SF 5217
Introduction - 94th Legislature (2025 - 2026)
Posted on 04/30/2026 08:49 a.m.
1.7 1.8 1.9 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 1.22 2.1 2.2 2.3 2.4
2.5 2.6 2.7 2.8 2.9 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 2.19 2.20 2.21
2.22 2.23 2.24 2.25 2.26 2.27 2.28 2.29 2.30 3.1 3.2 3.3 3.4
3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13 3.14
3.15 3.16 3.17
A bill for an act
relating to health insurance; requiring health plans to provide coverage for cancer
screenings pursuant to American Cancer Society guidelines; amending Minnesota
Statutes 2024, sections 62A.30, subdivision 2; 62Q.50; proposing coding for new
law in Minnesota Statutes, chapter 62Q.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2024, section 62A.30, subdivision 2, is amended to read:
Subd. 2.
Required coverage.
new text begin (a) new text end Every policy, plan, certificate, or contract referred to
in subdivision 1 that provides coverage to a Minnesota resident must provide coverage for
routine screening procedures for cancer and the office or facility visit, including
deleted text begin mammograms,deleted text end surveillance tests for ovarian cancer for women who are at risk for ovarian
cancer as defined in subdivision 3deleted text begin , pap smears, and colorectal screening tests for men and
women, when ordered or provided by a physician in accordance with the standard practice
of medicinedeleted text end .
new text begin
(b) Coverage for colorectal cancer screening must be provided consistent with current
American Cancer Society guidelines. Routine screening procedures include all colorectal
examinations and tests that are administered at a frequency identified in current American
Cancer Society screening guidelines, including but not limited to a follow-up colonoscopy
conducted after a positive noninvasive stool-based screening test, blood test, or direct
visualization test.
new text end
new text begin
(c) Coverage must be provided for all breast cancer screening examinations and tests
that are administered at a frequency identified in current American Cancer Society guidelines
for individuals of average risk and individuals of high risk of developing breast cancer,
including all breast examinations required by subdivisions 4 and 5.
new text end
new text begin
(d) A health plan must not impose cost-sharing requirements, including co-pays,
deductibles, or coinsurance, on the coverage required under this section.
new text end
Sec. 2.
Minnesota Statutes 2024, section 62Q.50, is amended to read:
62Q.50 PROSTATE CANCER SCREENING.
new text begin (a) new text end A health plan must cover prostate cancer screening deleted text begin for men 40 years of age or over
who are symptomatic or in a high-risk category and for all men 50 years of age or olderdeleted text end new text begin
consistent with current American Cancer Society screening guidelinesnew text end .
deleted text begin
The screening must consist at a minimum of a prostate-specific antigen blood test and
a digital rectal examination.
deleted text end
deleted text begin
This coverage is subject to any deductible, coinsurance, co-payment, or other limitation
on coverage applicable to other coverages under the plan.
deleted text end
new text begin
(b) The coverage must include all prostate cancer screening examinations and tests that
are administered at a frequency identified in current American Cancer Society screening
guidelines, including follow-up examinations. Follow-up examinations include but are not
limited to urinary analysis, serum biomarker testing, medical imaging, or biopsy.
new text end
new text begin
(c) A health plan must not impose cost-sharing requirements, including co-pays,
deductibles, or coinsurance, on the coverage required under this section.
new text end
new text begin (d) new text end For purposes of this section, "health plan" includes coverage that is excluded under
section 62A.011, subdivision 3, clauses (7) and (10).
Sec. 3.
new text begin
[62Q.501] CERVICAL CANCER SCREENING.
new text end
new text begin
(a) A health plan must cover cervical cancer screening for women consistent with current
American Cancer Society screening guidelines.
new text end
new text begin
(b) The coverage must include all cervical cancer screening examinations and tests that
are administered at a frequency identified in current American Cancer Society screening
guidelines, including follow-up examinations used to evaluate an abnormality seen or
suspected from a cervical cancer screening, regardless of whether different samples from
the prior cervical cancer screening are used or the follow-up examination is performed on
a different date than the cervical cancer screening. Follow-up examinations include but are
not limited to human papillomavirus examinations with typing, cytology, dual stain, or
colposcopy with biopsy.
new text end
new text begin
(c) A health plan must not impose cost-sharing requirements, including co-pays,
deductibles, or coinsurance, on the coverage required under this section.
new text end
Sec. 4.
new text begin
[62Q.502] LUNG CANCER SCREENING.
new text end
new text begin
(a) A health plan must cover lung cancer screening consistent with current American
Cancer Society screening guidelines.
new text end
new text begin
(b) The coverage must include all lung cancer screening examinations and tests that are
administered at a frequency identified in current American Cancer Society screening
guidelines, including follow-up examinations. Follow-up examinations include but are not
limited to chest x-ray, computed tomography scan, magnetic resonance imaging, positron
emission tomography scan, or biopsy.
new text end
new text begin
(c) A health plan must not impose cost-sharing requirements, including co-pays,
deductibles, or coinsurance, on the coverage required under this section.
new text end
Sec. 5. new text begin EFFECTIVE DATE.
new text end
new text begin
Sections 1 to 4 are effective January 1, 2027, and apply to health plans offered, issued,
or renewed on or after that date.
new text end