SF 4166
Introduction - 94th Legislature (2025 - 2026)
Posted on 03/10/2026 09:18 a.m.
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4.14
A bill for an act
relating to health; advancing reproductive health education; proposing coding for
new law in Minnesota Statutes, chapter 144.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
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[144.091] ADVANCING EDUCATION ON REPRODUCTIVE HEALTH
CONDITIONS AND WOMEN'S NATURAL CYCLE.
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new text begin Subdivision 1. new text end
new text begin Education. new text end
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(a) The commissioner of health shall integrate information
about the root causes of infertility and reproductive health conditions, including restorative
reproductive medicine, fertility awareness-based methods, and body literacy education that
can be used to treat reproductive health conditions into existing public health programs,
including:
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(1) family planning;
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(2) maternal and child health programs; and
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(3) women's health initiatives.
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(b) Existing health education materials and resources shall be updated to include
information on restorative reproductive medicine.
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(c) The commissioner shall work with Title X funded facilities to integrate restorative
reproductive medicine, fertility awareness-based methods, and body literacy education
services into existing programs within 12 months of this Act's effective date. The department
shall provide guidance and support to facilities in implementing the services, including:
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(1) training for health care providers on restorative reproductive medicine, fertility
awareness-based methods and body literacy education; and
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(2) development of patient education materials on restorative reproductive medicine,
fertility awareness-based methods, and body literacy education.
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new text begin Subd. 2. new text end
new text begin Definitions. new text end
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(a) For purposes of this section, the following terms have the
meanings given.
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(b) "Fertility awareness-based methods" means modern, evidence-based methods of
tracking the menstrual cycle through observable biological signs in a woman, including
body temperature, cervical fluid, and hormone production in the reproductive system,
including luteinizing hormone and estrogen. Fertility awareness-based methods include but
are not limited to:
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(1) fertility educational and medical management;
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(2) symptothermal method;
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(3) Creighton model fertility care system; and
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(4) Billings ovulation method.
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(c) "Fertility education and medical management" means the program developed in
collaboration with the Reproductive Health Research Institute for medical research, protocols,
and medical training for health care professionals to enable the clinical application of research
advances in reproductive endocrinology by providing education for women about their
bodies, hormonal health, and medical support as appropriate.
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(d) "Infertility" means a symptom of an underlying disease or condition within a person's
body that makes successfully conceiving and carrying a child to term difficult or impossible,
which is diagnosed after:
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(1) twelve months of sexual intercourse without the use of a chemical, barrier, or other
contraceptive method for women who are under thirty-five years of age; or
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(2) six months of targeted sexual intercourse without the use of a chemical, barrier, or
other contraceptive method for women who are under thirty-five years of age and older
when conception should otherwise be possible.
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(e) "Natural procreative technology" or "NaProTECHNOLOGY" means an approach
to health care that monitors and maintains a woman's reproductive and gynecological health
including laparoscopic gynecologic surgery to reconstruct the uterus, fallopian tubes, ovaries,
and other organ structures to eliminate endometriosis and other reproductive health
conditions.
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(f) "Reproductive health condition" means a health condition that makes successfully
conceiving a child difficult or impossible when conception should otherwise be possible
including but not limited to:
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(1) endometriosis;
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(2) adenomyosis;
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(3) polycystic ovary disease;
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(4) uterine fibroids;
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(5) blocked fallopian tubes;
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(6) hormone imbalances;
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(7) hyperprolactinemia;
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(8) thyroid conditions;
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(9) ovulation dysfunctions;
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(10) male-factor infertility, including low sperm count, low sperm motility, low
testosterone, and lifestyle and environmental factors; and
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(11) other unspecified health conditions that make it difficult or impossible to successfully
conceive a child where conception should otherwise be possible.
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(g) "Restorative reproductive health" means a scientific approach to reproductive medicine
that seeks to cooperate with or restore the normal physiology and anatomy of the human
reproductive system, including without limitation:
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(1) body literacy programs that incorporate science-based charting methods;
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(2) teacher-led reproductive health education;
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(3) restorative reproductive medicine;
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(4) natural procreative technology;
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(5) fertility awareness-based methods; and
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(6) fertility education and medical management.
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(h) "Restorative reproductive medicine" means any scientific approach to reproductive
medicine that seeks to cooperate with or restore the normal physiology and anatomy of the
human reproductive system without the use of methods that are inherently suppressive,
circumventive, or destructive to natural human functions. The scientific approaches include
but are not limited to:
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(1) ultrasounds;
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(2) blood tests;
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(3) hormone panels;
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(4) laparoscopic and exploratory surgeries;
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(5) examining the patient's overall health and lifestyle;
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(6) elimination of environmental endocrine disruptors;
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(7) assessment of the health and fertility of a patient's partner;
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(8) natural procreative technology;
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(9) fertility awareness-based methods; and
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(10) fertility education and medical management.
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new text begin EFFECTIVE DATE. new text end
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This section is effective August 1, 2026.
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