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Bill > SF2075


MN SF2075

MN SF2075
Health plans coverage of the management and treatment of obesity requirement


summary

Introduced
03/03/2025
In Committee
03/03/2025
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 the management and treatment of obesity; 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 the management and treatment of obesity as a chronic disease, starting January 1, 2027. The bill defines specific treatments that must be covered, including intensive health behavior and lifestyle treatment (evidence-based behavioral modification interventions), metabolic and bariatric surgery (surgical interventions recognized by professional medical societies), and FDA-approved obesity medications. The coverage must be integrated with other medical treatments, meaning that deductibles, co-payments, and other financial factors cannot be more restrictive for obesity treatments than for other medical conditions. Health plans can still apply standard medical necessity review processes to these treatments. The bill also requires that obesity medication coverage criteria cannot be more restrictive than the FDA's approved indications. Importantly, the bill extends these coverage requirements to Medical Assistance (Medicaid) programs in Minnesota, ensuring consistent treatment across different types of health insurance. The intensive behavioral treatments can be provided in various settings, including office, virtual, or community-based environments, to enhance patient access and support.

Committee Categories

Business and Industry

Sponsors (3)

Last Action

Authors added Johnson Stewart; Boldon (on 03/06/2025)

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