SF 365

1st Engrossment - 91st Legislature (2019 - 2020) Posted on 03/05/2020 09:10am

A bill for an act
relating to health care; prohibiting health plan companies from removing coverage
of a particular brand of insulin or equipment and supplies during an enrollee's
contract year; amending Minnesota Statutes 2018, section 62A.3093, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2018, section 62A.3093, is amended by adding a subdivision
to read:

new text begin Subd. 3. new text end

new text begin Coverage change. new text end

new text begin (a) A health plan company shall disclose, upon the request
of an enrollee or a prospective enrollee, the brand or brands of insulin and the equipment
and supplies covered under a health plan.
new text end

new text begin (b) A health plan company is prohibited from removing from coverage a particular brand
of insulin, equipment, or supplies described under subdivision 1 during an enrollee's contract
year. This paragraph does not apply if the particular brand is deemed unsafe or has been
withdrawn from the market by the product manufacturer.
new text end

new text begin (c) For purposes of this subdivision, "enrollee's contract year" means the 12-month term
during which benefits associated with a particular health plan are in effect for that enrollee.
new text end

new text begin (d) This subdivision does not apply to managed care plans or county-based purchasing
plans participating in a public health care program under chapter 256B or 256L, or an
integrated health partnership under section 256B.0755, or to the state employee group
insurance program provided under sections 43A.22 to 43A.30.
new text end