SF 1178

as introduced - 90th Legislature (2017 - 2018) Posted on 02/21/2017 08:53am

A bill for an act
relating to human services; requiring medical assistance to cover medically
necessary gender dysphoria and certain prescribed drugs for treatment of gender
dysphoria; amending Minnesota Statutes 2016, section 256B.0625, subdivision
3a, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2016, section 256B.0625, subdivision 3a, is amended to
read:

Subd. 3a.

deleted text begin Sex reassignment surgery deleted text end new text begin Treatment of gender dysphoria new text end .

Sex reassignment
surgery is not covered new text begin , unless medically necessary new text end .

Sec. 2.

Minnesota Statutes 2016, section 256B.0625, is amended by adding a subdivision
to read:

new text begin Subd. 13k. new text end

new text begin Treatment of gender dysphoria. new text end

new text begin Notwithstanding subdivision 13d, paragraph
(b), clause (1), the commissioner may include drugs for the treatment of gender dysphoria
within the drug formulary established under subdivision 13d if:
new text end

new text begin (1) the drug is approved for marketing by the United States Food and Drug
Administration;
new text end

new text begin (2) the dose and indication for use of the drug is recommended by a clinical guideline
or practice parameter included in the National Guideline Clearinghouse maintained by the
United States Department of Health and Human Services Agency for Healthcare Research
and Quality; and
new text end

new text begin (3) there is not another drug or regimen available within the formulary to treat the
condition.
new text end