SF 3926

1st Engrossment - 93rd Legislature (2023 - 2024) Posted on 03/12/2024 10:15am

A bill for an act
relating to insurance; requiring health plans to cover intermittent catheters;
amending Minnesota Statutes 2022, section 256B.0625, by adding a subdivision;
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.665] INTERMITTENT CATHETERS.
new text end

new text begin Subdivision 1. new text end

new text begin Required coverage. new text end

new text begin A health plan must provide coverage for intermittent
urinary catheters and insertion supplies if intermittent catheterization is recommended by
the enrollee's health care provider. Up to 180 intermittent catheters per month with insertion
supplies must be covered unless a lesser amount is prescribed by the enrollee's health care
provider. A health plan providing coverage under the medical assistance program may be
required to provide coverage for more than 180 intermittent catheters per month with
insertion supplies.
new text end

new text begin Subd. 2. new text end

new text begin Cost-sharing requirements. new text end

new text begin A health plan is prohibited from imposing a
deductible, co-payment, coinsurance, or other restriction on intermittent catheters and
insertion supplies that the health plan does not apply to durable medical equipment in general.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for any health plan issued or renewed
on or after January 1, 2025.
new text end

Sec. 2.

Minnesota Statutes 2022, section 256B.0625, is amended by adding a subdivision
to read:

new text begin Subd. 72. new text end

new text begin Intermittent catheters. new text end

new text begin Medical assistance covers intermittent urinary catheters
and insertion supplies if intermittent catheterization is recommended by the enrollee's health
care provider. Medical assistance must meet the requirements that would otherwise apply
to a health plan under section 62Q.665.
new text end