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MN SF1961

MN SF1961
Infertility treatment and standard fertility preservation services coverage by health plans requirement, MinnesotaCare and medical assistance coverage of infertility treatment and standard fertility preservation services requirement, and appropriation


summary

Introduced
02/27/2025
In Committee
02/27/2025
Crossed Over
Passed
Dead

Introduced Session

94th Legislature 2025-2026

Bill Summary

A bill for an act relating to insurance; requiring health plans to cover infertility treatment and standard fertility preservation services; requiring medical assistance and MinnesotaCare to cover infertility treatment and standard fertility preservation services; appropriating money; amending Minnesota Statutes 2024, section 256B.0625, subdivision 13, 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 infertility treatment and standard fertility preservation services, with specific provisions designed to ensure accessible and affordable care. The bill defines infertility broadly, including conditions where a person with a uterus cannot establish or carry a pregnancy after 12 months (for those under 35) or six months (for those 35 and older), or when a healthcare provider determines infertility based on medical history and diagnostic testing. Health plans must offer unlimited embryo transfers, with a limit of four completed egg retrievals, and must use single embryo transfers when medically appropriate. The coverage must have the same cost-sharing requirements as maternity coverage, meaning no higher co-payments, deductibles, or coinsurance. The bill also applies to public health programs like Medical Assistance and MinnesotaCare, with provisions to ensure federal funding compatibility. The coverage becomes effective January 1, 2026, and the state will appropriate funds to help health plans and government programs implement these new requirements, including reimbursing health plan companies for the additional coverage and covering administrative costs.

Committee Categories

Business and Industry

Sponsors (5)

Last Action

Referred to Commerce and Consumer Protection (on 02/27/2025)

bill text


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