SF 5320

as introduced - 93rd Legislature (2023 - 2024) Posted on 04/09/2024 09:54am

A bill for an act
relating to health insurance; requiring coverage of cancer imaging and clinical
genetic testing; 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.452] CANCER; CLINICAL GENETIC TESTING AND IMAGING.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following terms have
the meanings given.
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new text begin (b) "Clinical genetic testing" means germline multigene testing for an inherited mutation
associated with an increased risk of cancer performed in accordance with evidence-based
clinical practice guidelines.
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new text begin (c) "Imaging" means evidence-based cancer imaging modalities performed in accordance
with the most recent version of the National Comprehensive Cancer Network (NCCN)
clinical practice guidelines.
new text end

new text begin Subd. 2. new text end

new text begin Coverage. new text end

new text begin (a) A health plan must include coverage for:
new text end

new text begin (1) imaging for enrollees with an increased risk of cancer, as determined by the NCCN;
and
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new text begin (2) clinical genetic testing for an inherited gene mutation that is recommended by a
health care provider for enrollees with a personal or family history of cancer.
new text end

new text begin (b) The coverage required by this section is not subject to cost-sharing, including but
not limited to deductible, co-payment, or coinsurance.
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new text begin Subd. 3. new text end

new text begin Application. new text end

new text begin If the application of subdivision 2, paragraph (b), before an enrollee
has met their health plan's deductible would result in: (1) health savings account ineligibility
under United States Code, title 26, section 223; or (2) catastrophic health plan ineligibility
under United States Code, title 42, section 18022(e), then subdivision 2, paragraph (b),
applies to imaging and clinical genetic testing only after the enrollee has met the enrollee's
health plan's deductible.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025, and applies to health
plans offered, issued, or renewed on or after that date.
new text end