SF 97

as introduced - 92nd Legislature (2021 - 2022) Posted on 03/26/2021 09:17am

A bill for an act
relating to health coverage; requiring coverage for lymphedema compression
treatment items; proposing coding for new law in Minnesota Statutes, chapter 62A.

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

Section 1.

new text begin [62A.255] COVERAGE OF LYMPHEDEMA TREATMENT.
new text end

new text begin Subdivision 1. new text end

new text begin Scope of coverage. new text end

new text begin This section applies to all health plans that are sold,
issued, or renewed to a Minnesota resident.
new text end

new text begin Subd. 2. new text end

new text begin Required coverage. new text end

new text begin (a) Each health plan must provide coverage for lymphedema
treatment, including coverage for compression treatment items, complex decongestive
therapy, and outpatient self-management training and education during lymphedema treatment
if prescribed by a licensed health care professional. Lymphedema compression treatment
items include: (1) compression garments, stockings, and sleeves; (2) compression devices;
and (3) bandaging systems, components, and supplies that are primarily and customarily
used in the treatment of lymphedema.
new text end

new text begin (b) If applicable to the enrollee's health plan, a health carrier may require the prescribing
health care professional to be within the enrollee's health plan provider network if the
provider network meets network adequacy requirements under section 62K.10.
new text end

new text begin (c) A health plan must not apply any cost-sharing requirements, benefit limitations, or
service limitations for lymphedema treatment and compression treatment items that place
a greater financial burden on the enrollee or are more restrictive than cost-sharing
requirements or limitations applied by the health plan to other similar services or benefits.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2021, and applies to any health
plan issued, sold, or renewed on or after that date.
new text end