Minnesota Legislature
SF 3992
as introduced - 93rd Legislature (2023 - 2024) Posted on 02/21/2024 09:30am
Current Version - as introduced
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A bill for an act
relating to health insurance; requiring coverage for amino acid-based elemental
formula; 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.
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[62Q.524] AMINO ACID-BASED FORMULA COVERAGE.
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new text begin Subdivision 1. new text end
new text begin Definition. new text end
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(a) For purposes of this section, the following term has the
meaning given.
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(b) "Formula" means an amino acid-based elemental formula.
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new text begin Subd. 2. new text end
new text begin Required coverage. new text end
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A health plan company must provide coverage for formula
when formula is medically necessary.
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new text begin Subd. 3. new text end
new text begin Covered conditions. new text end
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Conditions for which formula is medically necessary
include but are not limited to:
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(1) cystic fibrosis;
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(2) amino acid, organic acid, and fatty acid metabolic and malabsorption disorders;
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(3) IgE mediated allergies to food proteins;
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(4) food protein-induced enterocolitis syndrome;
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(5) eosinophilic esophagitis;
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(6) eosinophilic gastroenteritis;
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(7) eosinophilic colitis; and
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(8) mast cell activation syndrome.
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new text begin EFFECTIVE DATE. new text end
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This section is effective January 1, 2025, and applies to health
plans offered, issued, or sold on or after that date.
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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 Amino acid-based formula coverage. new text end
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Medical assistance covers amino
acid-based elemental formulas in the same manner as is required under section 62Q.524.
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new text begin EFFECTIVE DATE. new text end
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This section is effective January 1, 2025.
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