Chiropractic services under medical assistance and MinnesotaCare coverage modification
Impact
If enacted, SF828 will significantly impact the statutory framework governing chiropractic services by altering the definition of covered services and establishing stricter payment limitations. Patients will be entitled to one annual evaluation, with coverage limited to a maximum of 24 visits per year for chiropractic treatments, unless additional visits receive prior authorization. Additionally, the bill repeals certain previous statutes relating to chiropractic services, effectively removing older provisions from the books and simplifying the regulatory landscape.
Summary
SF828 is a legislative bill aimed at modifying the coverage of chiropractic services under the Minnesota medical assistance program and MinnesotaCare. Specifically, this bill amends Minnesota Statutes 2022, section 256B.0625 to define the conditions under which chiropractic services will be covered, including limitations on the number of visits and specific types of services that are eligible for coverage. The changes proposed are intended to streamline payment processes and ensure that only necessary chiropractic services are covered under state-funded healthcare programs.
Contention
Points of contention surrounding SF828 focus on the implications for access to healthcare services for patients reliant on chiropractic care. Proponents of the bill argue that establishing clear limits on the number of visits and covered procedures will prevent unnecessary spending and ensure that only essential treatments are funded. However, critics express concerns that such restrictions may impede access to care for patients who require regular chiropractic treatment for chronic conditions. The debate hinges on finding the right balance between cost management and ensuring accessible healthcare for Minnesota’s residents.
Equal coverage of services provided by pharmacist required, and medical assistance and MinnesotaCare requirements for coverage and payment of pharmacy services set.
Chiropractic Medicare Coverage Modernization Act of 2025This bill expands Medicare coverage of chiropractic services to include all services provided by chiropractors, rather than only subluxation corrections through manual manipulation of the spine.
Enrollee cost-sharing eliminated under medical assistance and MinnesotaCare; and individual, small group, and State Employee Group Insurance Program plans prohibited from including cost-sharing.
Health care guaranteed to be available and affordable for every Minnesotan; Minnesota Health Plan, Minnesota Health Board, Minnesota Health Fund, Office of Health Quality and Planning, ombudsman for patient advocacy, and auditor general for the Minnesota Health Plan established; Affordable Care Act 1332 waiver requested; and money appropriated.
A House resolution expressing the sense of the Minnesota House of Representatives reaffirming its commitment to the strengthening and deepening of the sister ties between the state of Minnesota and Taiwan.