy requirements for dementia treatments comply with new provisions. The new coverage requirements and modifications will take effect on January 1, 2026, and will apply to health plans offered, issued, or renewed on or after that date. By removing barriers to dementia treatment and ensuring broader access to potentially beneficial medical services and medications, the bill aims to improve care for patients with dementia by allowing more flexible and comprehensive treatment options.