Text of MN SF 2209 (2024)
Gender-affirming care health plan and medical assistance coverage requirement clarification
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As introduced
2,749 characters
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A bill for an act
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relating to health care; clarifying that health plans must cover gender-affirming
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care; clarifying that medical assistance covers gender-affirming care; amending
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Minnesota Statutes 2022, section 256B.0625, subdivision 3a; proposing coding
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for new law in Minnesota Statutes, chapter 62Q.
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
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Section 1. [62Q.585] GENDER-AFFIRMING CARE COVERAGE; MEDICALLY
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NECESSARY CARE.
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Subdivision 1. Requirement. No health plan that covers physical or mental health
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services may be offered, sold, issued, or renewed in this state that:
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(1) excludes coverage for medically necessary gender-affirming care; or
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(2) requires gender-affirming treatments to satisfy a definition of "medically necessary
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care," "medical necessity," or any similar term that is more restrictive than the definition
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provided in subdivision 2.
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Subd. 2. Minimum definition. "Medically necessary care" means health care services
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appropriate in terms of type, frequency, level, setting, and duration to the enrollee's diagnosis
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or condition and diagnostic testing and preventive services. Medically necessary care must
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be consistent with generally accepted practice parameters as determined by health care
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providers in the same or similar general specialty as typically manages the condition,
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procedure, or treatment at issue and must:
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(1) help restore or maintain the enrollee's health; or
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(2) prevent deterioration of the enrollee's condition.
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Section 1.
23-02798
as introduced
02/07/23
REVISOR
SGS/JL
SENATE
STATE OF MINNESOTA
S.F. No. 2209
NINETY-THIRD SESSION
(SENATE AUTHORS: DIBBLE, Oumou Verbeten, Marty, Murphy and Frentz)
OFFICIAL STATUS
D-PG
DATE
Introduction and first reading
02/27/2023
Referred to Health and Human Services
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Subd. 3. Health plan; definition. For purposes of this section, "health plan" has the
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meaning given in section 62Q.01, subdivision 3, but includes the coverages listed in section
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62A.011, subdivision 3, clauses (7) and (10).
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Sec. 2. Minnesota Statutes 2022, section 256B.0625, subdivision 3a, is amended to read:
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Subd. 3a. Sex reassignment surgery Gender-affirming care. Sex reassignment surgery
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is not covered. Medical assistance covers gender-affirming care, as determined medically
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necessary pursuant to the procedures and criteria recognized within the prevailing
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professional standards, guidelines, or practices in this field of medicine.
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Sec. 2.
23-02798
as introduced
02/07/23
REVISOR
SGS/JL