Text of MN SF 1178 (2017)

Gender dysphoria treatment medical assistance (MA) coverage requirement when medically necessary

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As introduced

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1.1 A bill for an act​ 1.2 relating to human services; requiring medical assistance to cover medically​ 1.3 necessary gender dysphoria and certain prescribed drugs for treatment of gender​ 1.4 dysphoria; amending Minnesota Statutes 2016, section 256B.0625, subdivision​ 1.5 3a, by adding a subdivision.​ 1.6 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:​ 1.7 Section 1. Minnesota Statutes 2016, section 256B.0625, subdivision 3a, is amended to​ 1.8 read:​ 1.9 Subd. 3a. Sex reassignment surgery Treatment of gender dysphoria. Sex reassignment​ 1.10 surgery is not covered, unless medically necessary.​ 1.11 Sec. 2. Minnesota Statutes 2016, section 256B.0625, is amended by adding a subdivision​ 1.12 to read:​ 1.13 Subd. 13k. Treatment of gender dysphoria. Notwithstanding subdivision 13d, paragraph​ 1.14 (b), clause (1), the commissioner may include drugs for the treatment of gender dysphoria​ 1.15 within the drug formulary established under subdivision 13d if:​ 1.16 (1) the drug is approved for marketing by the United States Food and Drug​ 1.17 Administration;​ 1.18 (2) the dose and indication for use of the drug is recommended by a clinical guideline​ 1.19 or practice parameter included in the National Guideline Clearinghouse maintained by the​ 1.20 United States Department of Health and Human Services Agency for Healthcare Research​ 1.21 and Quality; and​ 1​ Sec. 2.​ 17-2573 as introduced​ 02/01/17 REVISOR ACF/LP​ SENATE​ STATE OF MINNESOTA​ S.F. No. 1178​ NINETIETH SESSION​ (SENATE AUTHORS: DIBBLE and Simonson)​ OFFICIAL STATUS​ D-PG​ DATE​ Introduction and first reading​ 02/20/2017​ Referred to Health and Human Services Finance and Policy​ 2.1 (3) there is not another drug or regimen available within the formulary to treat the​ 2.2 condition.​ 2​ Sec. 2.​ 17-2573 as introduced​ 02/01/17 REVISOR ACF/LP​