SF 2893

1st Engrossment - 89th Legislature (2015 - 2016) Posted on 04/07/2016 10:14am

A bill for an act
relating to health; adding autism spectrum disorder treatment to essential benefits
definition; amending Minnesota Statutes 2014, section 62Q.81, subdivision 4.

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

Section 1.

Minnesota Statutes 2014, section 62Q.81, subdivision 4, is amended to read:

Subd. 4.

Essential health benefits; definition.

For purposes of this section,
"essential health benefits" has the meaning given under section 1302(b) of the Affordable
Care Act and includes:

(1) ambulatory patient services;

(2) emergency services;

(3) hospitalization;

(4) laboratory services;

(5) maternity and newborn care;

(6) mental health and substance use disorder services, including behavioral health
treatment;

(7) pediatric services, including oral and vision care;

(8) prescription drugs;

(9) preventive and wellness services and chronic disease management;

(10) rehabilitative and habilitative services and devices new text begin , including services for
autism spectrum disorder treatment specified pursuant to section 62A.3094 new text end ; and

(11) additional essential health benefits included in the EHB-benchmark plan, as
defined under the Affordable Care Act.

Sec. 2. new text begin EFFECTIVE DATE.
new text end

new text begin Section 1 is effective for health plans issued or renewed on or after January 1, 2017.
If the federal government issues a formal determination that the services are a new state
mandate and requires the state to cover the cost for autism spectrum disorder treatment
services specified under Minnesota Statutes, section 62A.3094, the inclusion of these
services under Minnesota Statutes, section 62Q.81, subdivision 4, clause (10), is repealed
effective at the end of the health plan coverage year.
new text end