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SF 4423

1st Engrossment - 93rd Legislature (2023 - 2024) Posted on 03/12/2024 10:06am

KEY: stricken = removed, old language.
underscored = added, new language.
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Current Version - 1st Engrossment

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A bill for an act
 relating to insurance; requiring health plans to cover scalp hair prosthetics for hair
loss caused by cancer treatment; amending Minnesota Statutes 2022, sections
62A.28, subdivision 2; 256B.0625, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2022, section 62A.28, subdivision 2, is amended to read:


Subd. 2.

Required coverage.

new text begin (a) new text end Every policy, plan, certificate, or contract referred to
in subdivision 1 deleted text begin issued or renewed after August 1, 1987,deleted text end must provide coverage for scalp
hair prostheses worn for hair loss suffered as a result of alopecia areatanew text begin or treatment for
cancernew text end .

new text begin (b) new text end The coverage required by this section is subject to the co-payment, coinsurance,
deductible, and other enrollee cost-sharing requirements that apply to similar types of items
under the policy, plan, certificate, or contract and may be limited to one prosthesis per
benefit year.

new text begin (c) The coverage required by this section for scalp hair prostheses, worn for hair loss
suffered as a result of treatment for cancer is limited to $1,000 per benefit year.
 new text end

new text begin (d) A scalp hair prostheses must be prescribed by a doctor to be covered under this
section.
 new text end

new text begin (e) Scalp hair prostheses worn for hair loss suffered as a result of treatment for cancer
are covered by county-based purchasing plans participating in the medical assistance program.
 new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025, and applies to all policies,
plans, certificates, and contracts offered, issued, or renewed on or after that date.
 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 Scalp hair prosthetics. new text end

new text begin Medical assistance covers scalp hair prosthesis
prescribed for hair loss suffered as a result of treatment for cancer. Medical assistance must
meet the requirements that would otherwise apply to a health plan under section 62A.28.
 new text end