1.1 	A bill for an act
1.2 	relating to human services; requiring medical assistance to cover medically 
1.3 	necessary treatment of gender dysphoria and certain prescribed drugs for treatment 
1.4 	of gender dysphoria;amending Minnesota Statutes 2018, section 256B.0625, 
1.5 	subdivision 3a, by adding a subdivision.
1.6 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.7 	Section 1. Minnesota Statutes 2018, 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 2018, 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
2.1 	(3) there is not another drug or regimen available within the formulary to treat the 
2.2 	condition.