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HF 626

as introduced - 92nd Legislature (2021 - 2022) Posted on 03/08/2021 04:25pm

KEY: stricken = removed, old language.
underscored = added, new language.
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A bill for an act
relating to insurance; health; requiring unrestricted access to services for the
diagnosis and treatment of rare diseases; proposing coding for new law in Minnesota
Statutes, chapter 62Q.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

new text begin [62Q.451] UNRESTRICTED ACCESS TO SERVICES FOR THE
DIAGNOSIS AND TREATMENT OF RARE DISEASES.
new text end

new text begin (a) No health plan company may restrict the choice of an enrollee as to where the enrollee
receives services related to the diagnosis and treatment of a rare disease or condition. For
purposes of this section, "rare disease or condition" means any disease or condition that:
new text end

new text begin (1) affects less than 200,000 persons in the United States; or
new text end

new text begin (2) affects more than 200,000 persons in the United States and a drug for treatment has
been designated as such pursuant to United States Code, title 21, section 360bb.
new text end

new text begin (b) Cost-sharing requirements and benefit or services limitations for the diagnosis and
treatment of a rare disease or condition must not place a greater financial burden on the
enrollee or be more restrictive than those requirements for in-network medical treatment.
new text end

new text begin (c) This subdivision does not apply to coverage provided through a public health care
program under chapter 256B or 256L.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2021, and applies to health plans
offered, issued, or renewed on or after that date.
new text end